Arnim Dontes

University of Illinois at Chicago, Chicago, Illinois, United States

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Publications (3)3.53 Total impact

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    ABSTRACT: Background: Little is known about nurses' knowledge and practice of an injury control strategy (means restriction) with parents of adolescents at risk for suicide who are cared for in the emergency department. Objectives: This study examined the experiences of emergency nurses (N = 527) with suicidal adolescents; their training, knowledge, practice, and attitudes toward means restriction; and unit practice related to the delivery of means restriction education to parents by emergency nurses. Design: A survey was mailed to all members of the Illinois Chapter of the Emergency Nurses Association. Results: Although the majority (80%, n = 407) of respondents had recent experience with suicidal adolescents, only 24% (n = 122) had ever received means restriction training, 28% (n = 136) provided means restriction education to parents, and 18% (n = 89) worked in units where means restriction is standard practice. Conclusions: The findings of this study are consistent with injury control literature. The authors recommend training emergency department staff in means restriction, adopting a means restriction protocol for adolescents at risk for suicide, and conducting outcome studies to determine the effectiveness of training and practice.
    Journal of the American Psychiatric Nurses Association 06/2003; 9(3):77-85. DOI:10.1016/S1078-3903(03)00112-5 · 0.98 Impact Factor
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    ABSTRACT: This study evaluated the impact of a mail information campaign on emergency department (ED) professionals' knowledge about the lethal role of firearms in suicide, knowledge of appropriate strategies for warning caregivers of adolescents who have attempted suicide about firearms, and practices with respect to the delivery of such warnings. Responses obtained from physicians and nurses working in ED sites within the targeted city (Chicago) were compared with responses from ED professionals employed in a comparison city (Detroit). In Chicago, the percentage of respondents recommending firearm removal strategies increased from 60% at pretest to 76% at posttest. Individual reports of caregiver warnings per adolescent suicide exposure showed a significant decline in Chicago and a marginally significant decline in Detroit. Gains in knowledge about firearm warning strategies persisted in multivariate analyses controlling for subject demographic characteristics. The pattern of results suggests that the intervention may have effected changes in knowledge while having little impact on behavior. More intensive, interactive educational strategies may be needed to effect behavioral changes among ED professionals.
    American Journal of Emergency Medicine 06/1998; 16(3):257-61. DOI:10.1016/S0735-6757(98)90096-1 · 1.27 Impact Factor
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    ABSTRACT: The study objectives were to ascertain whether caretakers of suicidal children and adolescents received emergency department (ED) injury prevention education and to determine if injury prevention education and the medical outcome after a drug overdose are associated with caretakers restricting access to means of suicide. Participants were adult caretakers of children and adolescents who deliberately ingested a drug and received ED evaluation. Information was obtained by poison center chart review and phone interview. Fourteen percent of caretaker reported receiving injury prevention education concerning restriction of access to potential means of suicide at home. ED injury prevention education is significantly associated with caretakers restricting access to suicidal means, even when controlling for medical outcome from the attempt. Because parents are less likely to restrict access to means of suicide without education, injury prevention education about restricting access to means of suicide should be given in the ED.
    American Journal of Emergency Medicine 08/1997; 15(4):357-60. DOI:10.1016/S0735-6757(97)90124-8 · 1.27 Impact Factor