Feasibility of Implementing Evidence-based Practices for Suicidality Management in the Emergency Department

Area of Science:

• Emergency Medicine
• Mental Health Services
• Implementation Science

Background:

• Updated guidelines exist for emergency department (ED) suicidality assessment and management.
• Evidence-based practices for suicidality in the ED are underutilized.
• The ED is a critical access point for individuals experiencing suicidality.

Purpose of the Study:

• To explore the feasibility of implementing evidence-based practices for suicidality management in EDs.
• To identify factors influencing the successful adoption of these practices.

Main Methods:

• Semi-structured interviews were conducted with ED clinical team members in Indiana.
• The Organizational Readiness for Innovation Implementation Framework guided the interview process.
• Qualitative thematic analysis was used to analyze interview data.

Main Results:

• Barriers included lack of resources, resistance to change, and competing ED demands.
• Facilitators included openness to training, willingness to implement change, and leadership support.
• Discontent with current processes and a desire to improve patient experiences drove openness to change.

Conclusions:

• A multifaceted approach is needed to increase the uptake of evidence-based suicidality management practices.
• Identifying and training change-ready staff is crucial.
• Strengthening collaboration between ED teams and behavioral health clinicians is recommended.