Table 3.

Decisions About How to Best Respond to Accessed SMS Profile Information

Vignette theme and response decision	Faculty (%)	Trainee (%)	df	χ²
Vignette A: Suicidal ideation decision	n = 29	n = 80	1, N = 109
Nothing	6.9	10.0		.25
Immediately contact patient’s parents or guardian	55.3	30.0		5.81^*
Talk to patient at next session acknowledging information was accessed	10.3	20.0		1.38
Talk to patient at next session without acknowledging information was accessed	17.2	38.7		4.45^*
Contact law enforcement or child protective services	10.3	1.3		4.98^*
Vignette B: Drug use/references decision	n = 29	n = 79	1, N = 108
Nothing	20.7	17.7		.12
Immediately contact patient’s parents or guardian	6.9	16.5		1.62
Talk to patient at next session acknowledging information was accessed	41.4	22.8		3.66
Talk to patient at next session without acknowledging information was accessed	24.1	43.0		3.22
Contact law enforcement or child protective services	6.9	0.0		5.55^*
Vignette C: Underage sex decision	n = 29	n = 78	1, N = 107
Nothing	31.0	24.3		.49
Immediately contact patient’s parents or guardian	6.9	2.6		1.10
Talk to patient at next session acknowledging information was accessed	41.4	30.8		1.07
Talk to patient at next session without acknowledging information was accessed	20.7	42.3		4.27^*
Contact law enforcement or child protective services	0.0	0.0		---
Vignette D: Child physical abuse decision	n = 29	n = 79	1, N = 108
Nothing	3.4	6.3		.34
Immediately contact patient’s parents or guardian	27.6	25.3		.06
Talk to patient at next session acknowledging information was accessed	27.6	20.3		.66
Talk to patient at next session without acknowledging information was accessed	3.4	20.3		4.52^*
Contact law enforcement or child protective services	38.0	27.8		1.02
Vignette E: Intent to harm others decision	n = 29	n = 79	1, N = 108
Nothing	3.4	8.9		.91
Immediately contact patient’s parents or guardian	48.4	31.6		2.54
Talk to patient at next session acknowledging information was accessed	17.2	17.7		<.01
Talk to patient at next session without acknowledging information was accessed	10.3	21.5		1.76
Contact law enforcement or child protective services	20.7	20.3		<.01
Vignette F: Statutory rape decision	n = 29	n = 79	1, N = 108
Nothing	6.9	13.9		.99
Immediately contact patient’s parents or guardian	17.2	11.4		.64
Talk to patient at next session acknowledging information was accessed	44.9	30.4		1.97
Talk to patient at next session without acknowledging information was accessed	17.2	40.5		5.10^*
Contact law enforcement or child protective services	13.8	3.8		3.50
Vignette G: Domestic violence decision	n = 29	n = 79	1, N = 108
Nothing	3.4	6.3		.34
Immediately contact patient’s parents or guardian	44.9	35.4		.79
Talk to patient at next session acknowledging information was accessed	27.6	20.3		.66
Talk to patient at next session without acknowledging information was accessed	6.9	29.1		5.89^*
Contact law enforcement or child protective services	17.2	8.9		1.51

p < .05.

^**

p < .01.