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Related Experiment Videos

Suicide Simulation in Primary Care.

Candice Dye1, Sai Krishna Surapa Raju1, Abigail Dy1

  • 1From the Department of Pediatrics, Division of General Pediatrics and the Department of Pediatrics, Division of Critical Care, University of Alabama at Birmingham, Birmingham, and the Division of Family Practice, Medical University of South Carolina, Charleston.

Southern Medical Journal
|March 3, 2021
PubMed
Summary
This summary is machine-generated.

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Pediatric interns practiced managing simulated suicidal patients, gaining crucial skills. Simulation training improved resident confidence in handling mental health emergencies.

Area of Science:

  • Medical Education
  • Pediatrics
  • Mental Health

Background:

  • Pediatric residents require training to recognize and manage suicidal ideation in young patients.
  • Effective management of pediatric mental health emergencies is a critical physician competency.

Purpose of the Study:

  • To evaluate the effectiveness of a simulation-based training program for pediatric interns in managing suicidal patients.
  • To enhance residents' knowledge and experience in promptly recognizing and addressing suicidal ideation.

Main Methods:

  • A simulation scenario using a standardized patient (SP) portraying a 16-year-old suicidal adolescent was implemented.
  • Training involved recorded sessions, nonjudgmental debriefing with attending physicians and SPs, and anonymous surveys.
  • Seventy-one postgraduate year-1 residents participated in monthly 1-hour simulation cases over 3 years.

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Main Results:

  • A significant number of residents (61/71) did not ensure the suicidal patient remained unobserved.
  • Fifteen participants initially failed to identify suicidal intent, mistaking it for depression.
  • The average time to inquire about suicidal ideation was 8 minutes and 32 seconds.

Conclusions:

  • Monthly structured simulation training is feasible and highly effective for preparing interns for mental health emergencies.
  • Learners reported increased preparedness and confidence post-simulation.
  • The simulation provides supervisors an avenue to assess essential communication skills in challenging patient encounters.