Public Health in the Emergency Department: <i>Academic Emergency Medicine</i> Consensus Conference Executive Summary

Bernstein, Steven L.; D’Onofrio, Gail

doi:10.1111/j.1553-2712.2009.00548.x

Cited by 43 publications

(31 citation statements)

References 8 publications

(6 reference statements)

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“…Research on the feasibility, necessity, and acceptability of screening for suicide risk and mental health problems in the ED is growing, but there is much more to be done. Echoing the recommendations of the Public Health in the Emergency Department: Academic Emergency Medicine Consensus Conference, 12 it is necessary to continue to research the nature, scope, and effectiveness of possible ED-based interventions for risky health behaviors (such as suicidal behaviors and drug and alcohol misuse) and to continue to address the barriers of time, space, funding, and staffing that EDs face to determine how to move forward with ED-based screening and interventions.…”

Section: Discussionmentioning

confidence: 99%

“…Several review articles, opinion articles, and consensus statements have been published in support of screening for suicide risk among youth who present to the ED with nonpsychiatric complaints 10–12 ; however, there have been few empirical studies to date on this topic. In the first published study of screening for suicide risk among adolescents who presented to the ED with both psychiatric and nonpsychiatric chief complaints, 13 adolescents were screened for depression, alcohol abuse, and suicidal thoughts and behaviors.…”

mentioning

confidence: 99%

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Adolescent and Parent Attitudes Toward Screening for Suicide Risk and Mental Health Problems in the Pediatric Emergency Department

O’Mara¹,

Hill²,

Cunningham³

et al. 2012

Pediatric Emergency Care

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Objective The objective of this study was to investigate adolescent and parent attitudes toward screening adolescents for suicide risk and other mental health problems in the emergency department (ED). Methods Two hundred ninety-four adolescents and 300 parents completed questionnaires about the importance of screening for suicide risk and other mental health problems in the ED, what would be helpful if the screen was positive, their concerns about screening in the ED, whether they believe screening should be a routine part of an ED visit, and whether they would complete a screening during the current visit if offered the opportunity. Results Overall, parents and adolescents reported positive attitudes toward screening for suicide risk and other mental health problems in the ED, with the majority responding that it should be a routine part of ED care. Suicide risk and drug and alcohol misuse were rated as more important to screen for than any of the other mental health problems by both parents and adolescents. Adolescent females and mothers were more supportive of screening for suicide risk and mental health problems in the ED than male adolescents and fathers. Descriptive data regarding screening concerns and follow-up preferences are reported. Conclusions Study results suggest overall positive support for screening for suicide risk and other mental health problems in the ED, with some important preferences, concerns, and parent versus adolescent and male versus female differences.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Adolescent and Parent Attitudes Toward Screening for Suicide Risk and Mental Health Problems in the Pediatric Emergency Department

O’Mara¹,

Hill²,

Cunningham³

et al. 2012

Pediatric Emergency Care

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“…The 7 pre-defined risky behaviors for the survey were: unintentional injury, peer violence, interpersonal violence, mental health, smoking, alcohol/substance abuse, and risky sex. We chose the topics based on the critical public health areas outlined by the 2009 Society for Academic Emergency Medicine Consensus Conference, “Public Health in the Emergency Department: Surveillance, Screening, & Intervention.” 5 Questions regarding baseline technology-based use and behavioral intervention preferences were adapted, when possible, from validated questions administered to previous populations. 23,28,30,32 Demographic questions were from the Behavioral Risk Factor Surveillance System.…”

Section: Methodsmentioning

confidence: 99%

“…1–4 Research has repeatedly demonstrated that even a brief intervention by a healthcare provider can result in behavior change or serve as a bridge to further intervention, presenting a unique opportunity for emergency providers. 1,2,5–7 Emergency departments (ED) routinely encounter a wide range of high risk, potentially preventable behaviors, including substance abuse, violence, high-risk sexual practices, and untreated mental health conditions, often from patients who use the ED as their only connection to healthcare. 3 Time constraints, cost, and competing clinical priorities have historically deterred many providers from offering these needed services in the ED setting, increasing morbidity for patients and the cost to the health system as a whole.…”

Section: Introductionmentioning

confidence: 99%

Impact of Gender on Patient Preferences for Technology-Based Behavioral Interventions

Kim¹,

Choo²,

Ranney³

2014

WestJEM

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Introduction:Technology-based interventions offer an opportunity to address high-risk behaviors in the emergency department (ED). Prior studies suggest behavioral health strategies are more effective when gender differences are considered. However, the role of gender in ED patient preferences for technology-based interventions has not been examined. The objective was to assess whether patient preferences for technology-based interventions varies by gender.Methods:This was a secondary analysis of data from a systematic survey of adult (≥18 years of age), English-speaking patients in a large urban academic ED. Subjects were randomly selected during a purposive sample of shifts. The iPad survey included questions on access to technology, preferences for receiving health information, and demographics. We defined “technology-based” as web, text message, e-mail, social networking, or DVD; “non-technology-based” was defined as in-person, written materials, or landline. We calculated descriptive statistics and used univariate tests to compare men and women. Gender-stratified multivariable logistic regression models were used to examine associations between other demographic factors (age, race, ethnicity, income) and technology-based preferences for information on specific risky behaviors.Results:Of 417 participants, 45.1% were male. There were no significant demographic differences between men and women. Women were more likely to use computers (90.8% versus 81.9%; p=0.03), Internet (66.8% versus 59.0%; p=0.03), and social networks (53.3% versus 42.6%; p=0.01). 89% of men and 90% of women preferred technology-based formats for at least type of health information; interest in technology-based for individual health topics did not vary by gender. Concern about confidentiality was the most common barrier to technology-based use for both genders. Multivariate analysis showed that for smoking, depression, drug/alcohol use, and injury prevention, gender modified the relationship between other demographic factors and preference for technology-based health information; e.g., older age decreases interest in technology-based information for smoking cessation in women but not in men (aOR 0.96, 95% CI 0.93-0.99 versus aOR 1.00, 95% CI 0.97-1.03).Conclusion:Our findings suggest ED patients' gender may affect technology preferences. Receptivity to technology-based interventions may be a complex interaction between gender and other demographic factors. Considering gender may help target ED patient populations most likely to be receptive to technology-based interventions.

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“…(Table 1) Emergency physicians regularly address acute and future health concerns among their patients. 33 The first step in the prevention of firearm injuries is identifying patients at increased risk. 34 Just as universal suicide risk screening is currently under debate, 35,36 universal screening for risk of firearm injury may not be feasible, acceptable, valid, or effective in the ED.…”

Section: Discussionmentioning

confidence: 99%

A Consensus-Driven Agenda for Emergency Medicine Firearm Injury Prevention Research

Ranney

Fletcher

Alter

et al. 2017

Annals of Emergency Medicine

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Objective-To identify critical Emergency Medicine (EM)-focused firearm injury research questions and to develop an evidence-based research agenda. Results-Fifty-nine final EM-relevant research questions were identified, including questions that cut across all firearm injury topics and questions specific to self-directed violence (suicide and attempted suicide); intimate partner violence; peer (non-partner) violence; mass violence; and unintentional ("accidental") injury. Some questions could be addressed through research conducted in emergency departments (EDs); others would require work in other settings. HHS Public AccessConclusions-The technical advisory group identified key EM-relevant firearm injury research questions. EM-specific data is limited for most of these questions. Funders and researchers should consider increasing their attention to firearm injury prevention and control, particularly to the questions identified here and in other recently developed research agendas.

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Public Health in the Emergency Department: Academic Emergency Medicine Consensus Conference Executive Summary

Cited by 43 publications

References 8 publications

Adolescent and Parent Attitudes Toward Screening for Suicide Risk and Mental Health Problems in the Pediatric Emergency Department

Adolescent and Parent Attitudes Toward Screening for Suicide Risk and Mental Health Problems in the Pediatric Emergency Department

Impact of Gender on Patient Preferences for Technology-Based Behavioral Interventions

A Consensus-Driven Agenda for Emergency Medicine Firearm Injury Prevention Research

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