Initiation, Review, and/or Update to Suicide Safety Plan for Individuals With Suicidal Thoughts, Behaviour, or Suicide Risk
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of adult aged 18 years and older with suicidal ideation or behaviour symptoms.
Numerator
Patients for whom a completed suicide safety plan is initiated, reviewed, or updated in collaboration between the patient and their clinician at the time the suicidal ideation behaviour or risk is identified (concurrent or within 24 hours of index clinical encounter), during the measurement period.
Denominator
Patients aged 18 years and older with a mental and/or substance use disorder with suicidal ideation and/or behaviour symptoms or suicide risk at a clinical encounter during the denominator identification period.
Exclusions
Patients whose functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders (ICD-10-CM) and patients who died during the measurement period (M1356) are excluded.
Use of Risk Adjustment
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
MIPS Clinical Quality Measures (CQMS)
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Traditional MIPS