Emergency department visits for attempted suicide and self harm in the USA: 2006–2013

Canner, Joseph K.; Giuliano, Katherine; Selvarajah, Shalini; Hammond, Edward R.; Schneider, Eric B.

doi:10.1017/s2045796016000871

Cited by 107 publications

(96 citation statements)

References 16 publications

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“…As for the methods, the findings in this study also confirm data from other studies, indicating the use of intoxications by medication and poisons as the most frequent in suicide attempts, especially among women 13,20,21,[25][26][27][28][29] .…”

Section: Discussionsupporting

confidence: 88%

Perfil das Tentativas de Suicídio Atendidas em um Hospital Público de Rio Branco, Acre de 2007 a 2016

Boas

Monteiro

Silva

et al. 2019

J. Hum. Growth Dev.

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Introduction: It is estimated that 1 million suicide deaths are occurring annually in the world, and studies suggesting that there are 10 to 40 attempts for each consummation of suicide, revealing its high impact (personal, social and economic) and being considered by the WHO as a serious public health problem.Objective: Evaluating the profile of suicide attempts at a public hospital in Rio Branco, from 2007 to 2016.Methods: This is a retrospective-descriptive study, with secondary. The sample consisted of 569 cases of suicide attempts of people residing in the city of Rio Branco. The analysis was carried out through simple, absolute and relative frequencies of the variables, stratified by treatment year, sex, age group, methods used and region of residence. Results:There was a significant difference in relation to sex after a change in the system in 2014, and the frequency in the female sex was higher. Intoxication was the most commonly used method, mainly by women. The highest risk group was from ten to 29 years old, totaling more than 70% of the cases, revealing the prevalence of suicide attempts in teenagers and young adults. Conclusions:This study indicates that suicide attempts in the municipality of Rio Branco -Acre state are more frequent in teenagers and young adults, of both sex, in the age range from ten to 29 years old, and that drug intoxication is the most used method, mainly among women.

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Section: Discussionsupporting

confidence: 88%

Perfil das Tentativas de Suicídio Atendidas em um Hospital Público de Rio Branco, Acre de 2007 a 2016

Boas

Monteiro

Silva

et al. 2019

J. Hum. Growth Dev.

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“…Emergencies because of attempted suicide have steadily increased throughout the last decades worldwide (Ting, Sullivan, Boudreaux, Miller, & Camargo, ; Zalsman et al., ), and their frequency typically peaks among the younger age groups (Canner, Giuliano, Selvarajah, Hammond, & Schneider, ). Our results contribute with relevant information regarding the effectiveness of ED‐initiated outpatient preventive programs directed toward attempters, considered exceptionally high‐risk individuals.…”

Section: Discussionmentioning

confidence: 99%

An Emergency Department‐Initiated Intervention to Lower Relapse Risk after Attempted Suicide

Martínez-Alés

Jiménez-Sola

Román-Mazuecos

et al. 2019

Suicide & Life Threat Behav

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Objective According to randomized trials, contact after a suicide attempt lowers relapse risk. However, effectiveness studies based on real clinical data can provide additional external validity. Method We conducted an observational study to determine if an emergency department (ED)‐initiated intervention for suicide attempt risk reduction, consisting on scheduling a single added appointment within 7 days after discharge following a suicide attempt, can reduce the risk of relapse. The study included 1,775 patients who had been treated at a general hospital ED due to a suicide attempt. The principal outcome measure was ED return after a new attempt. We obtained Kaplan‐Meier survival functions and used Cox proportional hazard regression models to estimate unadjusted and adjusted risks of relapse by treatment phase. Covariates included: age, gender, history of suicide attempts, history of psychiatric disorders, concurrent alcohol/drug abuse, number of attempts during follow‐up, admission as an inpatient and family support. Results A total of 497 (22.5%) attempts were followed by a relapse. Subjects exposed to the studied intervention had a lower risk of relapse after a suicide attempt, with a 24% adjusted risk reduction estimate. Conclusion Our real‐world results suggest that an additional early appointment, scheduled before discharging suicide attempters, reduces suicide reattempt risk.

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“…This was the most common theme that emerged and formed the foundation of the PROMISE programme which showed that with the right care the person has more control (Lombardo et al , ). This way of working calls for compassion and a deeply empathic value set amidst professionals who need to be skilled at identifying and supporting people at risk sometimes in high‐pressure environments like inpatient wards and emergency departments (Canner et al , ). Although suicide prevention training to gatekeepers, primary care physicians, emergency department staff, and mental health professionals has been rolled out (Albright et al , ; Gryglewicz et al , ; Hodges et al , ), reducing suicide rates remains a challenge (Arensman, ).…”

Section: Introduction and Aimsmentioning

confidence: 99%

PROTECT: Relational safety based suicide prevention training frameworks

Ray

Wyder

Crompton

et al. 2019

Int J Mental Health Nurs

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Preventing suicide is a global priority, and staff training is a core prevention strategy. However, frontline pressures make translating training into better care and better outcomes difficult. The aim of the paper was to highlight challenges in suicide risk assessment and management and introduce training frameworks to assist with mindful practice so professionals can strike a balance between risk and recovery. We combined the scientific literature with contemporary practice from two successful initiatives from Cambridgeshire, UK: 333a recoveryoriented model of inpatient/community crisis care and PROMISEa programme to reduce coercion in care by enhancing patient experience. The resulting PROTECT (PROactive deTECTion) frameworks operationalize ongoing practice of relational safety in these programmes. PROTECT is a combination of novel concepts and adaptations of well-established therapeutic approaches. It has four training frameworks: AWARE for reflection on clinical decisions; DESPAIR for assessment; ASPIRE for management; and NOTES for documentation. PROTECT aims to improve self-awareness of mental shortcuts and risk-taking thresholds and increase rigour through time-efficient cross-checks. The training frameworks should support a relational approach

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Emergency department visits for attempted suicide and self harm in the USA: 2006–2013

Cited by 107 publications

References 16 publications

Perfil das Tentativas de Suicídio Atendidas em um Hospital Público de Rio Branco, Acre de 2007 a 2016

Perfil das Tentativas de Suicídio Atendidas em um Hospital Público de Rio Branco, Acre de 2007 a 2016

An Emergency Department‐Initiated Intervention to Lower Relapse Risk after Attempted Suicide

PROTECT: Relational safety based suicide prevention training frameworks

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