Department of Psychology, Florida State University, Tallahassee, FL, USA.
Law Offices of Skip Simpson, Frisco, TX, USA.
Behav Sci Law. 2019 May;37(3):304-312. doi: 10.1002/bsl.2409. Epub 2019 May 7.
Few clinical practices are as important for simultaneously augmenting patient safety and mitigating legal risk as the judicious evaluation and stratification of a patient's risk for suicide, proportionate clinical actions based thereon taken by the healthcare provider, and contemporaneous documentation of the foregoing. In this article, we draw from our combined decades of multidisciplinary experience as a clinical psychologist, forensic psychiatrist, medical malpractice attorney, and clinical psychology trainee to discuss the documentation of suicide risk assessment and management as a conduit to patient safety and legal risk mitigation. We additionally highlight documentation as a core clinical competency across disciplines and note areas of improvement, such as increased training, to bolster documentation practices.
很少有临床实践像审慎评估和分层患者自杀风险、医疗保健提供者据此采取相应临床行动以及同时记录上述内容那样，同时增强患者安全和降低法律风险。在本文中，我们结合了作为临床心理学家、法医精神病学家、医疗事故律师和临床心理学实习生的多年多学科经验，讨论了将自杀风险评估和管理记录作为患者安全和法律风险降低的一种手段。我们还强调了记录作为跨学科核心临床能力的重要性，并指出了改进的领域，如增加培训，以加强记录实践。
