MDS compliance: Experts develop best practices for identifying, treating suicidal nursing home residents

Share this article:

Caregivers in long-term care facilities should screen residents using a suicide risk assessment tool in order to undertake appropriate interventions, according to experts in geriatric psychology and psychiatry.

Long-term care providers have had to grapple with the issue since the introduction of the MDS 3.0, which requires residents to answer questions about suicidal thoughts. A team from the University of Rochester, Mississippi State University and West Virginia University devised an action plan to help caregivers approach and respond to these potentially awkward conversations.

Customary methods for managing suicidal residents, such as observations every 15 minutes and psychiatric hospitalization, often do not work well, the researchers stated. These practices can burden caregivers and run up steep costs, which could be avoided in many cases if residents were categorized more effectively based their risk level for suicide.

The researchers endorse assessments such as the P4 screener, which consists of four questions that can be asked after a resident expresses thoughts of suicide. Clinicians can use the responses to assign a minimal, low- or high-risk score to the resident.

Based on the resident's risk level, the caregiver can then intervene using actions outlined in the researchers' decision tree. Potential actions include referring the resident to a mental health provider or placing the resident in a restricted environment. All actions should be thoroughly documented, the researchers stress.

The protocol appears in Annals of Long-Term Care: Clinical Care and Aging. Click here to access the full report and decision tree.

Share this article:

More in News

NY nursing home agrees to $2.2 million settlement in case of false documentation

NY nursing home agrees to $2.2 million settlement ...

Nursing home operator Ralex Services Inc. has agreed to a $2.2 million settlement in a whistleblower case involving forged documents at a facility in New Rochelle, New York.

Common soaps could endanger healthcare workers, study finds

Healthcare facilities should consider replacing antibacterial soaps containing the chemical triclosan, University of California-San Francisco researchers assert in a recent Journal of Occupational and Environmental Medicine article. The conclusion echoes recently updated hand hygiene guidelines.

Mandatory staff hours, better high-acuity care could improve quality of life in ...

A nursing home's staffing patterns and admissions trends are among the most important factors driving residents' quality of life over time, according to recently published research findings.