November 20, 2024
Best Western Plus Lamplighter Inn & Conference Centre
Canada/Eastern timezone

Safety care for patients at risk of suicide in an acute mental health unit. Results of the implementation of recommendations

Nov 20, 2024, 7:09 AM
1m
Poster Presentation BPSO public visibility and outcomes Poster presentation

Speaker

Miguel Angel Rodriguez Calero (Hospital Universitario Torrecárdenas, Almeria, Spain)

Description

In 2020, suicide was the leading cause of unnatural death in Spain, with a rate of 8.3 deaths per 100,000 inhabitants and a high influence of mental health factors (1-4), highlighting the need to promote preventive measures.
For this reason, at the Torercárdenas University Hospital, Almería, Spain, we decided to begin the implementation of the Best Practice Guideline on Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour in an acute patient unit of the Mental Health area that had not previously received such interventions.
After the first semester of implementation, we aimed to evaluate the impact of the implementation on the detection of patients at risk and the deployment of preventive care in the mental health field.
To do this, an evaluation was conducted in December 2022, prior to the centre's designation as a candidate BPSO centre. Subsequently, variables were collected from all patients treated in the unit during the first months of guideline implementation, from September 2023 to March 2024.
A total of 325 patients were included, with a mean age of 43.75 years and a predominance of males (54.54%). In the baseline assessment (n=40), no records of suicide risk assessment or specific care for at-risk patients were found. During the intervention, all variables gradually increased, reaching 77% in risk assessment (n=41). In the March 2024 evaluation, 51.11% of the assessed patients presented a risk of suicidal ideation (n=23) and 82.61% (n=19) received safety care actions such as restricted access to medications or modifications in the physical environment.
CONCLUSIONS: The implementation of the recommendations increased the detection of patients at risk and the provision of safe care within the unit.

Keywords

Suicide Prevention; Mental Health;

What RNAO BPG or tool/toolkit is this work related to:

Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour

Author(s) Credentials and Title

Dr. Miguel Ángel Rodriguez Calero is a research nurse at the Quality Departmen of the Torrecárdenas University Hospital, Almería, Spain., current candidate for BPSO. He has authored various publications on hospital care, patient safety and nursing care for patients with chronic conditions

Organization Name Hospital Universitario Torrecárdenas, Almería, Spain

Primary authors

Ms María Dolores Lázaro Ruiz (Hospital Universitario Torrecárdenas, Almeria, Spain) Ms Nerea Pérez García (Hospital Universitario Torrecárdenas, Almeria, Spain) Ms María del Mar Albacete Pérez (Hospital Universitario Torrecárdenas, Almeria, Spain) María del Mar Díaz Cortés (Hospital Universitario Torrecárdenas, Almeria, Spain) Rosa María Hernández Belmonte (Hospital Universitario Torrecárdenas, Almeria, Spain) Miguel Angel Rodriguez Calero (Hospital Universitario Torrecárdenas, Almeria, Spain)

Presentation materials