An investigation of clinical decisionmaking: identifying important factors in treatment planning for suicidal patients in the emergency department
Journal of the American College of Emergency Physicians Open2020Vol. 1(4), pp. 383–391
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A Knörr, Brooke A. Ammerman, Sean A. LaFleur, Debdipto Misra, Mathrawala A. Dhruv, Bipin Karunakaran, Robert Strony
Abstract
Only a handful of variables drive disposition decisions for ED patients reporting current active suicidal ideation, with both high and low fidelity decisions made. Patient suicide risk, determined by considering empirically supported risk factors for suicide attempt and death, contributes the greatest influence on a psychiatric consultant's decision to admit. In line with American College of Emergency Physicians (ACEP) recommendations, this study accentuates the importance of using clinical judgment and adjunct measures to determine patient disposition within this population.
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