MGHPGR: Hackett Award
Hackett Award: How accurate do suicide risk prediction algorithms need to be?
Suicide is the 10th most common cause of death in the United States; despite substantial efforts to prevent suicide, suicide rates have not fallen over the past 15 years. One challenge is accurately identifying the patients who are at highest risk of suicide: fewer than half of people who die by suicide have a diagnosed mental health condition, and only one-third are connected with specialized mental health care. To address this challenge, increasingly sophisticated algorithms are being developed to predict which patients are at high risk of suicide, but it's not known how accurate these models need to be before they're worth using in clinical practice.
This talk will describe a recently published cost-effectiveness analysis which answers this question. We will start by reviewing the theory and principles of health care cost-effectiveness analysis, and then review the published literature on the health and economic consequences of suicide attempts in the United States. Finally, we will discuss the implications of our findings for implementation of suicide risk prediction algorithms in real-world clinical practice.
This program is intended for: Psychiatrists, Psychologists, Fellows, Residents, Interns and Nurses
At the end of this presentation participants will be able to:
- Describe what it means for a healthcare intervention to be deemed ‘cost-effective’.
- Explain the meaning of sensitivity and positive predictive value as applied to predicting a patient's suicide risk.
- Compare the effectiveness of cognitive behavioral therapy and active contact and follow-up interventions for reducing suicide risk.
- 1.00 AMA PRA Category 1 Credit™
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of McLean Hospital and Massachusetts General Hospital. McLean Hospital is accredited by the ACCME to provide continuing medical education for physicians.
McLean Hospital designates this Enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
- 1.00 Nursing Contact Hours
Massachusetts General Laws, Chapter 13, sections 13, 14, 14A, 15 and 15D and Chapter 112, sections 74 through 81C authorize the Board of Registration in Nursing to regulate nursing practice and education.
This program meets the requirements of the Massachusetts Board of Registration in Nursing (244 CMR 5.00) for 1.00 contact hours of nursing continuing education credit. Advance practice nurses, please note: Educational activities which meet the requirements of the ACCME (such as this activity) count towards 50% of the nursing requirement for ANCC accreditation.
- 1.00 Participation
This course allows other providers to claim a Participation Certificate upon successful completion of this course.
Participation Certificates will specify the title, location, type of activity, date of activity, and number of AMA PRA Category 1 Credit™ associated with the activity. Providers should check with their regulatory agencies to determine ways in which AMA PRA Category 1 Credit™ may or may not fulfill continuing education requirements. Providers should also consider saving copies of brochures, agenda, and other supporting documents.
- 1.00 Psychologists CE Credit
The Massachusetts General Hospital Department of Psychiatry is approved by the American Psychological Association to sponsor continuing education for psychologists. The Massachusetts General Hospital Department of Psychiatry maintains responsibility for this program and its content.
This offering meets the criteria for 1.00 Continuing Education (CE) credits per presentation for psychologists.