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Article CommentaryCommentary

Community Pharmacists as Partners in Reducing Suicide Risk

Cortney M. Mospan, Chris Gillette, Jerry McKee and Stephanie S. Daniel
The Journal of the American Board of Family Medicine November 2019, 32 (6) 763-767; DOI: https://doi.org/10.3122/jabfm.2019.06.190021
Cortney M. Mospan
From Wingate University School of Pharmacy, Wingate, NC (CMM); Department of Physician Assistant Studies, School of Medicine, Wake Forest University, Winston-Salem, NC (CG); Ballad Health – Woodridge Hospital, Johnson City, TN (JM); School of Medicine, Wake Forest University, Winston-Salem, NC (SSD)
PharmD, BCACP, BCGP
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Chris Gillette
From Wingate University School of Pharmacy, Wingate, NC (CMM); Department of Physician Assistant Studies, School of Medicine, Wake Forest University, Winston-Salem, NC (CG); Ballad Health – Woodridge Hospital, Johnson City, TN (JM); School of Medicine, Wake Forest University, Winston-Salem, NC (SSD)
PhD
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Jerry McKee
From Wingate University School of Pharmacy, Wingate, NC (CMM); Department of Physician Assistant Studies, School of Medicine, Wake Forest University, Winston-Salem, NC (CG); Ballad Health – Woodridge Hospital, Johnson City, TN (JM); School of Medicine, Wake Forest University, Winston-Salem, NC (SSD)
PharmD, MS, BCPP
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Stephanie S. Daniel
From Wingate University School of Pharmacy, Wingate, NC (CMM); Department of Physician Assistant Studies, School of Medicine, Wake Forest University, Winston-Salem, NC (CG); Ballad Health – Woodridge Hospital, Johnson City, TN (JM); School of Medicine, Wake Forest University, Winston-Salem, NC (SSD)
PhD
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    Figure 1.

    Flowchart of the initial patient recruitment process.

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    Table 1.

    Best Practice Recommendations for Interdisciplinary Suicide Screening

    ChallengeRecommendations
    Patients to screen
    • All adults (>18) as patients often do not recognize their symptoms as signs of mental health conditions (i.e., depression)

    • Risk factors for determining suicidal ideation risk and acuity of risk may have limited clinical utility36

    • Older adults (>50), particularly men, are less likely to be screened for suicidal ideation37,38

    Lack of education and preparation
    • To address the suicide public health crisis, Washington state requires all health care providers to complete suicide prevention training29

    • 2012 National Strategy for Suicide Prevention outlined the importance of prevention training for all personnel in health professions39

    • Evidence-based suicide prevention training should be required of all health care providers, including pharmacists40

    • Interprofessional education at schools and colleges of pharmacy, medicine, etc., could incorporate mental health care and access

    Gaps in transitions of care40
    • Need to develop transitions of care programs post-emergency department discharge to communicate back to PCP, community pharmacist, and if established, mental health care provider

    • Need to ensure adequate psychosocial assessment occurs to identify patients at risk

    • Need to develop triage process from community pharmacy to PCP/mental health care provider or crisis unit/acute care based on severity

    Role of the pharmacist
    • PCPs encourage patient perception of the pharmacist as part of the mental health care team40

    • Research models of interdisciplinary care for suicide prevention to identify best practices40

    • PCP, primary care provider.

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The Journal of the American Board of Family     Medicine: 32 (6)
The Journal of the American Board of Family Medicine
Vol. 32, Issue 6
November-December 2019
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Community Pharmacists as Partners in Reducing Suicide Risk
Cortney M. Mospan, Chris Gillette, Jerry McKee, Stephanie S. Daniel
The Journal of the American Board of Family Medicine Nov 2019, 32 (6) 763-767; DOI: 10.3122/jabfm.2019.06.190021

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Community Pharmacists as Partners in Reducing Suicide Risk
Cortney M. Mospan, Chris Gillette, Jerry McKee, Stephanie S. Daniel
The Journal of the American Board of Family Medicine Nov 2019, 32 (6) 763-767; DOI: 10.3122/jabfm.2019.06.190021
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Keywords

  • Community Medicine
  • Continuity of Patient Care
  • Mental Health
  • Pharmacists
  • Primary Health Care
  • Public Health
  • Suicidal Ideation
  • Suicide

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