ArticleBMC psychiatry2020
Prioritizing suicide prevention guideline recommendations in specialist mental healthcare: a Delphi study.
Article in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Methods used to develop quality of care standards and indicators for mental health across the WHO European region: a rapid systematic review.BMJ open quality · 2025Pooled it
- Brief interventions for suicidal ideation in primary care: a systematic review.BMC primary care · 2025Pooled it
- Prioritizing treatment targets for youths with disruptive behaviours and callous-unemotional traits: a modified Delphi study.BMC psychology · 2026Article
- Reducing suicides in mental healthcare: results from a 4-year follow-up implementation study in the Netherlands (SUPRANET).Frontiers in psychiatry · 2024Article
- Identification of research priorities for suicide prevention in Nepal: a Delphi study.BMC psychiatry · 2022Article
- A Choice-Based Conjoint Analysis of the Psychiatrist Decision-Making Process Used in Determining When to Discharge Adults With Major Depressive Disorder Hospitalized for Active Suicidal Ideation With Intent.The Journal of nervous and mental disease · 2022Article
- Selection of Pediatric Mental Health Quality Measures for Health System Improvement in British Columbia Based on a Modified Delphi Approach.Frontiers in pediatrics · 2022Article
- Establishing a Research Agenda for Suicide Prevention Among Veterans Experiencing Homelessness.Frontiers in psychology · 2022Article
- An integer programming model to assign patients based on mental health impact for tele-psychotherapy intervention during the Covid-19 emergency.Health care management science · 2021Article
- Cultural adaptation of the mental health first aid guidelines for assisting a person at risk of suicide to China: a Delphi expert consensus study.BMC psychiatry · 2020Article
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundThe Delphi technique is a proven and reliable method to create common definitions and to achieve convergence of opinion. This study aimed to prioritize suicide prevention guideline recommendations and to develop a set of quality indicators (QIs) for suicide prevention in specialist mental healthcare.
methodsThis study selected 12 key recommendations from the guideline to modify them into QIs. After feedback from two face-to-face workgroup sessions, 11 recommendations were rephrased and selected to serve as QIs. Next, a Delphi study with the 11 QIs was performed to achieve convergence of opinion among a panel of 90 participants (23 suicide experts, 23 members of patients' advisory boards or experts with experiences in suicidal behavior and 44 mental healthcare professionals). The participants scored the 11 QIs on two selection criteria: relevance (it affects the number of suicides in the institution) and action orientation (institutions or professionals themselves can influence it) using a 5-point Likert scale. Also, data analysts working in mental healthcare institutions (MHIs) rated each QI on feasibility (is it feasible to monitor and extract from existing systems). Consensus was defined as 70% agreement with priority scores of four or five.
resultsOut of the 11 recommendations, participants prioritized five recommendations as relevant and action-oriented in optimizing the quality of care for suicide prevention: 1) screening for suicidal thoughts and behavior, 2) safety plan, 3) early follow-up on discharge, 4) continuity of care and 5) involving family or significant others. Only one of the 11 recommendations early follow-up on discharge reached consensus on all three selection criteria (relevance, action orientation, and feasibility).
conclusionsThe prioritization of relevant and action-oriented suicide prevention guideline recommendations is an important step towards the improvement of quality of care in specialist mental healthcare.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.