14 | AWARE 1 - Appraise Clinical Decision - ANXIETY

PROTECT | Suicide Prevention Training Podcast

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2+ y ago 26:00

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Professionals need a good understanding of self before they can understand others.
AWARE protects against undue influences in the act of clinical decision making. Intended to make practice safer, its use in clinical supervision or multidisciplinary case reviews should bolster practice by making individuals and/or teams who assess people in suicidal crisis, mindful of the implicit effect of the AWARE factors.
The five factors are:
Anxiety (generated/diffused in):
●Patient
●Family/carer/friend
●Referrer
●Triaging/assessing practitioner
Weighting (of symptoms elicited):
●Diagnosis (comorbidity - personality disorder/alcohol or substance misuse)
●Course of illness (acute/chronic/acute on chronic)
●Factors considered outside core remit (relationships/finances/accommodation/employment/family - carer availability)
Agenda (elicited in):
●Referrer
●Patient
●Family
●Practitioner
●Team
Resources (identified or not):
●Beds
●Home treatment capacity
Experience (generalised from):
●Same patient to different presentation
●Other patients from the same diagnostic group
●Other patients from the same demographic profile
●Past adverse events
These episode dives deep into Anxiety and discusses why we see what we want to see.

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