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Effects of Training on Suicide Risk Assessment

The authors are affiliated with the Department of Psychiatry, University of California, San Francisco, 401 Parnassus Ave., San Francisco, CA 94143-0984 (e-mail: dalem{at}lppi.ucsf.edu). Preliminary results were presented at the conference of the American Psychology-Law Society, Division 41 of the American Psychological Association, March 5–8, 2008, Jacksonville, Florida.

OBJECTIVE: This study evaluated the impact of structured training in evidence-based risk assessment for suicide. METHODS: Forty-five psychiatry and psychology trainees participated in a workshop on evidence-based risk assessment. A comparison group of ten psychiatry trainees participated in a different workshop on the application of evidence-based medicine to psychiatry that was not focused specifically on risk assessment. Before and after each workshop, participants rated their skills in assessing patients' risk of suicide and wrote progress notes regarding clinical vignettes that included the assessment of and plan regarding suicide risk. Researchers systematically rated the progress notes. RESULTS: Participation in risk assessment training predicted improvement on specific indicators of documentation quality, ratings of the overall quality of documentation of suicide risk, and self-rated competence in suicide risk assessment. CONCLUSIONS: Structured clinical training in evidence-based risk assessment can improve documentation of assessment and management of patients' risk of suicide.

This article has been cited by other articles:

				S. K. Mahal, C. B. Chee, J. C.Y. Lee, T. Nguyen, and B. K.P. Woo Improving the Quality of Suicide Risk Assessments in the Psychiatric Emergency Setting: Physician Documentation of Process Indicators J Am Osteopath Assoc, July 1, 2009; 109(7): 354 - 358. [Abstract] [Full Text] [PDF]

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