Using Electronic Health Record Alerts to Increase Safety Planning with Youth At-Risk for Suicide

A Non-randomized Trial

Jazmin Reyes-Portillo, Erica M. Chin, Josefina Toso-Salman, J. Blake Turner, David Vawdrey, Laura Mufson

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: No study to date has examined the effectiveness of integrating clinical decision support tools, like electronic health record (EHR) alerts, into the clinical care of youth at-risk for suicide. Objective: This study aimed to examine the feasibility and acceptability of using an EHR alert to increase clinicians’ use of safety planning with youth at-risk for suicide in an outpatient pediatric psychiatry clinic serving an urban low-income Latino community. Methods: An alert intervention was developed to remind clinicians to complete a safety plan whenever they documented that their patient endorsed suicidal ideation, plan, or attempt during a visit in EHR notes. The alert appeared as a separate window containing a reminder message to complete a safety plan once a clinician finished visit documentation. Results: There were 69 at-risk patients between the ages of 13–21 in the intervention period (M = 15.71; SD = 1.86; 66.7% female) and 64 (M = 15.38; SD = 1.93; 68.6% female) in the control period. Logistic regression analyses indicated that patients in the intervention period were significantly more likely than patients in the control period to receive a safety plan (p < .01). The pattern of results remained the same after adjusting for demographic variables (p = .01). Forty clinicians also completed a questionnaire assessing their satisfaction with the EHR alert, indicating moderate satisfaction (M = 3.01; SD = 0.63; range = 1.11–4.11). Conclusions: EHR alerts are associated with changes in clinicians’ behavior and improved compliance with best clinical practices for at-risk youth.

Original languageEnglish
Pages (from-to)391-402
Number of pages12
JournalChild and Youth Care Forum
Volume47
Issue number3
DOIs
StatePublished - 1 Jun 2018

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suicide
electronics
planning
health
psychiatry
documentation
low income
logistics
regression
questionnaire
community

Keywords

  • Adolescent
  • Clinical decision support
  • Health information technology
  • Safety planning
  • Suicide prevention

Cite this

Reyes-Portillo, Jazmin ; Chin, Erica M. ; Toso-Salman, Josefina ; Blake Turner, J. ; Vawdrey, David ; Mufson, Laura. / Using Electronic Health Record Alerts to Increase Safety Planning with Youth At-Risk for Suicide : A Non-randomized Trial. In: Child and Youth Care Forum. 2018 ; Vol. 47, No. 3. pp. 391-402.
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abstract = "Background: No study to date has examined the effectiveness of integrating clinical decision support tools, like electronic health record (EHR) alerts, into the clinical care of youth at-risk for suicide. Objective: This study aimed to examine the feasibility and acceptability of using an EHR alert to increase clinicians’ use of safety planning with youth at-risk for suicide in an outpatient pediatric psychiatry clinic serving an urban low-income Latino community. Methods: An alert intervention was developed to remind clinicians to complete a safety plan whenever they documented that their patient endorsed suicidal ideation, plan, or attempt during a visit in EHR notes. The alert appeared as a separate window containing a reminder message to complete a safety plan once a clinician finished visit documentation. Results: There were 69 at-risk patients between the ages of 13–21 in the intervention period (M = 15.71; SD = 1.86; 66.7{\%} female) and 64 (M = 15.38; SD = 1.93; 68.6{\%} female) in the control period. Logistic regression analyses indicated that patients in the intervention period were significantly more likely than patients in the control period to receive a safety plan (p < .01). The pattern of results remained the same after adjusting for demographic variables (p = .01). Forty clinicians also completed a questionnaire assessing their satisfaction with the EHR alert, indicating moderate satisfaction (M = 3.01; SD = 0.63; range = 1.11–4.11). Conclusions: EHR alerts are associated with changes in clinicians’ behavior and improved compliance with best clinical practices for at-risk youth.",
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Using Electronic Health Record Alerts to Increase Safety Planning with Youth At-Risk for Suicide : A Non-randomized Trial. / Reyes-Portillo, Jazmin; Chin, Erica M.; Toso-Salman, Josefina; Blake Turner, J.; Vawdrey, David; Mufson, Laura.

In: Child and Youth Care Forum, Vol. 47, No. 3, 01.06.2018, p. 391-402.

Research output: Contribution to journalArticleResearchpeer-review

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