The Adoption and Implementation of the Columbia-Suicide Severity Rating Scale (C-SSRS) in a Psychiatric Emergency Service: Utilizing Roger's Diffusion of Innovations Model

2.50
Hdl Handle:
http://hdl.handle.net/10755/335389
Category:
Full-text
Type:
Presentation
Title:
The Adoption and Implementation of the Columbia-Suicide Severity Rating Scale (C-SSRS) in a Psychiatric Emergency Service: Utilizing Roger's Diffusion of Innovations Model
Author(s):
Morse, Cheranne
Lead Author STTI Affiliation:
Kappa Gamma
Author Details:
Cheranne Morse, DNP, RN, PMHNP-BC, CASAC, CD, Cheranne.Morse@stonybrookmedicine.edu
Abstract:
Session presented on Sunday, July 27, 2014: Suicide is a major public health problem and the most dreaded patient outcome. Patient suicides are one of the top five most common sentinel events in health care. Within two months of discharge from an emergency department, one in ten patients will commit suicide. However, the exact number for completed patient suicides following an evaluation in a psychiatric emergency service is unknown. Patients present to the psychiatric emergency department in an acute crisis state often due to suicidal ideation and behaviors. Psychiatric emergency service clinicians are faced with performing a suicide risk assessment in a highly complex environment. Assessment practices vary across institutions and currently there is no universally accepted instrument. The Columbia-Suicide Severity Rating Scale (C-SSRS) is a brief, valid, reliable instrument which makes its application well-suited for psychiatric emergency services. The objective of this quality improvement project is to evaluate the adoption and implementation of the Columbia-Suicide Severity Rating Scale (C-SSRS) to assess suicidal ideation and behaviors of acute psychiatric patients, in a suburban, tertiary care, psychiatric emergency service using Roger's Diffusion of Innovations model as a framework. Results support a 90% uptake of the intervention for at least 6 months following the implementation. Results from this project have the potential to improve comprehensive evaluations of suicide risk which augment clinical judgment and may lead to an increase in effective interventions and decreased suicidal behaviors.
Keywords:
Psychiatric Emergency Department; Risk assessment; Suicide
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14PST221
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleThe Adoption and Implementation of the Columbia-Suicide Severity Rating Scale (C-SSRS) in a Psychiatric Emergency Service: Utilizing Roger's Diffusion of Innovations Modelen
dc.contributor.authorMorse, Cheranneen
dc.contributor.departmentKappa Gammaen
dc.author.detailsCheranne Morse, DNP, RN, PMHNP-BC, CASAC, CD, Cheranne.Morse@stonybrookmedicine.eduen
dc.identifier.urihttp://hdl.handle.net/10755/335389-
dc.description.abstractSession presented on Sunday, July 27, 2014: Suicide is a major public health problem and the most dreaded patient outcome. Patient suicides are one of the top five most common sentinel events in health care. Within two months of discharge from an emergency department, one in ten patients will commit suicide. However, the exact number for completed patient suicides following an evaluation in a psychiatric emergency service is unknown. Patients present to the psychiatric emergency department in an acute crisis state often due to suicidal ideation and behaviors. Psychiatric emergency service clinicians are faced with performing a suicide risk assessment in a highly complex environment. Assessment practices vary across institutions and currently there is no universally accepted instrument. The Columbia-Suicide Severity Rating Scale (C-SSRS) is a brief, valid, reliable instrument which makes its application well-suited for psychiatric emergency services. The objective of this quality improvement project is to evaluate the adoption and implementation of the Columbia-Suicide Severity Rating Scale (C-SSRS) to assess suicidal ideation and behaviors of acute psychiatric patients, in a suburban, tertiary care, psychiatric emergency service using Roger's Diffusion of Innovations model as a framework. Results support a 90% uptake of the intervention for at least 6 months following the implementation. Results from this project have the potential to improve comprehensive evaluations of suicide risk which augment clinical judgment and may lead to an increase in effective interventions and decreased suicidal behaviors.en
dc.subjectPsychiatric Emergency Departmenten
dc.subjectRisk assessmenten
dc.subjectSuicideen
dc.date.available2014-11-17T13:51:17Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:51:17Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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