Teaching Pediatric Residents to Assess Adolescent Suicide Risk With a Standardized Patient Module

@article{Fallucco2010TeachingPR,
  title={Teaching Pediatric Residents to Assess Adolescent Suicide Risk With a Standardized Patient Module},
  author={Elise M. Fallucco and Mark D. Hanson and Anne Glowinski},
  journal={Pediatrics},
  year={2010},
  volume={125},
  pages={953 - 959}
}
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… 
View on AAP
partnershipforchildhealth.org
50 Citations
Highly Influential Citations
1
Background Citations
5
Methods Citations
1

50 Citations

Citation Type

Citation Type

Use of a standardized patient paradigm to enhance proficiency in risk assessment for adolescent depression and suicide.
The Influence of Teaching Method on Performance of Suicide Assessment in Baccalaureate Nursing Students
TLDR
Suicide assessment is a critical assessment skill set that can be effectively taught to nursing students using standardized patients and demonstrated a significant difference in student scores of self-confidence, satisfaction, and student perceptions of the educational practices when compared to the lecture format.
Perspective: Physician education: a promising strategy to prevent adolescent suicide.
TLDR
It is proposed that physician education represents a promising strategy to prevent adolescent suicide, and the need for improved educational opportunities that would provide PCPs with the necessary skills and supports to identify and respond to psychosocial concerns that may increase suicide risk among youth is established.
An Educational Intervention to Increase Internists’ Confidence With and Provision of Preventive Services to Adolescents and Young Adults
TLDR
An educational intervention utilizing adolescent instructors improves resident confidence but does not increase adherence to screening guidelines.
Impact of Experiential Training With Standardized Patients on Screening and Diagnosis of Adolescent Depression in Primary Care.
A randomized controlled trial of suicide prevention training for primary care providers: a study protocol
TLDR
This study examines the effectiveness of simulation on suicide prevention training for providers-in-training by comparing two conditions: a control group that receives online teaching on suicide Prevention in primary care via brief online videos and an experimental group that includes the same online teaching videos plus two standardized patient interactions.
The Use of Simulation to Teach Suicide Risk Assessment to Health Profession Trainees—Rationale, Methodology, and a Proof of Concept Demonstration with a Virtual Patient
TLDR
This study provides proof of concept that both VP and video module approaches are feasible for teaching students to assess suicide risk, and presents evidence about the role of active learning to improve communication skills.
Nonsuicidal self-injury among adolescents: a training priority for primary care providers.
TLDR
Teaching clinicians to assess NSSI within a psychosocial interview may increase screening for and identification of the behavior among adolescents in primary care.
From Screening to Interventions: Teaching Clinical Suicide Prevention Skills to Medical Students
TLDR
An educational module designed to introduce clinical suicide prevention skills earlier in medical education and provide a foundation for learning suicide-safer care throughout training is developed at the authors’ institution.
Improving Medical Student's Confidence Regarding Adolescent
TLDR
Structured feedback from an adolescent and mother standardized patient pair was shown to be a useful tool in training medical students for the adolescent interview particularly on the topics of ‘Physical Exam’ and ‘Sexuality Questioning’.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 24 REFERENCES
Learning Adolescent Psychosocial Interviewing Using Simulated Patients
The area of communication skills in adolescent medicine is emerging as a distinct and important part of the undergraduate curriculum. An appropriate level of confidence in dealing with the adolescent…
Adolescent Depression: Evaluating Pediatric Residents’ Knowledge, Confidence, and Interpersonal Skills Using Standardized Patients
  • Colleen S Lewy, C. Sells, J. Gilhooly, R. McKelvey
  • Psychology, Medicine
    Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
  • 2009
TLDR
It is suggested that residents’ interpersonal and diagnostic skills can improve with practice, and post-encounter checklists showed that residents were still not asking all the necessary questions for a DSM-IV diagnosis, concluding prematurely that the standardized patients had major depressive disorder before satisfying all diagnostic criteria.
Assessing an educational intervention to improve physician violence screening skills.
TLDR
A violence prevention education program with teen health educators improved participants' self-reported violence questioning, as well as increased perceived comfort and importance in violence screening.
Adolescent patients--healthy or hurting? Missed opportunities to screen for suicide risk in the primary care setting.
TLDR
Despite the substantial proportion of primary care providers who encountered suicidal adolescent patients, most providers still do not routinely screen their patients for suicidality or associated risk factors.
Effects Associated with Adolescent Standardized Patient Simulation of Depression and Suicidal Ideation
  • M. Hanson, A. Niec, +5 authors K. Eva
  • Psychology, Medicine
    Academic medicine : journal of the Association of American Medical Colleges
  • 2007
TLDR
ASPs in the suicidality role showed behavioral effects consistent with a negative reaction, and two reported brief depression, but ASPs’ behavioral reactions and self-reported depression suggested a transient depressive reaction.
Training general practitioners in the identification and management of adolescent depression within the consultation: a feasibility study.
Preventive services in a health maintenance organization: how well do pediatricians screen and educate adolescent patients?
TLDR
Improvement is especially needed in the areas that contribute most to adolescent mortality and for patients who screen positive for a risk behavior and for pediatricians' assessment and education with adolescent patients who screened positive for risk behavior.
Psychiatric risk factors for adolescent suicide: a case-control study.
TLDR
The development of effective treatments for youth who fit the above-noted risk profiles should be given high priority.
Suicide and Suicide Attempts in Adolescents
  • B. Shain
  • Medicine, Psychology
    Pediatrics
  • 2007
TLDR
All teenagers with suicidal thoughts or behaviors should know that their pleas for assistance are heard and that pediatricians are willing to serve as advocates to help resolve the crisis.
Psychiatric diagnosis in child and adolescent suicide.
TLDR
A limited range of diagnoses--most commonly a mood disorder alone or in combination with conduct disorder and/or substance abuse--characterizes most suicides among teenagers.
...
1
2
3
...