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Preventing Patient Suicide

IMPORTANT NOTICE: The publication of Preventing Patient Suicide is currently on hold. The content of this book may be affected by the final interpretive guidance on ligature risk by the US Centers for Medicare & Medicaid Services (CMS). The Joint Commission is awaiting the release of the final guidance to determine what, if any, changes need to be made to this book.

We do not know when the CMS final guidance will be released, so we do not have a time frame as to the length of the hold. Therefore, we are not taking any new orders for this book. If you have already ordered a hard copy or electronic version of this book, you will receive information about your order directly from JCR.

We apologize for any inconvenience this may cause.

A resource to help accurately identify and successfully manage the patient at risk for suicide

Release Date: To be determined

An individual license is intended for single users only. This ebook cannot be shared, disseminated, downloaded, or posted for widespread or public use.
A site license allows this ebook to be shared among unlimited users but only within one facility or site, either by posting to a secure intranet site or by providing other means of secure access.
A system license allows this ebook to be shared among unlimited users within all facilities or sites within a health care system, either by posting to a secure intranet site or by providing other means of secure access. Please contact JCR Customer Service (877.223.6866 option 1) for pricing of a system license.

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Product Description

Preventing Patient Suicide is a brand-new resource developed to help health care organizations comply with the new suicide prevention requirements from The Joint Commission that go into effect July 1, 2019. It provides practical instruction for reducing the risk of patient suicide both in the facility and in the vulnerable time after discharge. The Joint Commission revised its National Patient Safety Goal (NPSG.15.01.01) to address updated safeguards, including screening and assessment practices, a ligature-resistant physical environment when called for, and patient monitoring. These factors underscore the need to be vigilant for suicide risk and to take measures to ensure that care is provided in the safest setting possible.

To develop updated guidance, The Joint Commission assembled expert panels in 2017 with representatives from health care organizations, experts in suicide prevention and design of behavioral health care facilities, Joint Commission surveyors and staff, and representatives from the US Centers for Medicare & Medicaid Services (CMS). The recommendations of these panels inform the new requirements and the information provided in this book.

Key Topics:

National Patient Safety Goal 15 and its revised elements of performance
Suicide screening, lethality, and protective factors
Environmental risks and how to assess, eliminate, or mitigate them
Validated screening tools for suicide ideation and assessments of its severity
Counseling and follow-up care following discharge
Monitoring policies and procedures for screening, assessing, and managing individuals at risk for suicide

Standards: Environment of Care (EC); National Patient Safety Goals (NPSG); Provision of Care, Treatment, and Services (PC); and Care, Treatment, and Services (CTS)

Settings:

Behavioral health care settings
Psychiatric hospitals or units
General hospital settings

Key Audience:

Professionals in behavioral health care, psychiatric hospital, or general hospital settings who care for patients with a primary or secondary complaint of an emotional or behavioral disorder
Staff in emergency departments or other units who are likely to encounter patients at risk for self-harm or suicide even if that risk is not related to the reason for hospitalization
Environment of care and safety professionals

Draft Table of Contents

prepublication draft

INTRODUCTION

CHAPTER 1: IDENTIFYING SUICIDE RISKS: AN OVERVIEW

Joint Commission Requirements

Minimize Risk in the Physical Environment

Screen and Assess Patients for Suicide Risk

Mitigate Risk for Patients Identified as Suicide Risks

Screening Factors

Special Populations

Lethality Factors

Protective Factors

CHAPTER 2: CREATING A SAFE ENVIRONMENT FOR THE AT-RISK PATIENT

What Is a Safe Environment?

Reducing Access to Means

Reducing Opportunity

Environmental Risk Assessments

Addressing Identified Risks

Improving Staff Awareness and Support

CHAPTER 3: KEEPING THE AT-RISK PATIENT SAFE

Suicide Screening

Suicide Assessments

Beginning to Treat Suicidality

Staff Training

CHAPTER 4: RELEASING THE AT-RISK PATIENT TO THE NEXT PHASE OF CARE

Preparing for Discharge

Patient and Family Involvement

Patient and Family Resources

Following Up with the Patient

Suicide Prevention Protocols

APPENDIX

INDEX

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