TY - JOUR PY - 2007// TI - Effects associated with adolescent standardized patient simulation of depression and suicidal ideation JO - Academic medicine A1 - Hanson, Mark D. A1 - Niec, Anne A1 - Pietrantonio, Anna Marie A1 - Johnson, S. A1 - Young, M. A1 - High, Bradley A1 - MacMillan, Harriet L. A1 - Eva, Kevin W. SP - S61 EP - 4 VL - 82 IS - 10 Suppl N2 - BACKGROUND: Because of common use of adolescent simulated patients (ASPs), clarification of the risk of negative effects associated with high-stress simulations is essential. This study evaluates the safety of suicidality simulations. METHOD: ASPs participated in a suicidality role or pediatric role. Explicit measures of their impact included the Suicidal Ideation Questionnaire (SIQ) and Reynolds Adolescent Depression Scale-2 (RADS-2), both of which were completed pre-/poststudy. Implicit behavioral measures of impact were also collected during training, including the Implicit Association Test. RESULTS: Three of the 24 participants had clinical RADS-2 and/or SIQ scores. None of these adolescents' mental status deteriorated with SP participation. ASPs in the suicidality role showed behavioral effects consistent with a negative reaction, and two reported brief depression. CONCLUSIONS: ASPs participated in a suicidality simulation without evidence of suicide contagion. However, ASPs' behavioral reactions and self-reported depression suggested a transient depressive reaction.
Language: en
LA - en SN - 1040-2446 UR - http://dx.doi.org/10.1097/ACM.0b013e31813ffedd ID - ref1 ER -