This study examined how accurately routine inpatient clinical assessments documented a history of overt suicidal behavior in in patients with a diagnosis of major depressive episode.
Secondary questions involved the exploration ofpossible factors influencing the quality of routine clinical documentation of suicidal behavior, such as lethality of attempts, axis II comorbidity, and presence of recent suicidal behavior.
Hospital records for 50 patients, known to have a history of suicidal behavior on the basis of research ratings, were reviewed to assess reporting of the number of lifetime suicide attempts, suicidal ideation and planning behavior, most medically lethal suicide attempt, and family history of suicidal behavior.
These measures of suicidal behavior were compared with a comprehensive research assessment, completed concurrently and independently.
At admission clinicians failed to document history ofsuicidal behavior in 12 of 50 patients identified by research assessment as depressed and as having attempted suicide.
A significant degree of past suicidal behavior is not recorded during routine clinical assessment, and the use of semistructured screening instruments may improve documentation and detection of lifetime suicidal behavior.
The physician discharge summary must accurately document suicidal behavior, since it best identifies a high-risk population for outpatient clinicians responsible for follow-up.
Mots-clés Pascal : Etat dépressif, Trouble humeur, Antécédent, Tentative suicide, Dépistage, Admission hôpital, Hôpital psychiatrique, Méthode, Entretien semidirectif, Dossier médical, Santé mentale, Homme
Mots-clés Pascal anglais : Depression, Mood disorder, Antecedent, Suicide attempt, Medical screening, Hospital admission, Psychiatric hospital, Method, Semidirective interview, Medical record, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0018437
Code Inist : 002B18B04. Création : 01/03/1996.