SR Screening Workflow and Variability among Clinics
| SR Screening Workflows | Description | Variability |
|---|---|---|
| Method | Clinics varied on offering formal surveys (paper or digital) or informal conversations to discuss SR. | Most clinics had informal discussions about SR instead of formal screening. SR screening was conducted during new patient intake or regular office visits. |
| Screening type | Clinic staff varied on the type of SR they discussed. | There was variation in the types of SR discussed. Formal surveys included PRAPARE, Staying Healthy Assessment, and a clinic-specific checklist. Informal discussions were tailored to individual patients’ SR or available referral resources. |
| Workforce | Clinics varied on who administered the screening. | There was wide variation in clinic staff administering formal surveys or informal conversations including front desk staff, MAs, clinicians, social workers, and ACEs navigators. |
| Referrals | Clinic staff varied in the type of resources they offered after SR screening. | There was high variability in the types of resources and referrals offered (e.g., collaboration with 211 San Diego’s Community Information Exchange, Unite Us platform, on-site food banks). |
Abbreviations: ACEs, Adverse childhood experiences; SR, Suicide risk; PRAPARE, Protocol for responding to and assessing patients' assets, risks, and experiences; MAS, Medical assistance services.