The importance of code status discussions in the psychiatric hospital

Results of a single site survey of psychiatrists

Alastair J S McKean, Maria Isabel Lapid, Jennifer R. Geske, Simon Kung

Research output: Contribution to journalArticle

Abstract

Objectives: Documentation of code status is a requirement with hospital admission, yet this discussion may present unique challenges with psychiatric inpatients. Currently, no standards exist on conducting these discussions with psychiatric inpatients. The authors surveyed psychiatry trainees and faculty regarding their perceptions and practice to gain further insight into the types of approaches used. Methods: The authors conducted an IRB-approved, Web-based survey of psychiatry faculty and trainees using a 25-item questionnaire of demographics and opinions about code status among psychiatric inpatients. Results: The response rate was 36.1 % (n = 30; 15 faculty and 15 trainees). Respondents felt that it was important to discuss code status with each admission. Faculty placed a higher emphasis on assessing patients with a recent suicide attempt (p = 0.024). Conclusion: Psychiatric faculty and trainees endorsed the importance of assessing code status with each admission. The authors suggest that educational programs are needed on strategies to conduct code status discussions properly and effectively in psychiatric populations.

Original languageEnglish (US)
Pages (from-to)200-203
Number of pages4
JournalAcademic Psychiatry
Volume39
Issue number2
DOIs
StatePublished - Mar 17 2015

Fingerprint

psychiatric hospital
Psychiatric Hospitals
psychiatrist
Psychiatry
trainee
psychiatry
Inpatients
suicide attempt
educational program
documentation
Research Ethics Committees
Surveys and Questionnaires
Documentation
Suicide
questionnaire
Demography
Population

Keywords

  • Code status
  • Ethics
  • Psychiatric inpatients
  • Psychiatry residents

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Education

Cite this

The importance of code status discussions in the psychiatric hospital : Results of a single site survey of psychiatrists. / McKean, Alastair J S; Lapid, Maria Isabel; Geske, Jennifer R.; Kung, Simon.

In: Academic Psychiatry, Vol. 39, No. 2, 17.03.2015, p. 200-203.

Research output: Contribution to journalArticle

@article{864b3823ca104f8bb9949763f4fa1399,
title = "The importance of code status discussions in the psychiatric hospital: Results of a single site survey of psychiatrists",
abstract = "Objectives: Documentation of code status is a requirement with hospital admission, yet this discussion may present unique challenges with psychiatric inpatients. Currently, no standards exist on conducting these discussions with psychiatric inpatients. The authors surveyed psychiatry trainees and faculty regarding their perceptions and practice to gain further insight into the types of approaches used. Methods: The authors conducted an IRB-approved, Web-based survey of psychiatry faculty and trainees using a 25-item questionnaire of demographics and opinions about code status among psychiatric inpatients. Results: The response rate was 36.1 {\%} (n = 30; 15 faculty and 15 trainees). Respondents felt that it was important to discuss code status with each admission. Faculty placed a higher emphasis on assessing patients with a recent suicide attempt (p = 0.024). Conclusion: Psychiatric faculty and trainees endorsed the importance of assessing code status with each admission. The authors suggest that educational programs are needed on strategies to conduct code status discussions properly and effectively in psychiatric populations.",
keywords = "Code status, Ethics, Psychiatric inpatients, Psychiatry residents",
author = "McKean, {Alastair J S} and Lapid, {Maria Isabel} and Geske, {Jennifer R.} and Simon Kung",
year = "2015",
month = "3",
day = "17",
doi = "10.1007/s40596-014-0218-4",
language = "English (US)",
volume = "39",
pages = "200--203",
journal = "Academic Psychiatry",
issn = "1042-9670",
publisher = "American Psychiatric Publishing Inc.",
number = "2",

}

TY - JOUR

T1 - The importance of code status discussions in the psychiatric hospital

T2 - Results of a single site survey of psychiatrists

AU - McKean, Alastair J S

AU - Lapid, Maria Isabel

AU - Geske, Jennifer R.

AU - Kung, Simon

PY - 2015/3/17

Y1 - 2015/3/17

N2 - Objectives: Documentation of code status is a requirement with hospital admission, yet this discussion may present unique challenges with psychiatric inpatients. Currently, no standards exist on conducting these discussions with psychiatric inpatients. The authors surveyed psychiatry trainees and faculty regarding their perceptions and practice to gain further insight into the types of approaches used. Methods: The authors conducted an IRB-approved, Web-based survey of psychiatry faculty and trainees using a 25-item questionnaire of demographics and opinions about code status among psychiatric inpatients. Results: The response rate was 36.1 % (n = 30; 15 faculty and 15 trainees). Respondents felt that it was important to discuss code status with each admission. Faculty placed a higher emphasis on assessing patients with a recent suicide attempt (p = 0.024). Conclusion: Psychiatric faculty and trainees endorsed the importance of assessing code status with each admission. The authors suggest that educational programs are needed on strategies to conduct code status discussions properly and effectively in psychiatric populations.

AB - Objectives: Documentation of code status is a requirement with hospital admission, yet this discussion may present unique challenges with psychiatric inpatients. Currently, no standards exist on conducting these discussions with psychiatric inpatients. The authors surveyed psychiatry trainees and faculty regarding their perceptions and practice to gain further insight into the types of approaches used. Methods: The authors conducted an IRB-approved, Web-based survey of psychiatry faculty and trainees using a 25-item questionnaire of demographics and opinions about code status among psychiatric inpatients. Results: The response rate was 36.1 % (n = 30; 15 faculty and 15 trainees). Respondents felt that it was important to discuss code status with each admission. Faculty placed a higher emphasis on assessing patients with a recent suicide attempt (p = 0.024). Conclusion: Psychiatric faculty and trainees endorsed the importance of assessing code status with each admission. The authors suggest that educational programs are needed on strategies to conduct code status discussions properly and effectively in psychiatric populations.

KW - Code status

KW - Ethics

KW - Psychiatric inpatients

KW - Psychiatry residents

UR - http://www.scopus.com/inward/record.url?scp=84924995813&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84924995813&partnerID=8YFLogxK

U2 - 10.1007/s40596-014-0218-4

DO - 10.1007/s40596-014-0218-4

M3 - Article

VL - 39

SP - 200

EP - 203

JO - Academic Psychiatry

JF - Academic Psychiatry

SN - 1042-9670

IS - 2

ER -