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Suicide Risk Assessment CPG Synopsis
Suicide Risk Assessment CPG Synopsis
Suicide Risk Assessment CPG Synopsis
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This document is a clinical practice guideline (CPG) on suicide risk assessment in the emergency department (ED). The CPG addresses the problem of suicide being a leading cause of death in the United States and the need for effective risk assessment tools in the ED. The Joint Commission established new requirements for suicide screening, and this guideline aims to provide recommendations for screening tools.<br /><br />The document highlights the challenges faced by emergency care providers in identifying individuals at risk for suicide or self-harm. It emphasizes the importance of maintaining vigilance and identifying risk factors and personal characteristics associated with suicidal behaviors. The initial suicide screening tool should be brief and easily administered by the ED staff, integrating with current clinical assessments.<br /><br />The CPG provides recommendations for screening tools and interventions at different stages. It identifies various suicide risk assessment tools, categorizing them as having a moderate or weak amount of evidence to support their validity, feasibility, and reliability. The document also recommends tools for assessing lethality for discharge from the ED.<br /><br />The level of recommendation for each tool or intervention is categorized as Level A, B, C, NR (Not recommended), IE (Insufficient evidence), or NE (No evidence). The document notes that some tools frequently referenced in the literature do not have sufficient evidence to support their use in the ED setting.<br /><br />The CPG concludes by stating that the recommendations provided are based on the current scientific and clinical knowledge at the time of publication and may be subject to change. It emphasizes that these recommendations should not replace a practitioner's best judgment based on the individual patient's circumstances.<br /><br />Overall, this CPG serves as a valuable resource for emergency nurses and other care providers in the ED, providing evidence-based information on suicide risk assessment tools and interventions.
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Keywords
clinical practice guideline
suicide risk assessment
emergency department
leading cause of death
risk assessment tools
suicide screening
emergency care providers
vigilance
screening tool
evidence-based information
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