Which Chart Elements Accurately Identify Emergency Department Visits for Suicidal Ideation or Behavior
Department of Emergency Medicine
Emergency Medicine | Psychiatry and Psychology
OBJECTIVE: In an emergency department (ED) sample, we investigated the concordance between identification of suicide-related visits through standardized comprehensive chart review versus a subset of three specific chart elements: ICD-9-CM codes, free-text presenting complaints, and free-text physician discharge diagnoses.
METHODS: Review of medical records for adults ( > /=18 years) at eight EDs across the United States.
RESULTS: A total of 3,776 charts were reviewed. A combination of the three chart elements (ICD-9-CM, presenting complaints, and discharge diagnoses) provided the most robust data with 85% sensitivity, 96% specificity, 92% PPV, and 92% NPV.
CONCLUSIONS: These findings highlight the use of key discrete fields in the medical record that can be extracted to facilitate identification of whether an ED visit was suicide-related.
suicide, electronic health records, chart review, emergency department
DOI of Published Version
Arch Suicide Res. 2018 May 23:1-14. doi: 10.1080/13811118.2018.1472691. Link to article on publisher's site
Archives of suicide research : official journal of the International Academy for Suicide Research
Arias, Sarah A.; Boudreaux, Edwin D.; Chen, Elizabeth; Miller, Ivan; Camargo, Carlos A. Jr; Jones, Richard N.; and Uebelacker, Lisa, "Which Chart Elements Accurately Identify Emergency Department Visits for Suicidal Ideation or Behavior" (2018). Emergency Medicine Publications and Presentations. 155.