The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.
Assessing Variability and Implementation Fidelity of Suicide Prevention Safety Planning in a Regional VA Healthcare System
Open accessAbstract
BACKGROUND: In 2008, the Veterans Health Administration (VHA) implemented the use of safety planning for suicide prevention. A safety plan is a list of strategies, developed collaboratively with a provider, for a patient to use when suicide risk is elevated. Despite the use of safety plans in VHA, little is known about implementation fidelity, the extent to which safety plans are delivered as intended, or patient-level outcomes of safety planning. AIMS: This study aimed to explore the implementation fidelity of safety planning in a regional VHA hospital and examine the associations between safety plan quality and completeness with patient outcomes. METHOD: A comprehensive chart review was conducted for patients who were flagged as high risk for suicide (N = 200). Completeness and quality were coded, as well as information about patient and provider interactions regarding safety plan use. RESULTS: Safety plans were mostly complete and of moderate quality, although variability existed, particularly in quality. Limited evidence of follow-up regarding safety planning was found in the medical charts. Higher quality was associated with fewer subsequent psychiatric hospitalizations. CONCLUSION: Variability in implementation fidelity and infrequent follow-up suggest a need for additional training and support regarding the use of safety plans for suicide prevention.
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Cites
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Metadata
- Authors
- Gamarra, J. M., Luciano, M. T., Gradus, J. L., & Wiltsey Stirman, S.
- Affiliations
- Boston University (US)
- VA Boston Healthcare System (US)
- National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA
- Venue
- Crisis
- Publisher
- Hogrefe Publishing Group
- Published
- 2015-11
- Volume
- 36
- Issue
- 6
- Pages
- 433-439
- ISSN
- 0227-5910 (ISSN-L)
- 2151-2396
- PMC
- PMC4675034
- OpenAlex
- W2196257019
- Cited by
- 107
- References
- 16
- Citations by year
- 2026: 14 · 2025: 18 · 2024: 22 · 2023: 12 · 2022: 8 · 2021: 13 · 2020: 6 · 2019: 11 · 2017: 2 · 2016: 1
- FWCI
- 1.24
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Crisis (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R00MH080100, R21MH099169, R25MH080916)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- suicide prevention, safety planning, implementation fidelity, Veterans Health Administration, veterans, suicide risk, psychiatric hospitalization, follow-up, provider-patient interaction, implementation variability
- MeSH terms
- Suicide Prevention, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Pilot Projects, Quality of Health Care, United States, United States Department of Veterans Affairs, Veterans, Advance Care Planning, Young Adult
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