Preventing Patient Suicide

ISBN: 9781635852684
ISBN-10: 1635852684
Copyright: 2022
Edition: 1st
Author: The Joint Commission,
Doody's Expert Review    Score: 86
Reviewer: John Frederick,  MD  (Trinity Health)
Description
This book is a guide generated by The Joint Commission (TJC) to identify strategies to meet the National Patient Safety Goal (NPSG) of reducing patient suicides.
Purpose
The National Patient Safety Goal of reducing patient suicides (a sentinel event) was instituted more than a decade ago. However, COVID-19 has led to an increase in many risk factors associated with suicidality. The Joint Commission accredits healthcare facilities and evaluates their compliance with standards of care for suicide prevention. This book is a practical guide to best practices for identifying suicidality and preventing successful attempts in a variety of healthcare settings. It focuses on compliance with TJC requirements and recommendations by emphasizing standardized, validated assessment methods and consistent application of institutional policies.
Audience
The primary audience is healthcare professionals caring for patients with behavioral health concerns or high risk for suicidality in a variety of different settings: inpatient hospitals, outpatient behavioral health settings, and rural/critical access hospitals. The secondary audience is leadership, administration, and accreditation professionals who must ensure compliance with TJC standards. This book meets the needs of the intended audience, given its focused scope. As The Joint Commission is the accrediting body for healthcare entities in the U.S., the authors are credible authorities indeed.
Features
Mirroring a patient encounter, the book sequentially addresses screening for suicidality, assessing patients' suicide risk level, and taking appropriate preventive environmental steps followed by interpersonal and therapeutic steps to minimize that risk. The final chapter focuses on continuity of care and minimizing risk upon discharge. This book offers a surprising amount of flexibility based on patient populations, funding/staffing availability, and facility setting. It proposes several lists of validated, standardized measures that staff members can practically apply immediately. Although the book recognizes its limited scope, it does seem to address concerns of administrators first and clinicians second.
Assessment
This book is surprisingly concise and helpful for clinical staff. Produced by The Joint Commission, the book focuses on the concrete, defined requirements (and avoidance of transgressions) of this organization. However, suicidality can be difficult to assess. Without being overly rigid, the book's focus on standardization, validation, documentation, and implementation may be a blessing in disguise, bringing objective rigor and structure to the dynamic and difficult task of suicide assessment and prevention.
Review Questionnaire
Range Question Score
1-10 Are the product's objectives met? 8
1-5 Does the website help achieve the purpose? 5
1-10 Rate the worthiness of those objectives. 8
1-5 Is this directed to an appropriate level? 5
1-5 Is there significant duplication? (1=significant, 5=insignificant) 4
1-5 Are there significant omissions? (1=significant, 5=insignificant) 3
1-5 Rate the authority of the authors. 4
1-5 Are there sufficient illustrations? 5
1-5 Rate the pedagogic value of the illustrations. 5
1-5 Are there sufficient references? 5
1-5 Rate the currency of the references. 3
1-5 Rate the helpfulness of the index. 5
1-5 Rate the added value from the online version. 4
1-5 Is the online version easy to access? 4
1-5 Rate the ease of navigation/search. 4
1-5 Rate the pedagogic quality of images on the online version. N/A
1-5 Rate the value of added audiovisual features online. N/A
1-5 Is there sufficient use of hypertext links? 5
1-5 Are there hyperlinks from references to journal articles? 5
1-5 Is there appropriate use of features like bookmarking, printing/exporting? N/A
1-10 Is this a worthwhile contribution to the field? 8
1-10 If this is a 2nd or later edition, is this new edition needed? N/A