Columbia-Suicide Severity Rating Scale Impact In A Suburban Diverse Community

Date of Award

Summer 2024

Document Type

Dissertation

Degree Name

Doctor of Healthcare Administration (DHA)

Committee Chair

Gail Frankle

Committee Member

Tonia Young-Babb

Committee Member

Cynthia Smoak

Abstract

This investigation aimed to evaluate the impact of the implementation of the Columbia Suicide Severity Rating Scale tool in the Emergency Department. The setting of the study focused on a non-profit community-based hospital that serves the Hispanic-dominant population in a Suburban area. The utilization of secondary data from 2022 and 2023 was analyzed statistically to evaluate the success of the implementation of the Columbia Suicide Severity Rating Scale tool pre- and post-implementation. The study focused on the impact on risk level assignment, arrival to provider assessment times, and discharge disposition, pre-and post-implementation. The analysis aims to bring awareness and aid in necessary changes to the delivery of care for patients who seek care with suicide ideation or suicide attempts. The statistical analysis utilized a Mann-Whitney U test, Chi-square test, and two sample t-tests to determine the statistical impact pre- and post-implementation of the Columbia Suicide Severity Rating Scale tool. The results showed no statistically significant differences between pre- and post-implementations. Though the outcome shared no statistically significant difference, clinical significance was observed as minor shifts in data were noted. Future studies suggest integrating theoretical themes into the patient's plan of care to accommodate the population being served. The analysis and findings of this study identified vital prospective areas of focus that brought awareness to the psychiatric population, enhance care plans for high-risk patients, and expand on post-discharge education.

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