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Readings
Jayaram, G., & Triplett, P. (2008). Quality improvement of psychiatric care: challenges of emergency psychiatry. The American journal of psychiatry, 165(10), 1256-1260.
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Tools
This online RCA toolkit is designed to be a resource for any facility that would like to establish or improve their RCA process.
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Tools
The Joint Commission Root Cause Analysis and Action Plan tool has 24 analysis questions. This framework is intended to provide a template for answering the analysis questions and aid organizing the steps in a root cause analysis.
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Readings
This report uses New York State Office of Mental Health incident reports to present historical data and a discussion of factors hospitals identified in their root cause analyses that may have contributed to the suicides or areas that otherwise called for improved performance.
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Readings
Oordt, M. S., Jobes, D. A., Fonseca, V. P., & Schmidt, S. M. (2009). Training mental health professionals to assess and manage suicidal behavior: Can provider confidence and practice behaviors be altered?. Suicide and Life Threatening Behavior, 39(1), 21–32.
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Readings
Schmitz, W. M., Jr, Allen, M. H., Feldman, B. N., Gutin, N. J., Jahn, D. R., Kleespies, P. M., . . . Simpson, S. (2012). Preventing suicide through improved training in suicide risk assessment and care: An American Association of Suicidology Task Force report addressing serious gaps in U.S. mental health training. Suicide and Life Threatening Behavior, 42(3), 292–304.
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Readings
The New York State Office of Mental Health reviewed suicides occurring within the public mental health system over several years. This report aims to put New York State on a path toward systematically preventing suicide for people in care.
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Readings
Rudd , M., Cukrowicz, K. C., & Bryan, C. J. (2008). Core competencies in suicide risk assessment and management: Implications for supervision. Training and Education in Professional Psychology, 2(4), 219–228.
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Readings
Pisani , A. R., Cross, W. F., & Gould, M. S. (2011). The assessment and management of suicide risk: State of workshop education. Suicide and Life Threatening Behavior, 41(3), 255–276.
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Readings
Cramer , R. J., Johnson, S. M., & McLaughlin, J. (2013). Suicide risk assessment training for psychology doctoral programs: Core competencies and a framework for training. Training and Educational in Professional Psychology, 7, 1–11.