5007 – Strategies and Evidenced Based Approaches in the Assessment and Management of Patients at Risk for Suicide
Suicide is a public health problem with a worsening trend in recent decades. Case Managers serve a critical role in the assessment and management of patients at risk for suicide. Clinical nurse and social work case management has been shown to decrease psychiatric inpatient hospitalization readmission rates, decrease family burden, improve family and caregiver satisfaction with services, decrease cost of care, and improve continuity of care. Recently released data from the U.S. Centers for Disease Control and Prevention (CDC), which include Service Members and Veterans as well as the remainder of the general population, continue to identify suicide as one of the top 10 causes of death among U.S. residents, accounting for 44,965 deaths in CY 2016 alone. Nationwide, deaths by suicide increased 30% from 1999 to 2016. In the same period, the DoD active-component suicide rate increased from 10.7 suicide-related deaths per 100,000 Service Members to 21.5 suicide-related deaths per 100,000 Service Members. Among cases in the 27 states where suicide rates could be ascertained, 17.8% of suicide decedents were Veterans, nearly double the prevalence of Veterans in the population. The new 2019 VA/DoD Clinical Practice Guideline for the Assessment and Management of Patients at Risk for Suicide is one guideline that represents a significant effort toward improving the screening, assessment and management of patients at risk for suicide that are eligible to receive care in the VA and/or DoD, and has implications for use across all practice settings to include the private sector. The guideline and patient/provider tools can improve quality of care, patient safety, and provide consistent quality of care and utilization of resources, thereby resulting in better patient outcomes.
1. Discuss the current prevalence of suicide, risk factors and associated risk levels
2. Discuss the recommended methods utilized to manage patients at acute risk for suicide based on the patient’s identified risk level
3. Discuss strategies and evidence-based treatment approaches utilized to reduce repetition of suicidal behavior and models for safe transitions of care