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Based on review of the clinical record for Patient #1, staff interviews, and facility investigation, a psychosocial assessment was not completed when Patient #1 was admitted to the hospital. Patient #1 attempted suicide in the hospital on the day after admission and died the next day as a result of injuries from the suicide attempt. By omitting the psychosocial assessment, the patient was deprived of the opportunity to discuss, request or receive treatment for his depression and recent suicide attempt at home.

Findings were:

Review of the clinical record for Patient #1 revealed that he was admitted to the hospital on 7-11-11 for complaints of abdominal pain and chronic diarrhea. Review of the nursing admission assessment and history conducted at 1:30 pm on 7-11-11, revealed there was no psychosocial assessment or suicide assessment completed with this patient. This was confirmed in an interview with Staff #1 and Staff #2. The patient attempted suicide by hanging himself with a cord while in the hospital bathroom and was found unresponsive. Review of the clinical record for Patient #1, the facility ' s investigation, and staff interviews, revealed that the patient had been depressed and had attempted suicide by hanging at home prior to this hospital admission. This information was not revealed to the hospital staff until after the attempted suicide; however this information might have been elicited from the patient had a psychosocial assessment been conducted per policy, yet the patient was not afforded this opportunity. By omitting the psychosocial assessment, the patient was deprived of the opportunity to discuss, request or receive treatment and precautionary measures related to his depression and recent suicide attempt at home.

Review of facility policies and the facility ' s investigation revealed that the psychosocial assessment is a required component of an admission to the hospital. This was confirmed in an interview with Staff #1 and Staff #2.

Based on review of the clinical record for Patient #1, staff interviews, and facility investigation, a psychosocial assessment was not completed when Patient #1 was admitted to the hospital, which did not afford Patient #1 the opportunity to discuss, request or receive treatment and precautionary measures related to his depression and recent suicide attempt at home. Patient #1 attempted suicide in the hospital on the day after admission and died the next day as a result of injuries from the suicide attempt.

Findings were:

Review of the clinical record for Patient #1 revealed that he was admitted to the hospital on 7-11-11 for complaints of abdominal pain and chronic diarrhea. Review of the nursing admission assessment and history at 1:30 pm on 7-11-11, revealed there was no psychosocial assessment or suicide assessment completed with this patient. This was confirmed in an interview with Staff #1 and Staff #2. Patient #1 attempted suicide by hanging himself with a cord while in the bathroom and was found unresponsive. After resuscitation, the patient was transferred to the Intensive Care Unit in a comatose state and never regained consciousness. On 7-13-11, life support was withdrawn at 9:10 pm, and the patient ' s death occurred at 9:31 pm.

Review of facility policies and the facility ' s investigation revealed that the psychosocial assessment is a required component of an admission. This was confirmed in an interview with Staff #1 and Staff #2.