@article{ref1,
title="Implementation of a pediatric/adolescent suicide risk screening tool for patients presenting to the emergency department with nonbehavioral health complaints",
journal="Journal of child and adolescent psychiatric nursing",
year="2020",
author="Hackfeld, Melody",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PROBLEM: At a large urban pediatric hospital, from 2015 to 2016, a 44% increase occurred in youth with suicide attempts admitted to medical units. At that time, patients assessed in the Emergency Department (ED) were asked one question to determine suicide risk. <br><br>METHODS: The Iowa Model served as the framework for the Psychiatry and Emergency Departments to identify an evidence-based suicide screening tool and educate/train all ED nurses on assessing patients for suicide risk. In July 2017, ED nurses began assessing all patients (ages 10 and over) utilizing the Ask Suicide-Screening Questions (ASQ). <br><br>FINDINGS: In the first 3 months of ASQ implementation, 390 youth were identified in the ED as struggling with sadness/worry or at risk for suicide. Pre-intervention ED nurses' survey results indicated 30% felt inadequately trained in suicide screening; 26% considered the ASQ too time consuming, and 40% agreed there was stigma regarding mental health. Post-education ED nurses' survey results showed improvement in skills (64% felt adequately trained) but there was no significant change in mental health stigma perception. <br><br>CONCLUSION: Within the first 3 months of assessing all nonbehavioral patients ages 10 and over, there was a 37% increase of ED patients identified as a suicide risk, enabling immediate mental health assessments before suicide attempts.<br><br>© 2020 Wiley Periodicals LLC.<p /> <p>Language: en</p>",
language="en",
issn="1073-6077",
doi="10.1111/jcap.12276",
url="http://dx.doi.org/10.1111/jcap.12276"
}