Care of the Suicidal Pediatric Patient in the ED: A Case Study

Schmid, Alexis; Truog, Amy W.; Damian, Frances J.

doi:10.1097/01.naj.0000405060.13022.b7

Cited by 5 publications

(3 citation statements)

References 15 publications

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“…A small number of case studies (n = 3) were reviewed (see Table 4) to gauge whether similar trends were reported anecdotally in case studies as were observed in clinical studies. Not surprisingly, all of the individuals in the reported case studies were male; two adults (Hare, 1997;Spencer et al, 2011) and one child of elementary school age (Schmid, Truog, & Damian, 2011). In terms of suicidal behaviors, all of the participants either threatened or engaged in self-harm/suicide attempts using knives (e.g., hunting knife, butcher knife) or sharp objects (i.e., broken glass).…”

Section: Case Studiesmentioning

confidence: 97%

“…Spencer et al (2011) account the suicidal acts of a man, who attempted suicide following interpersonal conflicts at his place of employment. Finally, the case report of a school-aged child details suicidal ideation related to being bullied at school (Schmid et al, 2011). Three important points are highlighted within these case reports: (a) methods used by individuals with ASD involve potentially lethal means (e.g., sharp objects and alcohol); (b) all cases had psychiatric diagnoses in addition to ASD, and (c) interpersonal issues appear to act as a trigger in the suicidal acts of individuals with ASD.…”

Section: Case Studiesmentioning

confidence: 99%

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What Do We Know About Suicidality in Autism Spectrum Disorders? A Systematic Review

2014

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Suicidality is a common and concerning issue across development, and there is a plethora of research on this topic among typically developing children and youth. Very little is known, however, about the nature of suicidality among individuals with autism spectrum disorders (ASDs). The purpose of the current study was to undertake a systematic literature review to assess the current state of the research literature to examine the prevalence of suicidality among individuals with ASD, related demographic and clinical profiles, and associated risk and protective factors. A literature search using key terms related to suicidality and ASD yielded 10 topical studies that were evaluated for the study objectives. Suicidality was present in 10.9-50% of the ASD samples identified in the systematic review. Further, several large-scale studies found that individuals with ASD comprised 7.3-15% of suicidal populations, a substantial subgroup. Risk factors were identified and included peer victimization, behavioral problems, being Black or Hispanic, being male, lower socioeconomic status, and lower level of education. Only one study reported on protective factors, and this is identified as a significant gap in the literature. Several methodological weaknesses were present in the current literature, such as lack of appropriate comparison groups and little to no use of empirically validated measures for ASD diagnosis and suicide assessment. Additional research is necessary to understand better how this unique population experiences and expresses suicidal tendencies. Recommendations for future research are discussed.

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Section: Case Studiesmentioning

confidence: 97%

Section: Case Studiesmentioning

confidence: 99%

What Do We Know About Suicidality in Autism Spectrum Disorders? A Systematic Review

2014

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“…More recently, there has been growing evidence of an evolving emergency nursing discourse that supports and encourages an empathetic approach to suicide prevention. Nurses need to provide empathetic care for all patients who present to ED with SRTB (Betz & Boudreaux, 2016; Heyland et al., 2018; Large, 2016; Schmid et al., 2011; Wilson et al., 2019). Often nurses are the first point of contact for patients in ED, and nurses need to create an emotionally safe place for patients to communicate their needs without feeling judged (Wilson et al., 2019).…”

Section: Discussionmentioning

confidence: 99%

A poststructural analysis: Current practices for suicide prevention by nurses in the emergency department and areas of improvement

Shin

Price

Aston

2020

Journal of Clinical Nursing

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Aims and objectives To use a poststructuralist framework to critique historical, social and institutional constructions of emergency nursing and examine conflicting discourses surrounding suicide prevention. The aim is to also demonstrate practical guidance for enhancing emergency nursing practice and research with regard to suicide prevention. Background Emergency departments have been historically constructed as places for treating life‐threatening physical crises, thereby constructing other "nonurgent" health needs as less of a priority. Physical needs take priority over psychological needs, such as suicide‐related thoughts and behaviours, negatively impacting the quality of care that certain groups of patients receive. Design A theoretical analysis of the published literature on the topic of emergency nursing and suicide prevention was conducted and analysed using a poststructuralist framework. Methods Relevant literature on the topic of emergency nursing related to suicide prevention was analysed for a poststructuralist construct of power, language, subjectivity and discourse. Implications to practice and research were identified, as well as expanding emergency nursing using a poststructuralist framework. SQUIRE guidelines were used (see Supporting Information). Discussion The emergency department is a critical point of intervention for patients with urgent and life‐threatening needs. However, the biomedical model and historical, social, and institutional expectations that influence emergency nurses' beliefs and values do not effectively respond to the needs of suicidal patients. One step to address this issue is to deconstruct the current understanding of emergency nursing as a treatment for only life‐threatening physical crises in order to become inclusive of psychological crises such as suicide‐related thoughts and behaviours. Relevance to clinical practice How a poststructural framework can be used to expand emergency care is discussed. Examples include empowering nurses to challenge the "taken‐for‐granted" emergency nursing and recognizing the health needs that fall outside of the dominant discourse of emergency care.

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Victims of Bullying in the Emergency Department with Behavioral Issues

Waseem

Arshad

Leber

et al. 2013

The Journal of Emergency Medicine

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Care of the Suicidal Pediatric Patient in the ED: A Case Study

Abstract: algorithm, Asperger's syndrome, attempted suicide, bullying, emergency, emergency department, patient safety, pediatrics, pediatric suicide, suicide, suicide screening, triage.

Cited by 5 publications

References 15 publications

What Do We Know About Suicidality in Autism Spectrum Disorders? A Systematic Review

What Do We Know About Suicidality in Autism Spectrum Disorders? A Systematic Review

A poststructural analysis: Current practices for suicide prevention by nurses in the emergency department and areas of improvement

Victims of Bullying in the Emergency Department with Behavioral Issues

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