lesson 6 discussion

Discussion: For elderly patients with chronic disease (P), does implementing the Columbia Suicide Severity Rating Scale (C-SSRS) (I), compared to not implementing the C-SSRS (C), increase early suicidal thought detection for better management (O)?

Yolande Tumot

Miami Dade College

Evidence Based Practice

Roxana Orta

05.24.2023

Discussion: For elderly patients with chronic disease (P), does implementing the Columbia Suicide Severity Rating Scale (C-SSRS) (I), compared to not implementing the C-SSRS (C), increase early suicidal thought detection for better management (O)?

Finding strong evidence is vital to adequately answering PICO questions through the provision of reliable, valid, and highly generalized research evidence. Strong evidence forms a solid foundation for the PICO project and ensures the developed project intervention is effective in solving the identified nursing problem. Evidence at higher hierarchy levels gives stronger evidence for the project’s literature. John et al. (2020) and Witt et al. (2020) are among the high-level evidence journal articles identified in discussion 4. The two article journals are systematic reviews and meta-analyses and belong to the highest evidence level (Level 1). Systematic reviews involving meta-analysis of methodologically sound randomized controlled trials (CRTs) with consistent findings are categorized as Level I evidence (Wang et al., 2020). The evidence provided by the articles is very compelling and adequately answers the PICO question. The literature provides resourceful evidence for a stronger project’s background. Articles in the level I category are designed to have a lower systematic error risk and are unbiased, therefore giving valid research findings. There are compelling reasons why C-SSRS is effective in screening and identifying suicidal thoughts at the earliest possible opportunity for early treatment.

References

John, J. R., Jani, H., Peters, K., Agho, K., & Tannous, W. K. (2020). The effectiveness of patient-centred medical home-based models of care versus standard primary care in chronic disease management: a systematic review and meta-analysis of randomised and non-randomised controlled trials. International journal of environmental research and public health, 17(18), 6886. https://www.mdpi.com/1660-4601/17/18/6886

Wang, Z., Ding, R., & Wang, J. (2020). The association between vitamin D status and autism spectrum disorder (ASD): a systematic review and meta-analysis. Nutrients, 13(1), 86. https://www.mdpi.com/2072-6643/13/1/86

Witt, K., Potts, J., Hubers, A., Grunebaum, M. F., Murrough, J. W., Loo, C., ... & Hawton, K. (2020). Ketamine for suicidal ideation in adults with psychiatric disorders: a systematic review and meta-analysis of treatment trials. Australian & New Zealand Journal of Psychiatry, 54(1), 29-45. https://journals.sagepub.com/doi/pdf/10.1177/0004867419883341