08. Screening Youth For Suicide Risk: Can it be done in a busy pediatric practice?

https://swiy.co/WhatAreYourThoughtsAs a pediatrician screening for suicide, it’s not about the ones you find positive for suicide, it’s about the ones you may miss. Today’s guest Dr. Horowitz is a Staff Scientist and Pediatric Psychologist at the Nation Institute of Mental Health Intermural Research Program at NIMH and for years she has been helping health care professionals not let kids slip through the cracks. She excels in Suicide Risk Detection and is head PI in several ‘Suicide Prevention Protocols’ using the ASQ Toolkit. She assists hospitals, schools, and pediatric centers in implementing Suicide Screening of patients.  Let’s dive in a learn how we as busy professionals can incorporate this suicide screening in our practices. [00:01 - 10:01] Opening SegmentIntroducing today's guest, Dr. Lisa HorowitzExpertise and work Dr. Horowitz gives us a bit of background on his story How Dr. Horowitz got into her field of work Late 90’s, mental health patients flooding hospitals Saw the need for a suicide screening tool Used as a Fellowship Project Push back from nurses Moved to DC to get a job at NIHDr. Horowitz story developing screening for the hospital Creation of ASQ[10:02 - 15:56 How To Implement Screening Even if You’re Not an MH ExpertDr. Horowitz talks about how doctors who aren’t mental health experts can ask screening questionsPilot study results 60%-80% response rateAsking parents to step outNurses asking the kids without parents in the room Creating a Script to model Most parents responsive Are there risks to the screening?Studies show that you can’t plant the idea of suicide if it’s not thereAsking the questions help, they don’t hurt[15:57 - 22:07] Getting Comfortable with the Whole Script for the Busy Practitioner Dr. Horowitz talks about giving the whole script A fear for busy doctors Don’t change the questions Getting comfortable with the language Getting over the worry of screening positive Positive screenings are very rare When you have one, you can save a life It’s not one size fits all, not everyone has to go to the emergency room [22:08 - 41:38] Translating From Emergency Room to Primary Care Dr. Horowitz talks about how this can translate into Primary CareSuicide is the second leading form of death Training that pediatricians receive is very little towards what actually kill kidsThe problem of don’t ask don’t tell The facts of fighting suicideWe haven’t made a dent in rates in over 50 years Dr. Horowitz story of Pediatrician using the screening Worried about the ones you miss, not the ones you don’t A lot of people go to health care before their death The difficulties of these screenings Are they safe?What to do if you get a positive What is included in the ASQ toolkit Screening vs. assessment BSSA for Pediatricians Very rare if you need to get them to an emergency room The value of having MH experts in your practice My own experience in risk assessment Clinical pathway Using the guide is not as hard as you think Other ways to learn and work with families at risk [41:39 - 55:07] Closing SegmentAlternative measures to preventing riskEx: safe storage of...

Fecha de Publicación: 28 de octubre de 2020

Duración: 55 min