TY - JOUR PY - 2003// TI - Establishment and evaluation of a clinical pathway for young suicide attempters and ideators JO - Australasian psychiatry A1 - Hazell, P. SP - 54 EP - 58 VL - 11 IS - 1 N2 - OBJECTIVE: To develop, implement and evaluate a pathway to care for young people presenting with suicidal ideation or deliberate self-harm.

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.

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.

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.

Language: en

LA - en SN - 1039-8562 UR - http://dx.doi.org/10.1046/j.1440-1665.2003.00512.x ID - ref1 ER -