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Prioritizing suicide prevention guideline recommendations in specialist mental healthcare: a Delphi study
BACKGROUND: The Delphi technique is a proven and reliable method to create common definitions and to achieve convergence of opinion. This study aimed to prioritize suicide prevention guideline recommendations and to develop a set of quality indicators (QIs) for suicide prevention in specialist menta...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007653/ https://www.ncbi.nlm.nih.gov/pubmed/32033603 http://dx.doi.org/10.1186/s12888-020-2465-0 |
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author | Setkowski, Kim van Balkom, Anton J. L. M. Dongelmans, Dave A. Gilissen, Renske |
author_facet | Setkowski, Kim van Balkom, Anton J. L. M. Dongelmans, Dave A. Gilissen, Renske |
author_sort | Setkowski, Kim |
collection | PubMed |
description | BACKGROUND: The Delphi technique is a proven and reliable method to create common definitions and to achieve convergence of opinion. This study aimed to prioritize suicide prevention guideline recommendations and to develop a set of quality indicators (QIs) for suicide prevention in specialist mental healthcare. METHODS: This study selected 12 key recommendations from the guideline to modify them into QIs. After feedback from two face-to-face workgroup sessions, 11 recommendations were rephrased and selected to serve as QIs. Next, a Delphi study with the 11 QIs was performed to achieve convergence of opinion among a panel of 90 participants (23 suicide experts, 23 members of patients’ advisory boards or experts with experiences in suicidal behavior and 44 mental healthcare professionals). The participants scored the 11 QIs on two selection criteria: relevance (it affects the number of suicides in the institution) and action orientation (institutions or professionals themselves can influence it) using a 5-point Likert scale. Also, data analysts working in mental healthcare institutions (MHIs) rated each QI on feasibility (is it feasible to monitor and extract from existing systems). Consensus was defined as 70% agreement with priority scores of four or five. RESULTS: Out of the 11 recommendations, participants prioritized five recommendations as relevant and action-oriented in optimizing the quality of care for suicide prevention: 1) screening for suicidal thoughts and behavior, 2) safety plan, 3) early follow-up on discharge, 4) continuity of care and 5) involving family or significant others. Only one of the 11 recommendations early follow-up on discharge reached consensus on all three selection criteria (relevance, action orientation, and feasibility). CONCLUSIONS: The prioritization of relevant and action-oriented suicide prevention guideline recommendations is an important step towards the improvement of quality of care in specialist mental healthcare. |
format | Online Article Text |
id | pubmed-7007653 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-70076532020-02-13 Prioritizing suicide prevention guideline recommendations in specialist mental healthcare: a Delphi study Setkowski, Kim van Balkom, Anton J. L. M. Dongelmans, Dave A. Gilissen, Renske BMC Psychiatry Research Article BACKGROUND: The Delphi technique is a proven and reliable method to create common definitions and to achieve convergence of opinion. This study aimed to prioritize suicide prevention guideline recommendations and to develop a set of quality indicators (QIs) for suicide prevention in specialist mental healthcare. METHODS: This study selected 12 key recommendations from the guideline to modify them into QIs. After feedback from two face-to-face workgroup sessions, 11 recommendations were rephrased and selected to serve as QIs. Next, a Delphi study with the 11 QIs was performed to achieve convergence of opinion among a panel of 90 participants (23 suicide experts, 23 members of patients’ advisory boards or experts with experiences in suicidal behavior and 44 mental healthcare professionals). The participants scored the 11 QIs on two selection criteria: relevance (it affects the number of suicides in the institution) and action orientation (institutions or professionals themselves can influence it) using a 5-point Likert scale. Also, data analysts working in mental healthcare institutions (MHIs) rated each QI on feasibility (is it feasible to monitor and extract from existing systems). Consensus was defined as 70% agreement with priority scores of four or five. RESULTS: Out of the 11 recommendations, participants prioritized five recommendations as relevant and action-oriented in optimizing the quality of care for suicide prevention: 1) screening for suicidal thoughts and behavior, 2) safety plan, 3) early follow-up on discharge, 4) continuity of care and 5) involving family or significant others. Only one of the 11 recommendations early follow-up on discharge reached consensus on all three selection criteria (relevance, action orientation, and feasibility). CONCLUSIONS: The prioritization of relevant and action-oriented suicide prevention guideline recommendations is an important step towards the improvement of quality of care in specialist mental healthcare. BioMed Central 2020-02-07 /pmc/articles/PMC7007653/ /pubmed/32033603 http://dx.doi.org/10.1186/s12888-020-2465-0 Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Setkowski, Kim van Balkom, Anton J. L. M. Dongelmans, Dave A. Gilissen, Renske Prioritizing suicide prevention guideline recommendations in specialist mental healthcare: a Delphi study |
title | Prioritizing suicide prevention guideline recommendations in specialist mental healthcare: a Delphi study |
title_full | Prioritizing suicide prevention guideline recommendations in specialist mental healthcare: a Delphi study |
title_fullStr | Prioritizing suicide prevention guideline recommendations in specialist mental healthcare: a Delphi study |
title_full_unstemmed | Prioritizing suicide prevention guideline recommendations in specialist mental healthcare: a Delphi study |
title_short | Prioritizing suicide prevention guideline recommendations in specialist mental healthcare: a Delphi study |
title_sort | prioritizing suicide prevention guideline recommendations in specialist mental healthcare: a delphi study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007653/ https://www.ncbi.nlm.nih.gov/pubmed/32033603 http://dx.doi.org/10.1186/s12888-020-2465-0 |
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