Evidence map›Paper›PMID 36321386›Full record

ArticlePediatrics2022

Collaborative to Increase Lethal Means Counseling for Caregivers of Youth With Suicidality.

JoAnna K Leyenaar, Anagha Tolpadi, Layla Parast, Megan Esporas, Maria T Britto, Courtney Gidengil, Karen M Wilson, Naomi S Bardach, William T Basco, Mark S Brittan and 10 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

JoAnna K LeyenaarDepartment of Pediatrics and The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth College, Hanover, New Hampshire.
Anagha TolpadiRand Corporation, Santa Monica, California.
Layla ParastRand Corporation, Santa Monica, California.
Megan EsporasChildren's Hospital Association, Washington, District of Columbia.
Maria T BrittoDepartment of Pediatrics and Patient Services, Cincinnati Children's Hospital Medical Center, and the University of Cincinnati College of Medicine, Cincinnati, Ohio.
Courtney GidengilRAND Corporation, Boston, Massachusetts.
Karen M WilsonDepartment of Pediatrics, University of Rochester School of Medicine, Rochester, New York.
Naomi S BardachDepartment of Pediatrics, Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, California.
William T BascoDepartment of Pediatrics, Medical University of South Carolina, Charleston, South Carolina.
Mark S BrittanDepartment of Pediatrics, University of Colorado and Children's Hospital Colorado, Aurora, Colorado.
Derek J WilliamsDivision of Hospital Medicine, Department of Pediatrics, Vanderbilt University School of Medicine and the Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee.
Kelly E WoodStead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa.
Steven YungDepartment of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York.
Erin DawleyDepartment of Pediatrics, Medical University of South Carolina, Charleston, South Carolina.
Audrey ElliottResearch Institute, Children's Hospital Colorado, Aurora, Colorado.
Kirstin A MangesStead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa.
Gregory PlemmonsDivision of Hospital Medicine, Department of Pediatrics, Vanderbilt University School of Medicine and the Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee.
Timothy RiceDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York.
Brandy WienerDepartment of Pediatrics and Patient Services, Cincinnati Children's Hospital Medical Center, and the University of Cincinnati College of Medicine, Cincinnati, Ohio.
Rita Mangione-SmithKaiser Permanente Washington Health Research Institute, Seattle, Washington.

Funding

Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI MARK D. HAYWARD · 2017 to 2026
$5.2M
Pediatric Hospital Care Improvement ProjectU18HS025291 · AHRQ · SEATTLE CHILDREN'S HOSPITAL · PI MANGIONE-SMITH, RITA · 2016 to 2019
$2.7M
AHRQ HHS U18 HS025291NICHD NIH HHS P2C HD042849
6 · The paper itself

Abstract

backgroundThe number of youth presenting to hospitals with suicidality and/or self-harm has increased substantially in recent years. We implemented a multihospital quality improvement (QI) collaborative from February 1, 2018 to January 31, 2019, aiming for an absolute increase in hospitals' mean rate of caregiver lethal means counseling (LMC) of 10 percentage points (from a baseline mean performance of 68% to 78%) by the end of the collaborative, and to evaluate the effectiveness of the collaborative on LMC, adjusting for secular trends.

methodsThis 8 hospital collaborative used a structured process of alternating learning sessions and action periods to improve LMC across hospitals. Electronic medical record documentation of caregiver LMC was evaluated during 3 phases: precollaborative, active QI collaborative, and postcollaborative. We used statistical process control to evaluate changes in LMC monthly. Following collaborative completion, interrupted time series analyses were used to evaluate changes in the level and trend and slope of LMC, adjusting for covariates.

resultsIn the study, 4208 children and adolescents were included-1314 (31.2%) precollaborative, 1335 (31.7%) during the active QI collaborative, and 1559 (37.0%) postcollaborative. Statistical process control analyses demonstrated that LMC increased from a hospital-level mean of 68% precollaborative to 75% (February 2018) and then 86% (October 2018) during the collaborative. In interrupted time series analyses, there were no significant differences in LMC during and following the collaborative beyond those expected based on pre-collaborative trends.

conclusionsLMC increased during the collaborative, but the increase did not exceed expected trends. Interventions developed by participating hospitals may be beneficial to others aiming to improve LMC for caregivers of hospitalized youth with suicidality.

Indexed as

CaregiversSuicide PreventionAdolescentChildCounselingHumansQuality ImprovementSuicidal Ideation

Identifiers

PMID36321386
PMCPMC10578326

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.