A Method for Evaluating Competency in Assessment and Management of Suicide Risk

Autor/inn/en	Hung, Erick K.; Binder, Renee L.; Fordwood, Samantha R.; Hall, Stephen E.; Cramer, Robert J.; McNiel, Dale E.
Titel	A Method for Evaluating Competency in Assessment and Management of Suicide Risk
Quelle	In: Academic Psychiatry, 36 (2012) 1, S.23-28 (6 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1042-9670
DOI	10.1176/appi.ap.10110160
Schlagwörter	Video Technology; Feedback (Response); Focus Groups; Health Personnel; Computer Assisted Instruction; Validity; Interrater Reliability; Suicide; Psychiatry; Interviews; Data Collection; Patients; Evaluation Methods + Suchen Sie Ihr Suchwort? Medizinisches Personal; Computer based training; Computerunterstützter Unterricht; Gültigkeit; Interrater-Reliabilität; Selbstmord; Psychiatrie; Interviewing; Interviewtechnik; Data capture; Datensammlung; Patient
Abstract	Objective: Although health professionals increasingly are expected to be able to assess and manage patients' risk for suicide, few methods are available to evaluate this competency. This report describes development of a competency-assessment instrument for suicide risk-assessment (CAI-S), and evaluates its use in an objective structured clinical examination (OSCE). Method: The authors developed the CAI-S on the basis of the literature on suicide risk-assessment and management, and consultation with faculty focus groups from three sites in a large academic psychiatry department. The CAI-S structures faculty ratings regarding interviewing and data collection, case formulation and presentation, treatment-planning, and documentation. To evaluate the CAI-S, 31 faculty members used it to rate the performance of 31 learners (26 psychiatric residents and 5 clinical psychology interns) who participated in an OSCE. After interviewing a standardized patient, learners presented their risk-assessment findings and treatment plans. Faculty used the CAI-S to structure feedback to the learners. In a subsidiary study of interrater reliability, six faculty members rated video-recorded suicide risk-assessments. Results: The CAI-S showed good internal consistency, reliability, and interrater reliability. Concurrent validity was supported by the finding that CAI-S ratings were higher for senior learners than junior learners, and were higher for learners with more clinical experience with suicidal patients than learners with less clinical experience. Faculty and learners rated the method as helpful for structuring feedback and supervision. Conclusion: The findings support the usefulness of the CAI-S for evaluating competency in suicide risk-assessment and management. (Contains 1 table.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10