Title

Which Chart Elements Accurately Identify Emergency Department Visits for Suicidal Ideation or Behavior

UMMS Affiliation

Department of Emergency Medicine

Publication Date

5-23-2018

Document Type

Article

Disciplines

Emergency Medicine | Psychiatry and Psychology

Abstract

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.

Keywords

suicide, electronic health records, chart review, emergency department

DOI of Published Version

10.1080/13811118.2018.1472691

Source

Arch Suicide Res. 2018 May 23:1-14. doi: 10.1080/13811118.2018.1472691. Link to article on publisher's site

Journal/Book/Conference Title

Archives of suicide research : official journal of the International Academy for Suicide Research

Related Resources

Link to Article in PubMed

PubMed ID

29791300

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