A Checklist to Identify Inpatient Suicide Hazards in Veterans Affairs Hospitals

This study examines the implementation & effectiveness of using a standardized checklist for mental health units to improve patient safety in a large health care system. In 2006 a Department of Veteran Affairs committee developed both general guidelines to be applied to all areas of the psychiatric unit & detailed guidelines for specific rooms. Some[…]

The Utility and Effectiveness of 15-Minute Checks in Inpatient Settings

Implementing harm reduction is among the administrative tasks used for maintaining a safe unit for psychiatric inpatients. Included in nursing procedures for observing suicidal patients is the practice of 15-minute checks. In reviewing the standard forms used in several major hospitals across the United States, the authors noticed a wide variation in the format &[…]

Revisiting “Suicide Proofing” an Inpatient Unit Through Environmetal Safeguards: a Review

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Use of a “Secure Room” and a Security Guard in the Management of the Violent, Aggressive or Suicidal Patient in a Rural Hospital: a 3-Year Audit

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Preventing Suicide in Jails and Prisons

This booklet provides guidelines for suicide prevention in correctional settings. Topics discussed include: the development of suicide profiles; risk factors common to jails & prisons; & key components of a suicide prevention programme – training, intake screening, post-intake observation, management following screening, & postvention after a suicide attempt or a death by suicide. A brief[…]

Letters to the Editor. Prevention of Suicide in an Inpatient Adolescent Unit by Environmental Safety Modification

Unintended Impact of Psychiatric Safe Rooms in Emergency Departments: the Experiences of Suicidal Males With Substance use Disorders

The authors analyzed issues related to the use of psychiatric assessment rooms using semi-structured interviews with adult, male, suicidal emergency department patients & emergency department staff. An iterative, thematic analytic process was employed. Although these rooms were designed to provide a safe & therapeutic environment, participants held negative attitudes about the physical attributes & the[…]

Position Statement: Prevention of Juvenile Suicide in Correctional Settings

This position statement presents seven components of a successful suicide prevention program with a focus on recent research & the implications for improved suicide prevention. The 7 components are: staff training; ongoing identification of risk; communication; housing; levels of monitoring; intervention; & mortality & morbidity reviews. (8 refs.)

Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour: Nursing Best Practice Guideline

This best practice guideline aims to assist nurses working in diverse practice settings in providing evidence-based care to adults at risk for suicide ideation & behaviours. Adults at risk may include any adult who may exhibit risk factors, with or without expressed suicide intent. The focus of this guideline is on best practice within the[…]

Suicide and Self-Harm in Prisons and Jails

This book includes the following chapters: who commits suicide while incarcerated? when, where, and how suicides in prisons & jails occur; suicidal ideation, suicide attempts, & self-mutilation; screening & assessment; crisis intervention & counseling; facility design & suicide prevention; diversion & transition planning; litigation issues; & suggestions for the future.