Measurement of ASQ Usage in the County Jail Setting
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Since the year 2000, the leading cause of death in a jail setting has been suicide. The purpose of this retrospective, descriptive quality improvement project was to evaluate the usage of the ASQ screening tool in the county jail setting after implementation of the tool. Data was collected on a convenience sample of 98 adults, age 18-65, located at a county jail in Wisconsin. Data regarding usage of the ASQ in the facility, demographic data and substance use history was collected. Outcome measures included determining the usage of the ASQ as well as analyzing the demographics and substance use in this population. Results showed the ASQ tool was used exclusively by the mental health staff, with no use by nursing or the correctional officers. The ASQ was used 61% of the time as a follow up screen for inmates identified as suicidal on intake assessment and 79% of the time for inmates placed on observation after arrest. The tool was not used during intake screening. Seventy percent of the subjects admitted to some type of substance use with alcohol being the most common substance of choice (52%). The data collected provides the foundation to guide further education and training to improve the implementation of the ASQ in the jail setting. The substance abuse data was congruent with national data and, given that substance use increases suicide risk, supports the need for improved suicide screening in the jail setting.
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Open Access (fully available)