Suicidality Screening by Nephrology Social Workers: A Pilot Study

Abstract

Current literature demonstrates that suicidality is more prevalent among people with end-stage renal disease (ESRD) than the general population; however, is not known how often patients with ESRD are screened for suicidality. This study examined suicidality screening practices among nephrology social workers using an online survey. Data suggest that about 71% of clinicians screen for suicidality across practice settings: 66% use the Patient Health Questionnaire-9 (PHQ-9); 40% use informal questioning techniques. Though this study found suicide risk to be relatively low among patients with ESRD (<10%), good clinical practice necessitates suicidality screening when conversation with a patient indicates depression or risk of self-harm. A standardized suicidality tool is recommended. Further study on suicidality with patients with ESRD is important for improving clinical care.