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2016
October
A
Adolescent Suicide Assessment Education Initiative
Adolescent Suicide Assessment Education Initiative
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Hello: You are invited to participate in our survey Adolescent Suicide Assessment Education Initiative. In this survey, approximately twenty pediatric primary care providers will be asked to complete a survey that asks questions about your current comfort level addressing suicide risk and assessment in the pediatric and adolescent population. It will take approximately five minutes to complete the questionnaire. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Heather C. Ayers MSN, APRN, CPNP, PMHS at (770)540-6328 or by email at the email address specified below. Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
What is your highest level of education?
Bachelor's Degree
Master's Degree
Post-Master's Certificate
Doctoral (MD, PhD, DNP)
What is your current clinical position?
Nurse Practitioner/APRN
Physician's Assistant
Physician
Other Provider
How many years of experience do you have as a healthcare provder in primary care practice?
0-5 years
>5-9 years
>10-15 years
>15-19 years
>20 years
What is your level of comfort in assessing behavioral health in adolescents?
None
Minimal
Moderate
Maximum
What is your level of comfort in assessing suicide risk in adolescents?
None
Minimal
Moderate
Maximum
What is your preferred learning style(s)?
Handouts/Literature
Visual Brochures
Presentation
Other
Would you find it beneficial to receive educational information regarding suicide risk assessment in adolescents?
Yes
Unsure
No
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