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Top 30 Quality Measures

Risk Assessment for Self Harm Overall Rank: 2 Best in Domain
Healthcare professionals attending a person who has self-harmed should conduct and record a comprehensive and respectful assessment of (in order of urgency):
1. risk
2. current emotional and mental state
3. psychosocial needs
4. main clinical and demographic factors associated with risk of further self-harm and/or suicide.
Domain : Patients with Acute Conditions
This special area domain refers to those patients whose conditions require an immediate intervention, such as an emergency room visit.
Additional Domain(s) : Personal Resources
Rationale
Everyone who has self-harmed should have a comprehensive assessment of needs and risk; engaging the service user is a prerequisite.
Primary Reference
National Collaborating Centre for Mental Health. (2004). Self-harm: The short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care. London, UK: National Institute for Clinical Excellence. Retrieved Aug 3, 2006 from: http://www.nice.org.uk/page.aspx? o=cg016niceguideline
Level of Evidence
III: Preliminary research evidence only or evidence based on consensus opinion only.

Summarized CommentsAdd Comment
  • VERY RELEVANT - MANY GAPS
  • Especially important with high rate of suicides in First Nations communities
  • Most of these assessments should be done in normal PHC sites, by organizing schedules of PHC staff to allow for after hours home/office visits
Variation in Results
Ratings-based Rank
Relevance 7
Actionability 5
Overall Importance 2
 
Stakeholder Rank
Academics 3
Clinicians 3
Consumers 14
Decision Makers 3
 
Special Group Rank
First Nations 1
Rural Areas 4
Federal Stakeholders 5
Regional Rank
BC AB SK MB ON QC NB NS PE NL YT NT NU
11 31 1 6 3 13 1 3 2 2 35 11 5
 
Overall Rank

      

2


SA09a (H428)

 
Distribution of Survey Respondent Ratings
Relevance
100
90
80
70
60
50
40
30
20
10
0
0 0.54 0 0 1.26 1.62 5.66 20.57 70.36
1 2 3 4 5 6 7 8 9
Low High
Actionability
100
90
80
70
60
50
40
30
20
10
0
0 1.08 0.54 1.58 1.75 4.56 9.27 34.67 46.57
1 2 3 4 5 6 7 8 9
Low High
Overall Importance
100
90
80
70
60
50
40
30
20
10
0
1.08 4.54 94.38
3 2 1

3 = can live without
2 = nice to have
1 = indispensable

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The views expressed herein do not necessarily represent the official policies of Health Canada