Using Electronic Health Record Alerts to Increase Safety Planning with Youth At-Risk for Suicide: A Non-Randomized Trial

Autor/inn/en	Reyes-Portillo, Jazmin A.; Chin, Erica M.; Toso-Salman, Josefina; Turner, J. Blake; Vawdrey, David; Mufson, Laura
Titel	Using Electronic Health Record Alerts to Increase Safety Planning with Youth At-Risk for Suicide: A Non-Randomized Trial
Quelle	In: Child & Youth Care Forum, 47 (2018) 3, S.391-402 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1053-1890
DOI	10.1007/s10566-018-9435-4
Schlagwörter	Records (Forms); Electronic Publishing; Information Dissemination; Safety; Planning; At Risk Persons; Adolescents; Young Adults; Suicide; Feasibility Studies; Prevention; Psychiatric Services; Clinics; Documentation; Intervention; Regression (Statistics); Questionnaires; Satisfaction; Information Technology + Suchen Sie Ihr Suchwort? Formularsammlung; Elektronisches Publizieren; Informationsverbreitung; Sicherheit; Ablaufplanung; Planungsprozess; Risikogruppe; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Young adult; Junger Erwachsener; Selbstmord; Prävention; Vorbeugung; Psychiatric care; Psychiatrische Versorgung; Dokumentation; Regression; Regressionsanalyse; Fragebogen; Zufriedenheit; Informationstechnologie
Abstract	Background: No study to date has examined the effectiveness of integrating clinical decision support tools, like electronic health record (EHR) alerts, into the clinical care of youth at-risk for suicide. Objective: This study aimed to examine the feasibility and acceptability of using an EHR alert to increase clinicians' use of safety planning with youth at-risk for suicide in an outpatient pediatric psychiatry clinic serving an urban low-income Latino community. Methods: An alert intervention was developed to remind clinicians to complete a safety plan whenever they documented that their patient endorsed suicidal ideation, plan, or attempt during a visit in EHR notes. The alert appeared as a separate window containing a reminder message to complete a safety plan once a clinician finished visit documentation. Results: There were 69 at-risk patients between the ages of 13-21 in the intervention period (M = 15.71; SD = 1.86; 66.7% female) and 64 (M = 15.38; SD = 1.93; 68.6% female) in the control period. Logistic regression analyses indicated that patients in the intervention period were significantly more likely than patients in the control period to receive a safety plan (p < 0.01). The pattern of results remained the same after adjusting for demographic variables (p = 0.01). Forty clinicians also completed a questionnaire assessing their satisfaction with the EHR alert, indicating moderate satisfaction (M = 3.01; SD = 0.63; range = 1.11-4.11). Conclusions: EHR alerts are associated with changes in clinicians' behavior and improved compliance with best clinical practices for at-risk youth. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01