In the face of rising suicide rates in the United States, Atrium Health, a major healthcare provider in the Southeast, initiated a suicide prevention program in 2019. This effort is deeply rooted in the Zero Suicide Framework, which emphasizes a comprehensive approach to reducing suicides in healthcare settings. It includes essential practices like screening for suicide risk, conducting thorough assessments, and providing follow-up care.
Kate Penny, a licensed clinical mental health counselor and the program’s coordinator, has played a key role in implementing this initiative across various care settings including primary care and emergency departments (EDs). She recently shared insights on Atrium Health’s suicide prevention practices.
At Atrium Health, every patient in the ED is screened for suicide risk, no matter why they came in. Nurses use simple, straightforward questions to assess risk, and this only takes about a minute. Typically, around 98% of patients screen negative for risk. If someone does indicate suicidal thoughts, they’re quickly referred to a dedicated psychiatry team, which assesses their needs further.
Approximately 1% of patients reveal an immediate risk of harm, which may require inpatient care. For those who are discharged, the hospital provides comprehensive exit care. This involves developing a safety plan and discussing how to manage any dangerous situations. This process can last up to 45 minutes and aims to connect patients with ongoing mental health resources.
Interestingly, follow-up care has proven effective. Atrium Health staff reach out to patients within 24 to 48 hours after discharge, offering support and checking on their well-being. Feedback shows a noticeable decrease in suicide attempts and return visits to the ED, highlighting the importance of these connections.
Despite successes, challenges remain. Staffing and finding timely outpatient mental health services can be difficult. However, Atrium Health prioritizes suicide care training for its staff, increasing their confidence with risk assessments and safety planning. This ongoing education ensures that patients receive the best care based on current research.
In addition to training, if outpatient services aren’t available during discharge, the healthcare team continues to check in with patients regularly for up to 60 days. This “wrap-around” approach reinforces support during a critical transition period.
Penny emphasizes the need for strong backing from both clinical and executive leadership. It’s essential to learn and adapt processes that cater to different healthcare settings, whether that’s in EDs or inpatient services. Flexibility and responsiveness to feedback from staff, patients, and families have been crucial in refining the program.
A major takeaway is how involvement from family members enhances recovery. Historically, family engagement in mental health care was limited due to privacy laws like HIPAA. However, Atrium’s approach actively includes families, fostering a supportive environment for patients. This involvement has generated positive reactions, evident in the heartfelt responses from patients who appreciate the care and connection they receive.
Overall, Atrium Health’s efforts illustrate a proactive stance in addressing suicide prevention. By prioritizing comprehensive care, regular follow-ups, and family involvement, they’re making strides toward saving lives and fostering hope within their communities.
Source link
Article,Building Civic Infrastructure,Advance Health And Well-being,Behavioral Health,Health Care,Suicide Risk Reduction,Pew Charitable Trusts,Brandee Izquierdo,Kristen Mizzi Angelone,Farzana Akkas
