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Using Structured Telephone Follow‐up Assessments to Improve Suicide‐Related Adverse Event Detection
Authors:Sarah A. Arias PhD  Zi Zhang MD  MPH  Carla Hillerns  Ashley F. Sullivan MS  MPH  Edwin D. Boudreaux PhD  Ivan Miller PhD  Carlos A. Camargo MD  DrPH
Affiliation:1. Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, , Boston, MA, USA;2. Center for Health Information and Analysis, Commonwealth of Massachusetts, , Boston, MA, USA;3. Office of Survey Research, Center for Health Policy and Research, University of Massachusetts Medical School, , Shrewsbury, MA, USA;4. Departments of Emergency Medicine, Psychiatry, and Quantitative Health Sciences, University of Massachusetts Medical School, , Worcester, MA, USA;5. Butler Hospital, , Providence, RI, USA
Abstract:Adverse event (AE) detection and reporting practices were compared during the first phase of the Emergency Department Safety Assessment and Follow‐up Evaluation (ED‐SAFE), a suicide intervention study. Data were collected using a combination of chart reviews and structured telephone follow‐up assessments postenrollment. Beyond chart reviews, structured telephone follow‐up assessments identified 45% of the total AEs in our study. Notably, detection of suicide attempts significantly varied by approach with 53 (18%) detected by chart review, 173 (59%) by structured telephone follow‐up assessments, and 69 (23%) marked as duplicates. Findings provide support for utilizing multiple methods for more robust AE detection in suicide research.
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