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  • 1.  Best Practices for Suicide Risk Screening in Specialty Clinics

    Posted 8 days ago

    Hello,

    We currently screen for depression annually in primary care and at specialty offices when patients present with symptoms. For those who screen positive, we complete the Columbia Suicide Severity Rating Scale (C-SSRS).

    Recently, we've noticed an increase in patients with suicide risk in specialty clinics, but there have been missed opportunities to identify warning signs earlier. Additionally, staff often feel unsure how to respond when a patient exhibits concerning behaviors.

    I'd love to learn from your experience:

    1. What is your workflow for screening patients at risk for suicide in specialty settings?
    2. How do you train MAs and LVNs to recognize potential warning signs when they aren't performing formal assessments?
    3. If you use the Columbia scale, have you found it effective in identifying risk sooner compared to other tools?

    Any insights, protocols, or training strategies would be greatly appreciated. Thank you for sharing your expertise!



    ------------------------------
    Cindy Phan, MSN, RN
    Clinical Nurse Educator- Ambulatory
    UCI Health
    Orange, CA
    714-456-7131
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  • 2.  RE: Best Practices for Suicide Risk Screening in Specialty Clinics

    Posted 3 days ago
    Hi,
    In our Specialty clinics we screen using the ASQ every 90 days, and if positive, we use the Columbia.  If the Columbia screens Moderate or higher, we can enter a Social Work consultation and they will meet them during the visit to further determine risk and resource needs.  Current state is our Medical Assistance have some scripting they use to give the child 10 and older the ASQ and enter the scores into our EHR, which then will provide a Best Practice Alert for next steps.

    We will be presenting our Primary care and Specialty care workflow at the AAACN conference this Spring.   Join us!

    Tera Bartelt MS, RN

    Director of Ambulatory Clinical Practice

    Director: Complex Care and Down Syndrome

    Children's Wisconsin

    tbartelt@childrenswi.org

     

     

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