
@article{ref1,
title="Establishment and evaluation of a clinical pathway for young suicide attempters and ideators",
journal="Australasian psychiatry",
year="2003",
author="Hazell, P.",
volume="11",
number="1",
pages="54-58",
abstract="OBJECTIVE: To develop, implement and evaluate a pathway to care for young people presenting with suicidal ideation or deliberate self-harm. <br><br>METHODS: A working party consisting of key stakeholders was established to review existing practice, consider recommendations formulated in other centres, formulate a pathway, identify training needs for clinical staff, identify gaps in resources that would hinder the implementation of the pathway, and to evaluate effectiveness. <br><br>RESULTS: No existing pathways were identified that could be applied to the local context. A pathway was developed by consensus and disseminated to relevant clinical areas. A training strategy involving clinical placements was implemented. Critical gateway points along the pathway were identified and monitored. Compliance with gateway points was satisfactory, with the exception of review by a mental health clinician in the emergency department. More than 75% of young people presenting on the pathway attended community follow up, which is higher than the rate of compliance with follow up reported in most other studies. <br><br>CONCLUSIONS: Establishing a clinical pathway permitted the delineation of roles and responsibilities. Although the pathway was developed for a local context, service planners may find it helpful to follow the steps in the pathway development process that have been outlined.<p /><p>Language: en</p>",
language="en",
issn="1039-8562",
doi="10.1046/j.1440-1665.2003.00512.x",
url="http://dx.doi.org/10.1046/j.1440-1665.2003.00512.x"
}