Arias Sarah A, Zhang Zi, Hillerns Carla, Sullivan Ashley F, Boudreaux Edwin D, Miller Ivan, Camargo Carlos A
Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Suicide Life Threat Behav. 2014 Oct;44(5):537-47. doi: 10.1111/sltb.12088. Epub 2014 Mar 3.
Adverse event (AE) detection and reporting practices were compared during the first phase of the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE), a suicide intervention study. Data were collected using a combination of chart reviews and structured telephone follow-up assessments postenrollment. Beyond chart reviews, structured telephone follow-up assessments identified 45% of the total AEs in our study. Notably, detection of suicide attempts significantly varied by approach with 53 (18%) detected by chart review, 173 (59%) by structured telephone follow-up assessments, and 69 (23%) marked as duplicates. Findings provide support for utilizing multiple methods for more robust AE detection in suicide research.
在一项自杀干预研究——急诊科安全评估与后续评价（ED-SAFE）的第一阶段，对不良事件（AE）的检测和报告做法进行了比较。入组后，通过病历审查和结构化电话随访评估相结合的方式收集数据。除病历审查外，结构化电话随访评估发现了我们研究中45%的AE。值得注意的是，自杀未遂的检测方法差异显著，病历审查检测到53例（18%），结构化电话随访评估检测到173例（59%），69例（23%）被标记为重复。研究结果支持在自杀研究中采用多种方法进行更有力的AE检测。
