@article{ref1,
title="Using Electronic Health Record Alerts to Increase Safety Planning with Youth At-Risk for Suicide: A Non-randomized Trial",
journal="Child and youth care forum",
year="2018",
author="Reyes-Portillo, J.A. and Chin, E.M. and Toso-Salman, J. and Blake Turner, J. and Vawdrey, D. and Mufson, L.",
volume="47",
number="3",
pages="391-402",
abstract="BACKGROUND: No study to date has examined the effectiveness of integrating clinical decision support tools, like electronic health record (EHR) alerts, into the clinical care of youth at-risk for suicide. <br><br>OBJECTIVE: This study aimed to examine the feasibility and acceptability of using an EHR alert to increase clinicians' use of safety planning with youth at-risk for suicide in an outpatient pediatric psychiatry clinic serving an urban low-income Latino community. <br><br>METHODS: An alert intervention was developed to remind clinicians to complete a safety plan whenever they documented that their patient endorsed suicidal ideation, plan, or attempt during a visit in EHR notes. The alert appeared as a separate window containing a reminder message to complete a safety plan once a clinician finished visit documentation. <br><br>RESULTS: There were 69 at-risk patients between the ages of 13-21 in the intervention period (M = 15.71; SD = 1.86; 66.7% female) and 64 (M = 15.38; SD = 1.93; 68.6% female) in the control period. Logistic regression analyses indicated that patients in the intervention period were significantly more likely than patients in the control period to receive a safety plan (p < .01). The pattern of results remained the same after adjusting for demographic variables (p = .01). Forty clinicians also completed a questionnaire assessing their satisfaction with the EHR alert, indicating moderate satisfaction (M = 3.01; SD = 0.63; range = 1.11-4.11). <br><br>CONCLUSIONS: EHR alerts are associated with changes in clinicians' behavior and improved compliance with best clinical practices for at-risk youth. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.<p /><p>Language: en</p>",
language="en",
issn="1053-1890",
doi="10.1007/s10566-018-9435-4",
url="http://dx.doi.org/10.1007/s10566-018-9435-4"
}