This developmental evaluation aimed to assess emergency department providers' perceived knowledge and self-efficacy regarding suicide prevention practices, as well as apply the Consolidated Framework for Implementation Research to explore potential facilitators and barriers to implementing Zero Suicide and identify strategies to overcome barriers. Survey respondents perceived that they have the knowledge and self-efficacy to implement clinical elements of Zero Suicide; however, some participants indicated some clinical elements are not implemented consistently and that there are implementation barriers across multiple levels. Some of the identified barriers included limited training on suicide risk assessment, limited resources to engage and re-engage at-risk patients in their suicide care management plan, and provide follow-up supportive contacts during patients' transitions in care. The authors recommend that targeted implementation strategies are used during implementation. These might include integration into the EHR, increased leadership advocacy, and ongoing training for staff.
Citation: Allison, M.K., Waliski, A., Haynes, T.F., Marshall, S.A. (2022) Formative evaluation of Zero Suicide in the emergency department: Identifying strategies to overcome implementation barriers. Evaluation and Program Planning, 92, 102050. https://doi.org/10.1016/j.evalprogplan.2022.102050.
This article is not open access but the full abstract can be accessed.