| Suicide attempts and completions in the emergency department in Veterans Affairs Hospitals. | |
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MedLine Citation:
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PMID: 21490372 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Background This is the first study of suicide attempts and completions in the emergency department (ED) in a large national medical system. Methods All root cause analysis (RCA) reports completed of suicides and suicide attempts that occurred in ED in the Veterans Health Administration between 1 December 1999 and 31 December 2009 were reviewed. The method, location, anchor point for hanging and implement for cutting as well as the root causes were categorised. Results Ten per cent of all RCA reports of suicides and suicide attempts that occur within the hospital occur in the ED. Hanging, cutting and strangulation were the most common methods. The most common anchor point for hanging was doors, and the most common implement for cutting was a razor blade. In eight of the 10 cases of cutting, the implement was brought into the ED. The most common root causes were problems communicating risk and being short-staffed. Conclusions Based on these results the following recommendations are made for helping to reduce suicide attempts in the ED: (1) use a systematic protocol and checklist to review mental health holding areas periodically in the ED for suicidal hazards; (2) develop and implement specialised protocols for suicidal patients that include continuous observation when possible; (3) conduct thorough contraband searches with suicidal patients; (4) designate specialised holding areas, when practically possible, for suicidal patients that are free of anchor points for hanging, sharps and medications, and medical equipment; and are isolated from exits to reduce the risk of elopement. |
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Authors:
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Peter D Mills; B Vince Watts; Joseph M Derosier; Anne M Tomolo; James P Bagian |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-4-13 |
Journal Detail:
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Title: Emergency medicine journal : EMJ Volume: - ISSN: 1472-0213 ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-4-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100963089 Medline TA: Emerg Med J Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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VA National Center for Patient Safety Field Office, White River Junction, Vermont, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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