Literature DB >> 20385649

Teaching pediatric residents to assess adolescent suicide risk with a standardized patient module.

Elise M Fallucco1, Mark D Hanson, Anne L Glowinski.   

Abstract

OBJECTIVE: We hypothesized that a suicide risk assessment (SRA) training module incorporating standardized patients (SPs) would enhance pediatric resident SRA performance.
METHODS: We conducted an educational survey of pediatric residents regarding SRA (N = 80). In addition, we tested the performance of a SRA training module among pediatric interns who received SRA practice with SPs simulating suicidality scenarios, with (n = 6) or without (n = 6) SRA lecture, or SRA lecture only (n = 12) and control interns (n = 10). We examined postintervention confidence in SRA and self-reported and objectively measured knowledge of suicidal risk factors.
RESULTS: Resident confidence and knowledge regarding SRA were low, compared with assessment of medical illness. Interns in the SP plus lecture group had significantly greater confidence in screening adolescents for suicide risk factors and assessing suicidal adolescents (screening, 4.2 +/- 0.4; assessing, 4.2 +/- 0.4), compared with subjects in either the lecture-only (screening, 2.9 +/- 0.8; P = .005; assessing, 2.9 +/- 1.1; P = .01) or control (screening, 3.1 +/- 0.7; P = .025; assessing, 2.6 +/- 0.8; P = .003) group. In addition, only the SP plus lecture group demonstrated significantly greater objective knowledge of suicide risk factors (92% vs 25% correct; P = .008) than the control group. Neither the lecture-only group nor the SP-only group was significantly better than the control group in terms of knowledge or confidence relevant to SRA.
CONCLUSION: This SRA training module was significantly more effective than lecture alone in enhancing pediatric intern knowledge and confidence in SRA.

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Mesh:

Year:  2010        PMID: 20385649     DOI: 10.1542/peds.2009-2135

Source DB:  PubMed          Journal:  Pediatrics        ISSN: 0031-4005            Impact factor:   7.124


  12 in total

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Authors:  Laura A Siminoff; Heather L Rogers; Allison C Waller; Sonja Harris-Haywood; Ronald M Esptein; Francesc Borrell Carrio; Gayle Gliva-McConvey; Daniel R Longo
Journal:  Patient Educ Couns       Date:  2011-03

2.  Risk of suicide after a concussion.

Authors:  Michael Fralick; Deva Thiruchelvam; Homer C Tien; Donald A Redelmeier
Journal:  CMAJ       Date:  2016-02-08       Impact factor: 8.262

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Authors:  Margaret Steele; Richard Zayed; Brenda Davidson; Neal Stretch; Lucie Nadeau; William Fleisher; Tamison Doey; Helen R Spenser; Sabina Abidi; Geneviève Auclair; Terrence S Callanan; Don Duncan; Gisele Ferguson; Roberta Flynn; Lindsay Hope-Ross; Sarosh Khalid-Khan; Lorraine Lazier; Vitaly Liashko; Harold Lipton; Lara Postl; Kimberly St John
Journal:  J Can Acad Child Adolesc Psychiatry       Date:  2012-05

4.  Child and adolescent psychiatry: which knowledge and skills do primary care physicians need to have? A survey in general practitioners and paediatricians.

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5.  Evaluating Training Programs for Primary Care Providers in Child/Adolescent Mental Health in Canada: A Systematic Review.

Authors:  Sandra Gotovac; Stacey Espinet; Reza Naqvi; Lorelei Lingard; Margaret Steele
Journal:  J Can Acad Child Adolesc Psychiatry       Date:  2018-04-01

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Journal:  Acad Psychiatry       Date:  2020-06-03

7.  Standardized patients in psychiatry - the best way to learn clinical skills?

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9.  From Learning Psychiatry to Becoming Psychiatrists: A Qualitative Study of Co-constructive Patient Simulation.

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Journal:  Front Psychiatry       Date:  2021-01-08       Impact factor: 4.157

10.  INteractive Virtual Expert-Led Skills Training: A Multi-Modal Curriculum for Medical Trainees.

Authors:  Michelle Curtin; Jennifer Downs; Amber Hunt; Emily R Coleman; Brett A Enneking; Rebecca McNally Keehn
Journal:  Front Psychiatry       Date:  2021-06-23       Impact factor: 4.157

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