Suicide Prevention Safety Goal

1
Suicide Prevention Safety Goal Psychiatric
Resources at UCH

• Suzanne Kinney, QI Specialist
• Clinical Excellence and Patient Safety

2
National Patient Safety Goal Suicide
Prevention

• Joint Commission requirements
• 1. A Risk Assessment identifies factors that
  may increase/decrease the risk of suicide
• UCH Nurses perform a suicide risk
  assessment and take steps to ensure safety
• Psychiatry can be consulted for further
  assessment and recommendations

3
National Patient Safety Goal Suicide
Prevention

• Joint Commission requirements
• 2. The hospital addresses the patients
  immediate safety needs and most appropriate
  setting for treatment
• 3. The hospital provides suicide prevention
  information to patients at discharge
• Contact UCH Social Workers for discharge
  planning resources for suicide prevention

4
Psychiatric Resources at UCH

• Psych/Social Liaison Team is available in the
  Emergency Department (24/7)
• Psychiatric Consult/Liaison Resident is available
  for Inpatient Consultations
• Psychiatry is available to consult on complex
  cases if acute condition exists

5
Residents Role Responsibilities

• Residents are not responsible for conducting
  Psychiatric Risk Assessments
• Residents are not responsible for writing 72 hour
  Mental Health Holds (27-10)
• Residents may assess Decision Making Capacity if
  a patient is refusing care/treatment and decision
  making capability is in question

6
Decision Making Capacity

• The Decision making Capacity Assessment Tool is a
  form with instructions (available in your
  Resident packet)
• The medical care team is responsible for
  identifying conditions contributing to incapacity
• Assess patients ability to make a medical
  decision based on factual understanding of the
  illness prognosis

7
Decision Making Capacity

• Assess etiology of incapacity (example delirium
  versus psychosis)
• Concurrent mental illness doesnt negate decision
  making capacity
• A Psychiatric Consultation may be requested if
  acute symptoms of a mental illness are affecting
  decision making capacity

8
UCH Psychiatric Contact Numbers

• EMERGENCY DEPARTMENT
• Psych/Social Liaison [phone]
• FOR INPATIENTS
• Psychiatric Consult/Liaison Resident
• Page [phone] (Page the On-call
  Psychiatrist evenings, week-ends and holidays)