Salome O. Chitavi PhD (Is Research Scientist II, Department of Research, The Joint Commission, Oakbrook Terrace, IL), Scott C. Williams PsyD (is Director, Department of Research, The Joint Commission), Jamie Patrianakos PhD (is Research Scientist I, Department of Research, The Joint Commission), Stephen P. Schmaltz PhD, MPH, MS (is Senior Biostatistician, Department of Research (retired), The Joint Commission), Edwin D. Boudreaux PhD (is Professor, Departments of Emergency Medicine, Psychiatry, and Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School), Brian K. Ahmedani PhD, LMSW (is Director, Center for Health Policy and Health Services Research, and Director of Research, Behavioral Health Services, Henry Ford Health, Detroit), Kimberly Roaten PhD, ABPP (is Professor, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas), Katherine Anne (Kate) Comtois PhD, MPH (is Professor, Department of Psychiatry and Behavioral Sciences, University of Washington), Farzana Akkas MSc (is Principal Associate – Suicide Risk Reduction Project, The Pew Charitable Trusts, Springfield, Virginia), Gregory K. Brown PhD (is Associate Professor of Clinical Psychology in Psychiatry, Perelman School of Medicine, University of Pennsylvania. Please address correspondence to Salome Chitavi)
{"title":"评估认证医院中自杀风险筛查做法的普遍性。","authors":"Salome O. Chitavi PhD (Is Research Scientist II, Department of Research, The Joint Commission, Oakbrook Terrace, IL), Scott C. Williams PsyD (is Director, Department of Research, The Joint Commission), Jamie Patrianakos PhD (is Research Scientist I, Department of Research, The Joint Commission), Stephen P. Schmaltz PhD, MPH, MS (is Senior Biostatistician, Department of Research (retired), The Joint Commission), Edwin D. Boudreaux PhD (is Professor, Departments of Emergency Medicine, Psychiatry, and Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School), Brian K. Ahmedani PhD, LMSW (is Director, Center for Health Policy and Health Services Research, and Director of Research, Behavioral Health Services, Henry Ford Health, Detroit), Kimberly Roaten PhD, ABPP (is Professor, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas), Katherine Anne (Kate) Comtois PhD, MPH (is Professor, Department of Psychiatry and Behavioral Sciences, University of Washington), Farzana Akkas MSc (is Principal Associate – Suicide Risk Reduction Project, The Pew Charitable Trusts, Springfield, Virginia), Gregory K. Brown PhD (is Associate Professor of Clinical Psychology in Psychiatry, Perelman School of Medicine, University of Pennsylvania. Please address correspondence to Salome Chitavi)","doi":"10.1016/j.jcjq.2025.01.010","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>The Joint Commission's National Patient Safety Goal (NPSG) on suicide prevention (NPSG.15.01.01) requires accredited hospitals to screen all patients aged 12 years and older who are being evaluated or treated for behavioral health conditions as their primary reason for care for suicidal ideation using a validated screening tool. Some hospitals have expanded screening to include nonbehavioral health care patients.</div></div><div><h3>Methods</h3><div>This cross-sectional observational study explored the prevalence and challenges of suicide risk screening practices among Joint Commission–accredited hospitals. An online questionnaire was sent to 859 general medical/surgical hospitals. Chi-square tests were used to evaluate differences in response rates, and responses were adjusted by hospital characteristics (bed capacity, location, system, and teaching status).</div></div><div><h3>Results</h3><div>A total of 284 (33.1%) hospitals responded. The majority (<em>n</em> = 225 [79.2%]) reported screening all patients hospitalwide, and 185 (65.1%) had implemented a suicide prevention framework that includes protocols for positive screens and risk assessment. Challenges for implementing a comprehensive universal suicide risk screening and assessment protocol included insufficient staffing and lack of secure environments for at-risk patients. Of the 59 organizations not conducting hospitalwide screening, 94.9% indicated multiple reasons, including negative impact on workflow (30 [50.8%]), burden on providers (30 [50.8%]), not a requirement (29 [49.2%]), and workflow feasibility (28 [47.5%]).</div></div><div><h3>Conclusion</h3><div>Results suggest the majority of accredited hospitals have implemented suicide risk screening practices that exceed current Joint Commission requirements. The lack of sufficient resources to adequately address patients who screen positive for suicide risk remains a key challenge to universal screening.</div></div>","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"51 5","pages":"Pages 342-349"},"PeriodicalIF":2.3000,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluating the Prevalence of Suicide Risk Screening Practices in Accredited Hospitals\",\"authors\":\"Salome O. Chitavi PhD (Is Research Scientist II, Department of Research, The Joint Commission, Oakbrook Terrace, IL), Scott C. Williams PsyD (is Director, Department of Research, The Joint Commission), Jamie Patrianakos PhD (is Research Scientist I, Department of Research, The Joint Commission), Stephen P. Schmaltz PhD, MPH, MS (is Senior Biostatistician, Department of Research (retired), The Joint Commission), Edwin D. Boudreaux PhD (is Professor, Departments of Emergency Medicine, Psychiatry, and Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School), Brian K. Ahmedani PhD, LMSW (is Director, Center for Health Policy and Health Services Research, and Director of Research, Behavioral Health Services, Henry Ford Health, Detroit), Kimberly Roaten PhD, ABPP (is Professor, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas), Katherine Anne (Kate) Comtois PhD, MPH (is Professor, Department of Psychiatry and Behavioral Sciences, University of Washington), Farzana Akkas MSc (is Principal Associate – Suicide Risk Reduction Project, The Pew Charitable Trusts, Springfield, Virginia), Gregory K. Brown PhD (is Associate Professor of Clinical Psychology in Psychiatry, Perelman School of Medicine, University of Pennsylvania. Please address correspondence to Salome Chitavi)\",\"doi\":\"10.1016/j.jcjq.2025.01.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>The Joint Commission's National Patient Safety Goal (NPSG) on suicide prevention (NPSG.15.01.01) requires accredited hospitals to screen all patients aged 12 years and older who are being evaluated or treated for behavioral health conditions as their primary reason for care for suicidal ideation using a validated screening tool. Some hospitals have expanded screening to include nonbehavioral health care patients.</div></div><div><h3>Methods</h3><div>This cross-sectional observational study explored the prevalence and challenges of suicide risk screening practices among Joint Commission–accredited hospitals. An online questionnaire was sent to 859 general medical/surgical hospitals. Chi-square tests were used to evaluate differences in response rates, and responses were adjusted by hospital characteristics (bed capacity, location, system, and teaching status).</div></div><div><h3>Results</h3><div>A total of 284 (33.1%) hospitals responded. The majority (<em>n</em> = 225 [79.2%]) reported screening all patients hospitalwide, and 185 (65.1%) had implemented a suicide prevention framework that includes protocols for positive screens and risk assessment. Challenges for implementing a comprehensive universal suicide risk screening and assessment protocol included insufficient staffing and lack of secure environments for at-risk patients. Of the 59 organizations not conducting hospitalwide screening, 94.9% indicated multiple reasons, including negative impact on workflow (30 [50.8%]), burden on providers (30 [50.8%]), not a requirement (29 [49.2%]), and workflow feasibility (28 [47.5%]).</div></div><div><h3>Conclusion</h3><div>Results suggest the majority of accredited hospitals have implemented suicide risk screening practices that exceed current Joint Commission requirements. The lack of sufficient resources to adequately address patients who screen positive for suicide risk remains a key challenge to universal screening.</div></div>\",\"PeriodicalId\":14835,\"journal\":{\"name\":\"Joint Commission journal on quality and patient safety\",\"volume\":\"51 5\",\"pages\":\"Pages 342-349\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-01-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Joint Commission journal on quality and patient safety\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1553725025000406\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Joint Commission journal on quality and patient safety","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1553725025000406","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Evaluating the Prevalence of Suicide Risk Screening Practices in Accredited Hospitals
Background
The Joint Commission's National Patient Safety Goal (NPSG) on suicide prevention (NPSG.15.01.01) requires accredited hospitals to screen all patients aged 12 years and older who are being evaluated or treated for behavioral health conditions as their primary reason for care for suicidal ideation using a validated screening tool. Some hospitals have expanded screening to include nonbehavioral health care patients.
Methods
This cross-sectional observational study explored the prevalence and challenges of suicide risk screening practices among Joint Commission–accredited hospitals. An online questionnaire was sent to 859 general medical/surgical hospitals. Chi-square tests were used to evaluate differences in response rates, and responses were adjusted by hospital characteristics (bed capacity, location, system, and teaching status).
Results
A total of 284 (33.1%) hospitals responded. The majority (n = 225 [79.2%]) reported screening all patients hospitalwide, and 185 (65.1%) had implemented a suicide prevention framework that includes protocols for positive screens and risk assessment. Challenges for implementing a comprehensive universal suicide risk screening and assessment protocol included insufficient staffing and lack of secure environments for at-risk patients. Of the 59 organizations not conducting hospitalwide screening, 94.9% indicated multiple reasons, including negative impact on workflow (30 [50.8%]), burden on providers (30 [50.8%]), not a requirement (29 [49.2%]), and workflow feasibility (28 [47.5%]).
Conclusion
Results suggest the majority of accredited hospitals have implemented suicide risk screening practices that exceed current Joint Commission requirements. The lack of sufficient resources to adequately address patients who screen positive for suicide risk remains a key challenge to universal screening.
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