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Suicide Risk Assessment Tools & Resources for Providers & Patients

Learn about pending changes in WA State's suicide prevention regulations, reliable screening methods, and prevention techniques. Discover resources for patient/family support.

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Suicide Risk Assessment Tools & Resources for Providers & Patients

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  1. Suicide Risk Assessment: Tools for Providers and Resources for Patients James Anderson, PA-C, MPAS Evergreen Treatment Services Seattle, WA Patricia Devine, MLS Network Outreach Coordinator National Network of Libraries of Medicine Pacific Northwest Region Seattle, WA

  2. Objectives At the conclusion of this presentation, attendees will be able to: • Describe pending changes in Washington State Department of Health Suicide Prevention continuing education requirements • Identify and access reliable information to assist in screening and referral of suicide risk in patients • Demonstrate suicide prevention techniques for use in clinical settings • Recommend resources for patient and family education and support

  3. It’s Quick, It’s Easy, and It’s The Law Engrossed Substitute House Bill 2315 (PDF) signed into law (RCW 43.70.442) 3-27-2014

  4. RCW 43.70.442 Establishes three new strategies to reduce suicides in Washington: • Suicide prevention training for healthcare providers • Statewide suicide prevention plan • Consultation program to support primary care providers.

  5. RCW 43.70.442(continued) • Experts on suicide assessment, treatment, and management • Institutions of higher education • Tribal governments • Department of Social Health Services (DSHS) • Washington State Department of Veterans Affairs • Suicide prevention advocates – at least one must be a suicide survivor (anyone affected by a suicide), and at least one must be a survivor of a suicide attempt • Primary care providers • Local health departments

  6. RCW 43.70.442(continued-2) • Rule-making was completed in December 2015 • Main impact on PAs likely to be required pre-approved CME training focused on suicide prevention • Amount likely to vary by profession

  7. Suicide Rates

  8. Resources SAMHSA Suicide Prevention http://www.samhsa.gov/suicide-prevention SAFE-T (Suicide Assessment Five-Step Evaluation and Triage) http://www.integration.samhsa.gov/images/res/SAFE_T.pdf

  9. SAFE-T Evaluation and Triage

  10. SAFE-T Factors

  11. Resources for Patients & Families • Community engagement • Understanding and respect of risks • Assurance we are not afraid to talk about it • Appropriate sources

  12. Which Groups Are At Risk? • Caregivers • LGBT populations • Veterans and their families • Seniors • Residents of rural and remote areas

  13. Where to get Help & Support • Hotlines • In person and online support groups • Social media • Authoritative websites • Appropriate resources

  14. Scenario • Primary Care Patient With URI, doorknob comment about “maybe I’d be better off dead.” • SAFE-T: Suicide Assessment Five-step Evaluation and Triage (http://www.integration.samhsa.gov/images/res/SAFE_T.pdf) • Risk Factors • Protective Factors • Suicide Inquiry • Risk Level/Intervention • Document

  15. Contact Us Jim Anderson jimanderson@evergreentx.org Patricia Devine devine@uw.edu

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