Use the improved surveillance measures to benchmark the achievements of health

Use the improved surveillance measures to benchmark

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Use the improved surveillance measures to benchmark the achievements of health care services systems and of the National Strategy for Suicide Prevention. Build community capacity to quantify and capably track suicide attempts and suicide deaths. Without this epidemiological data, community efforts to reduce suicide attempts and deaths cannot be evaluated.
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Continuity of Care for Suicide Prevention and Research 18 10. Designing, testing, and implementing integrated networks of care for community popula- tions that ensure follow-up and evidence-based treatments for high suicide risk may prove to reduce suicide rates and, thereby, should complement universal interventions aimed at the general public. Institute programs of root-cause analyses and responsive action plans whenever there is a suicide death. In the month before a suicide death, the patient may have received services from providers in any number of different health care organizations. Neverthe- less, the participants in any root-cause analysis of the death should be representatives from all the health systems that recently participated in the care of the deceased. The Joint Commission’s and the United States Department of Veterans Affairs’ root-cause analysis frameworks are models that have been effective for improving the performance of indi- vidual systems of care. A comprehensive root-cause analysis will need to combine several systems of care for patients receiving care in multiple systems. Create and financially support a network of model health care systems devoted to best-practices research. These mini-systems can serve as laboratories to test features that might be part of future health care systems. The Agency for Healthcare Research and Quality initiated the Integrated Delivery Systems Research Network in 2000. The inclusion of suicide prevention activities would enhance greatly this field-based research initiative. Quantify more precisely the magnitude of the relationships between numbers of psychiatric beds, lengths of inpatient stay, and suicide behaviors. The many assertions that too few beds and short lengths of stay are associated with suicide attempts and deaths demand investigation. The results from such investigations will help define the expected standard of care for inpatient management and care of suicide risk. Include screening for suicide risk with a more general approach to health screening in the emergency department and other settings. This recommendation is consistent with The Joint Commission’s National Patient Safety Goals. Have the goal of making screening for suicide risk as routine as monitoring blood pressure and temperature. Create a network of community-based recipient rights officers that have the author- ity to investigate assertions of inadequate mental health treatment. This recommenda- tion requires the availability of adequately financed and supported clinicians that quickly take referrals of patients at considerable risk for suicide.
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