NotesFAQContact Us
Search Tips
Peer reviewed Peer reviewed
Direct linkDirect link
ERIC Number: EJ1176754
Record Type: Journal
Publication Date: 2018-Jun
Pages: 12
Abstractor: As Provided
ISSN: ISSN-1053-1890
Using Electronic Health Record Alerts to Increase Safety Planning with Youth At-Risk for Suicide: A Non-Randomized Trial
Reyes-Portillo, Jazmin A.; Chin, Erica M.; Toso-Salman, Josefina; Turner, J. Blake; Vawdrey, David; Mufson, Laura
Child & Youth Care Forum, v47 n3 p391-402 Jun 2018
Background: No study to date has examined the effectiveness of integrating clinical decision support tools, like electronic health record (EHR) alerts, into the clinical care of youth at-risk for suicide. Objective: This study aimed to examine the feasibility and acceptability of using an EHR alert to increase clinicians' use of safety planning with youth at-risk for suicide in an outpatient pediatric psychiatry clinic serving an urban low-income Latino community. Methods: An alert intervention was developed to remind clinicians to complete a safety plan whenever they documented that their patient endorsed suicidal ideation, plan, or attempt during a visit in EHR notes. The alert appeared as a separate window containing a reminder message to complete a safety plan once a clinician finished visit documentation. Results: There were 69 at-risk patients between the ages of 13-21 in the intervention period (M = 15.71; SD = 1.86; 66.7% female) and 64 (M = 15.38; SD = 1.93; 68.6% female) in the control period. Logistic regression analyses indicated that patients in the intervention period were significantly more likely than patients in the control period to receive a safety plan (p < 0.01). The pattern of results remained the same after adjusting for demographic variables (p = 0.01). Forty clinicians also completed a questionnaire assessing their satisfaction with the EHR alert, indicating moderate satisfaction (M = 3.01; SD = 0.63; range = 1.11-4.11). Conclusions: EHR alerts are associated with changes in clinicians' behavior and improved compliance with best clinical practices for at-risk youth.
Springer. 233 Spring Street, New York, NY 10013. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-348-4505; e-mail:; Web site:
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: National Center for Advancing Translational Sciences (NCATS) (DHHS/NIH)
Authoring Institution: N/A
Grant or Contract Numbers: UL1TR000040