SV Outpatiet Zero Suicide itiative Oct 14 to ec 16 Lea Problem: Betwee 2011 ad 2014, of patiets attedig the SV Outpatiet programs, there were recorded suicide attempts or deaths by suicide. Goal Statemet Zero suicide attempts or deaths by suicide. Team Larki Hoyt, Psy.; Lidsay Kramer, FT; hristiaa Paul, FT Nacy Burlak, Seree arruthers, Veroica ampbell, Jacuelie Ruvo, Je Wojciechowski, Je cwaters, hristia Huag, Suzae Johso, Suzae Whittemore, arolie tterto, Nasim Bavar, ara Schwartz, Lisa cjuki, harles Westfall, Rya cade, att Hayde Lea epartmet
SV Outpatiet Zero Suicide itiative Oct 14 to ec 16 easure / alyze Lea Retrospective aalysis of 16 idetified outpatiet evets; 50 data poits examied. Qualitative & Quatitative did ot result i a clear root cause(s) Fidigs cluded: High variability i workflow ad documetatio No effective risk prioritizatio of outpatiet populatio urret ssessmet was task, ot value added Need for Stadard Work & Evidece-Based Practice Lea epartmet
SV Outpatiet Zero Suicide itiative Oct 14 to ec 16 Need to sk Like We oitor for Blood Pressure Nearly 50% of people who die by suicide see their primary care doctor the moth before they die (Luoma et al., 2002) 70% of older adults 90% adolescets i the year prior Lea ay adolescet attempters i the ER do ot preset for psychiatric reasos (Kig et al., 2009) 25% of all people who die by suicide are see i ER i past 12 moths for o-psychiatric reasos (Gairi et al., 2003) eter for Suicide Risk ssessmet Slide used with permissio GRET OPPORTUNTY FOR PRVENTON! f we ask we ca fid them!! Lea epartmet
SV Outpatiet Zero Suicide itiative Oct 14 to ec 16 olumbia-suicide Severity Ratig Scale Poser, K.; Bret,.; Lucas,.; Gould,.; Staley, B.; Brow, G.; Zelazy, J.; Fisher, P.; Burke,.; Ouedo,.; a, J. Lea eveloped by leadig experts i respose to the eed for a measure to: 1. ssess both behavior ad ideatio together 2. Look at desity/severity 3. Track chage Evidece-based, structured iterview ad supported Feasible, low-burde: Short admiistratio time cludes oly the most essetial, evidece-based items eeded eter for Suicide Risk ssessmet Slide used with permissio Lea epartmet
SV Outpatiet Zero Suicide itiative Oct 14 to ec 16 -SSRS is Simply 1-5 Ratig of icreasig severity for suicidal ideatio Lea Two Screeig Questios for deatio Have you wished you were dead or wished you could go to sleep ad ot wake up? Have you actually had ay thoughts of killig yourself? f aswer is No to both, o more uestios o ideatio ll relevat behaviors assessed ll items iclude defiitios for each term ad stadardized uestios for each category are icluded to guide the iterviewer for facilitatig improved idetificatio. Fid all versios of -SSRS at http://cssrs.columbia.edu/ eter for Suicide Risk ssessmet Slide used with permissio Lea epartmet
SV Outpatiet Zero Suicide itiative Oct 14 to ec 16 -SSRS i Psychiatric Outpatiet Settig ultural hage Regardig Suicide ssessmet Needs to be value added iddle out, ot top dow skig ca Save Life; sk every time, like BP ommo efiitios evelop cliical pathways ad expectatios Usig our resources where they are eeded most Lik -SSRS Ratig to EBP Treatmet tervetios Lea Key was staff ivolvemet Lea epartmet
SV Outpatiet Zero Suicide itiative Oct 14 to ec 16 -SSRS i Psychiatric Outpatiet Settig Support for liicias Lea iscer betwee suicidal behavior, ideatio, ad o-suicidal self ijurious behaviors Stadardizes & Structures the cliical iterview Reduces liability Stadards of practice do ot reuire perfect outcomes. They do, however, reuire that we act reasoably. Lea epartmet
Lea Lea epartmet
SV Outpatiet Zero Suicide itiative Oct 14 to ec 16 Likig -SSRS Ratig to Evidece Based Practice Treatmet tervetios Lea Thomas Joier s terpersoal Theory of Suicide Lea epartmet
SV Outpatiet Zero Suicide itiative Oct 14 to ec 16 -SSRS i our ER Lea llows for iformatio to flow from oe ecouter to aother Lea epartmet
SV Outpatiet Zero Suicide itiative Oct 14 to ec 16 Usig -SSRS i Other Settigs The key to triage operatioalized criteria for ext steps Lea epartmet Lea llows for settig parameters for triggerig ext steps whatever they may be (e.g. referral to metal health, oe-to-oe, etc.) 4 or 5 recet ideatio idicates eed for immediate actio ecreases uecessary referrals, itervetios Provides the best available iformatio to iform your cliical judgmet the past, people did t kow what to maage, so they would hear ay wish to die ad itervee eter for Suicide Risk ssessmet Slide used with permissio
SV Outpatiet Zero Suicide itiative Oct 14 to ec 16 The liicia s Perspective What worked well Lessos Leared Next Steps otiuig Educatio opportuities Sharig Success i the ommuity Lea Explore opportuities to expad Sharp-wide Great opportuity to use i Es otiued efforts ad projects towards: Zero suicide attempts or deaths by suicide What we do makes a differece! Lea epartmet