1
|
Stuber J, Massey A, Payn B, Porter S, Ratzliff A. Training Health Care Professionals in Suicide Assessment, Management, and Treatment. Psychiatr Serv 2023; 74:88-91. [PMID: 35734862 DOI: 10.1176/appi.ps.202100571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Washington was the first state to require all licensed general medical and behavioral health care professionals (HCPs) to complete training in suicide assessment, management, and treatment. Results from pretest and posttest surveys of 873 HCPs participating in All Patients Safe, a 6-hour online training course, are presented. Improvements in knowledge and attitudes about suicide and confidence in treating at-risk individuals were observed, demonstrating the effectiveness of delivering large-scale training to HCPs to fulfill state requirements. Future work should examine the impact of training on clinical practices and the role of training in improving patient care.
Collapse
Affiliation(s)
- Jennifer Stuber
- School of Social Work (Stuber, Porter) and School of Public Health (Massey), University of Washington, Seattle; Advancing Integrated Mental Health Solutions Center, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Payn, Ratzliff)
| | - Anne Massey
- School of Social Work (Stuber, Porter) and School of Public Health (Massey), University of Washington, Seattle; Advancing Integrated Mental Health Solutions Center, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Payn, Ratzliff)
| | - Betsy Payn
- School of Social Work (Stuber, Porter) and School of Public Health (Massey), University of Washington, Seattle; Advancing Integrated Mental Health Solutions Center, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Payn, Ratzliff)
| | - Sarah Porter
- School of Social Work (Stuber, Porter) and School of Public Health (Massey), University of Washington, Seattle; Advancing Integrated Mental Health Solutions Center, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Payn, Ratzliff)
| | - Anna Ratzliff
- School of Social Work (Stuber, Porter) and School of Public Health (Massey), University of Washington, Seattle; Advancing Integrated Mental Health Solutions Center, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Payn, Ratzliff)
| |
Collapse
|
2
|
DeCou CR, Stuber J, Payn B, Ratzliff A. Clinicians' knowledge of suicide-specific practices in two large healthcare systems in Washington. Gen Hosp Psychiatry 2020; 64:121-122. [PMID: 31744634 DOI: 10.1016/j.genhosppsych.2019.10.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2019] [Revised: 10/14/2019] [Accepted: 10/15/2019] [Indexed: 10/25/2022]
Affiliation(s)
- Christopher R DeCou
- Department of Psychiatry & Behavioral Sciences, University of Washington School of Medicine, United States of America; Department of Social Work, University of Washington School of Social Work, United States of America; Forefront Suicide Prevention, University of Washington, United States of America.
| | - Jennifer Stuber
- Department of Psychiatry & Behavioral Sciences, University of Washington School of Medicine, United States of America; Department of Social Work, University of Washington School of Social Work, United States of America; Forefront Suicide Prevention, University of Washington, United States of America
| | - Betsy Payn
- Department of Psychiatry & Behavioral Sciences, University of Washington School of Medicine, United States of America; Department of Social Work, University of Washington School of Social Work, United States of America; Forefront Suicide Prevention, University of Washington, United States of America
| | - Anna Ratzliff
- Department of Psychiatry & Behavioral Sciences, University of Washington School of Medicine, United States of America; Department of Social Work, University of Washington School of Social Work, United States of America; Forefront Suicide Prevention, University of Washington, United States of America
| |
Collapse
|
3
|
Cottengim C, Parks S, Rhoda D, Andrew T, Nolte KB, Fudenberg J, Sens MA, Brustrom J, Payn B, Shapiro-Mendoza CK. Protocols, practices, and needs for investigating sudden unexpected infant deaths. Forensic Sci Med Pathol 2019; 16:91-98. [PMID: 31741206 DOI: 10.1007/s12024-019-00196-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/23/2019] [Indexed: 12/01/2022]
Abstract
Understanding case identification practices, protocols, and training needs of medical examiners and coroners (MEC) may inform efforts to improve cause-of-death certification. We surveyed a U.S.-representative sample of MECs and described investigation practices and protocols used in certifying sudden unexpected infant deaths (SUID). We also identified MEC training and resource needs. Of the 377 respondents, use of the SUID Investigation Reporting Form or an equivalent was 89% for large, 87% for medium, and 52% for small jurisdictions. Routine completion of infant medical history, witness interviews, autopsy, photos or videos, and family social history for infant death investigations was ≥80%, but routine scene re-creation with a doll was 30% in small, 64% in medium, and 59% in large offices. Seventy percent of MECs reported infant death investigation training needs. Increased training and use of standardized practices may improve SUID cause-of-death certification, allowing us to better understand SUID.
Collapse
Affiliation(s)
- Carri Cottengim
- Maternal and Infant Health Branch, Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy, N.E. MS S107-2, Chamblee, GA, 30341, USA.
| | - Sharyn Parks
- Maternal and Infant Health Branch, Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy, N.E. MS S107-2, Chamblee, GA, 30341, USA
| | - Dale Rhoda
- Biostat Global Consulting, Worthington, OH, formerly at Battelle, Columbus, OH, USA
| | - Tom Andrew
- Office of Chief Medical Examiner, Concord, NH, USA
| | - Kurt B Nolte
- Office of the Medical Investigator, University of New Mexico School of Medicine, Albuquerque, NM, USA
| | - John Fudenberg
- Clark County Office of the Coroner/Medical Examiner, Las Vegas, NV, USA
| | - Mary Ann Sens
- Department of Pathology, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA
| | | | - Betsy Payn
- University of Washington, Seattle, WA, USA
| | - Carrie K Shapiro-Mendoza
- Maternal and Infant Health Branch, Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy, N.E. MS S107-2, Chamblee, GA, 30341, USA
| |
Collapse
|
4
|
Sagatov RD, John LV, Gregoriou M, Arteaga SS, Weber S, Payn B, Strauss W, Weinstein N, Collie-Akers V. Recruitment outcomes, challenges and lessons learned: the Healthy Communities Study. Pediatr Obes 2018; 13 Suppl 1:27-35. [PMID: 30209890 PMCID: PMC6424514 DOI: 10.1111/ijpo.12455] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2017] [Revised: 05/11/2018] [Accepted: 05/30/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND The Healthy Communities Study (HCS) was a national study of community programs and policies that aimed to address childhood obesity; it necessitated recruitment of a large sample of children from communities throughout the United States. OBJECTIVE The HCS aimed to complete visits with an average of 45 children and 12 key informants from at least 120 communities, diverse with respect to region of the country, urbanicity, socioeconomic status, race, ethnicity and intensity of community programs and policies that aim to address childhood obesity. METHODS Purchased address lists were utilized to select households for recruitment during Wave 1 of the study, and recruitment of families through schools was employed for Wave 2. RESULTS The HCS successfully obtained approval from 149 school districts and 478 schools in 130 communities, recruited 5138 families, and interviewed 1421 key informants to allow for characterization of overall intensity of obesity prevention/treatment efforts in each community. CONCLUSIONS Lessons learned are presented. Future studies should plan for inclusion of the following in development of recruitment strategies: literature review, formative research, pilot testing, and ongoing monitoring and adjustment.
Collapse
Affiliation(s)
| | | | | | - S. Sonia Arteaga
- National Institutes of Health, National Heart, Lung and Blood Institute, Bethesda, MD
| | | | - Betsy Payn
- University of Washington Department of Psychiatry and Behavioral Sciences, Seattle, WA
| | - Warren Strauss
- W.J. Strauss, Health Analytics Hub, LLC – Lewis Center, OH, USA
| | | | - Vicki Collie-Akers
- Work Group for Health and Community Development, University of Kansas, Lawrence, KS
| | | |
Collapse
|
5
|
Shapiro-Mendoza CK, Parks SE, Brustrom J, Andrew T, Camperlengo L, Fudenberg J, Payn B, Rhoda D. Variations in Cause-of-Death Determination for Sudden Unexpected Infant Deaths. Pediatrics 2017; 140:peds.2017-0087. [PMID: 28759406 PMCID: PMC5599098 DOI: 10.1542/peds.2017-0087] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/19/2017] [Indexed: 12/29/2022] Open
Abstract
OBJECTIVES To quantify and describe variation in cause-of-death certification of sudden unexpected infant deaths (SUIDs) among US medical examiners and coroners. METHODS From January to November 2014, we conducted a nationally representative survey of US medical examiners and coroners who certify infant deaths. Two-stage unequal probability sampling with replacement was used. Medical examiners and coroners were asked to classify SUIDs based on hypothetical scenarios and to describe the evidence considered and investigative procedures used for cause-of-death determination. Frequencies and weighted percentages were calculated. RESULTS Of the 801 surveys mailed, 60% were returned, and 377 were deemed eligible and complete. Medical examiners and coroners classification of infant deaths varied by scenario. For 3 scenarios portraying potential airway obstruction and negative autopsy findings, 61% to 69% classified the death as suffocation/asphyxia. In the last scenario, which portrayed a healthy infant in a safe sleep environment with negative autopsy findings, medical examiners and coroners classified the death as sudden infant death syndrome (38%) and SUID (30%). Reliance on investigative procedures to determine cause varied, but 94% indicated using death scene investigations, 88% full autopsy, 85% toxicology analyses, and 82% medical history review. CONCLUSIONS US medical examiners and coroners apply variable practices to classify and investigate SUID, and thus, they certify the same deaths differently. This variability influences surveillance and research, impacts true understanding of infant mortality causes, and inhibits our ability to accurately monitor and ultimately prevent future deaths. Findings may inform future strategies for promoting standardized practices for SUID classification.
Collapse
Affiliation(s)
| | - Sharyn E. Parks
- Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia
| | | | - Tom Andrew
- Office of the Chief Medical Examiner, Concord, New Hampshire
| | - Lena Camperlengo
- Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - John Fudenberg
- Clark County Office of the Coroner/Medical Examiner, Las Vegas, Nevada
| | - Betsy Payn
- Battelle, Seattle, Washington,Department of Psychiatry, University of Washington, Seattle, Washington
| | - Dale Rhoda
- Battelle, Seattle, Washington,Biostat Global Consulting, Worthington, Ohio
| |
Collapse
|
6
|
|
7
|
Tanfer K, Wierzbicki S, Payn B. Why are US women not using long-acting contraceptives? Fam Plann Perspect 2000; 32:176-83, 191. [PMID: 10942353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
CONTEXT Given the level of unintended pregnancy in the United States, it is somewhat surprising that hormonal implants and injectables-methods that are long-acting, reversible, highly effective and convenient--have not attained the popularity enjoyed by other medical methods. Knowing the reasons why women have so far spurned these methods might lead to the design and implementation of interventions and targeted social marketing to promote their use. METHODS Data from the 1993 and 1995 rounds of the National Survey of Women are used to examine the reasons women gave for not having used the implant or injectables, whether they intended to use these methods and how their attitudes toward them may influence their decision to use such methods in the future. Logistic regression models were used to identify the social and demographic characteristics that influence women's decisions not to use these methods. RESULTS Fewer than 2% of women who were at risk of an unintended pregnancy in 1995 were using the implant, and under 3% were using the injectable. Women gave three major reasons for not using either of these methods: lack of knowledge; fear of side effects or health hazards; and satisfaction with the method they were currently using. Age, education, marital status, parity and current contraceptive method strongly predicted fear of side effects, lack of knowledge and satisfaction with the current method as reasons for not using the implant or the injectable. For example, women aged 30 or older and those with a college education were half as likely as younger women and those with no college education to mention fear of side effects as their main reason for not using the implant. Likewise, single women, women with one or more children and those using a barrier method were 2-3 times as likely as married women, childless women and those using a medical method to attribute nonuse to the implant's side effects. Few women said they intended to use these methods in the next 12 months: 5% for the implant and 10% for the injectable. Single women, women with no college education, women with children, women wanting to have a child (or another child) and women with positive attitudes toward the effect of using an injectable were significantly more likely to say they intended to use the injectable. Nevertheless, substantial proportions of women reported quite negative attitudes about these methods. CONCLUSIONS The low prevalence of use and the low level of use intention for the implant and for injectables raise questions about the promise for the future of these methods. Each method seems to appeal to certain subgroups of women, however. Thus, if proper interventions and social marketing are targeted to such groups, they may be disabused of misperceptions regarding these methods and possibly become more willing to try them.
Collapse
Affiliation(s)
- K Tanfer
- Battelle, Centers for Public Health Research and Evaluation, Seattle, USA
| | | | | |
Collapse
|
8
|
Payn B, Tanfer K, Billy JO, Grady WR. Men's behavior change following infection with a sexually transmitted disease. Fam Plann Perspect 1997; 29:152-7. [PMID: 9258645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
An analysis of data on 20-39-year-old men participating in the 1991 National Survey of Men finds that of 466 respondents who had ever had a sexually transmitted disease (STD), 25% had sex while infected. However, 85% of these men informed their partner of their infection before having intercourse. Black men were significantly less likely than whites to have had sex while infected. Overall, 29% of men with an STD did not modify their sexual behavior or condom use. Blacks, married men and men who were affiliated with a religious group were less likely than whites, single men and those with no religious affiliation to maintain the same behavior subsequent to the diagnosis of an STD infection as before. Black men were more likely than whites to start using condoms; blacks, religious men, less-educated men and those who were older when they had their first sexual experience were the most likely to stop having sex with casual partners once they learned that they were infected with an STD.
Collapse
Affiliation(s)
- B Payn
- Battelle Centers for Public Health Research and Evaluation, Seattle, USA
| | | | | | | |
Collapse
|
9
|
Payn B, Tanfer K, Billy JOG, Grady WR. Men's Behavior Change Following Infection With a Sexually Transmitted Disease. ACTA ACUST UNITED AC 1997. [DOI: 10.2307/2953377] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
|