University of Massachusetts Medical School Faculty Publications
Title
Which Chart Elements Accurately Identify Emergency Department Visits for Suicidal Ideation or Behavior
UMMS Affiliation
Department of Emergency Medicine
Publication Date
2019-06-11
Document Type
Article
Disciplines
Emergency Medicine | Health Information Technology | Health Services Administration | Psychiatry | Psychiatry and Psychology
Abstract
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 3 specific chart elements: ICD-9-CM codes, free-text presenting complaints, and free-text physician discharge diagnoses. The method for this study was review of medical records for adults ( > /=18 years) at 8 EDs across the United States. A total of 3,776 charts were reviewed. A combination of the 3 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. 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
Arias SA, Boudreaux ED, Chen E, Miller I, Camargo CA Jr, Jones RN, Uebelacker L. Which Chart Elements Accurately Identify Emergency Department Visits for Suicidal Ideation or Behavior? Arch Suicide Res. 2019 Jul-Sep;23(3):382-390. doi: 10.1080/13811118.2018.1472691. Epub 2019 Jun 11. PMID: 29791300; PMCID: PMC6320303. Link to article on publisher's site
Related Resources
Journal/Book/Conference Title
Archives of suicide research : official journal of the International Academy for Suicide Research
PubMed ID
29791300
Repository Citation
Arias SA, Boudreaux ED, Chen E, Miller I, Camargo CA, Jones RN, Uebelacker L. (2019). Which Chart Elements Accurately Identify Emergency Department Visits for Suicidal Ideation or Behavior. University of Massachusetts Medical School Faculty Publications. https://doi.org/10.1080/13811118.2018.1472691. Retrieved from https://escholarship.umassmed.edu/faculty_pubs/1792