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
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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
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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
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Role of the pharmacist | |