TY  - JOUR
PY  - 2019//
TI  - Which chart elements accurately identify emergency department visits for suicidal ideation or behavior?
JO  - Archives of suicide research
A1  - Jones, Richard N.
A1  - Camargo, Carlos A.
A1  - Uebelacker, Lisa
A1  - Miller, Ivan
A1  - Chen, Elizabeth
A1  - Boudreaux, Edwin D.
A1  - Arias, Sarah A.
SP  - 382
EP  - 390
VL  - 23
IS  - 3
N2  - OBJECTIVE: In an emergency department (ED) sample, we investigated the concordance between identification of suicide-related visits through standardized comprehensive chart review versus a subset of three specific chart elements: ICD-9-CM codes, free-text presenting complaints, and free-text physician discharge diagnoses. <br><br>METHODS: Review of medical records for adults (≥18 years) at eight EDs across the United States. <br><br>RESULTS: A total of 3,776 charts were reviewed. A combination of the three chart elements (ICD-9-CM, presenting complaints, and discharge diagnoses) provided the most robust data with 85% sensitivity, 96% specificity, 92% PPV, and 92% NPV. <br><br>CONCLUSIONS: These findings highlight the use of key discrete fields in the medical record that can be extracted to facilitate identification of whether an ED visit was suicide-related.<p />  <p>Language: en</p>
LA  - en
SN  - 1381-1118
UR  - http://dx.doi.org/10.1080/13811118.2018.1472691
ID  - ref1
ER  -