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Suicide risk management during clinical telepractice.

David D Luxton1, Karen O'Brien2, Larry D Pruitt2

  • 1National Center for Telehealth & Technology, University of Washington School of Medicine, Seattle.

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|October 31, 2014
PubMed
Summary

This study details suicide risk assessment and management procedures within telehealth for U.S. military service members and veterans with depression. It outlines a safety protocol for home-based telepractice, crucial for mental health practitioners.

Keywords:
patient safetyrisk managementsuicide risktelehealthtelemedicine

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Area of Science:

  • Clinical Psychology
  • Telehealth
  • Mental Health Services

Background:

  • Effective management of suicidal patients is critical in telehealth.
  • Telehealth services are increasingly utilized for mental health care.
  • Depression affects military service members and veterans.

Purpose of the Study:

  • To describe the implementation of suicide risk assessment and management procedures in a telehealth clinical trial.
  • To adapt and apply safety protocols for home-based telepractice.
  • To address key safety issues in clinical telepractice.

Main Methods:

  • A clinical trial comparing in-office and home-based telehealth treatment for depression.
  • Development and implementation of a safety protocol for suicide risk management.
  • Adaptation of best practices, guidelines, and local requirements for telepractice safety.

Main Results:

  • Procedures for ongoing suicide risk assessment and management were successfully implemented in a telehealth setting.
  • A comprehensive safety protocol was adapted for home-based telepractice.
  • Key safety considerations for telepractice were identified and discussed.

Conclusions:

  • The described procedures provide a framework for safe and effective telehealth-based suicide risk management.
  • Adapting safety protocols is essential for delivering mental health services via telepractice.
  • Mental health practitioners can benefit from understanding these telepractice safety issues.