Subsequent Suicide Mortality among Emergency Department Patients Seen for Suicidal Behavior

Crandall, Cameron; Fullerton-Gleason, Lynne; Agüero, Roberto; LaValley, Jonathon

doi:10.1111/j.1553-2712.2006.tb00322.x

Cited by 45 publications

(31 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study examines the association between peer victimization, social-cognitive factors, and SI in a psychiatrically hospitalized population, which has not been studied in prior research. A single hospitalization for suicidal concerns represents a serious risk for later completed suicide (Crandall, Fullerton-Gleason, Aguero, & LaValley, 2006), highlighting the importance of studying predictors of suicidality in this population. This study also highlights the importance of considering context, in this case clinical setting, when interpreting research in the areas of interpersonal trauma and suicidality among adolescents.…”

Section: Discussionmentioning

confidence: 99%

Social-Cognitive Moderators of the Relationship between Peer Victimization and Suicidal Ideation among Psychiatrically Hospitalized Adolescents

Wolff

Esposito‐Smythers

Becker

et al. 2014

Journal of Aggression, Maltreatment & Trauma

View full text Add to dashboard Cite

Peer victimization among children and adolescents is a major public health concern, given its widespread individual and societal ramifications. Victims of peer aggression often face significant levels of psychological distress and social difficulties, such as depression, suicidal ideation, suicide attempts, and social rejection. The purpose of the present study was to examine whether cognitive distortions and perceptions of social support moderate the association between peer victimization and suicidal thoughts among psychiatrically hospitalized adolescents. Participants included 183 psychiatrically hospitalized adolescents (ages 13–18). In multiple regression analyses that controlled for gender, social and cognitive factors served as significant resources factors. Cognitive factors also moderated the relationship between peer victimization and suicidal ideation.

show abstract

Section: Discussionmentioning

confidence: 99%

Social-Cognitive Moderators of the Relationship between Peer Victimization and Suicidal Ideation among Psychiatrically Hospitalized Adolescents

Wolff

Esposito‐Smythers

Becker

et al. 2014

Journal of Aggression, Maltreatment & Trauma

View full text Add to dashboard Cite

show abstract

“…In addition, an adverse experience may influence whether the patient seeks medical assistance for future self-harm [4]. These findings are significant considering that repeat self-poisoning behaviour results in an increased risk of subsequent successful suicide [5,6]. …”

Section: Introductionmentioning

confidence: 99%

A retrospective descriptive study of the characteristics of deliberate self-poisoning patients with single or repeat presentations to an Australian emergency medicine network in a one year period

et al. 2014

View full text Add to dashboard Cite

BackgroundA proportion of deliberate self-poisoning (DSP) patients present repeatedly to the emergency department (ED). Understanding the characteristics of frequent DSP patients and their presentation is a first step to implementing interventions that are designed to prevent repeated self-poisoning.MethodsAll DSP presentations to three networked Australian ED’s were retrospectively identified from the ED electronic medical record and hospital scanned medical records for 2011. Demographics, types of drugs ingested, emergency department length of stay and disposition for the repeat DSP presenters were extracted and compared to those who presented once with DSP in a one year period. Logistic regression was used to analyse repeat versus single DSP data.ResultsThe study determined 755 single presenters and 93 repeat DSP presenters. The repeat presenters contributed to 321 DSP presentations. They were more likely to be unemployed (61.0% versus 39.9%, p = 0.008) and have a psychiatric illness compared to single presenters (36.6% versus 15.5%, p < 0.001). Repeat presenters were less likely to receive a toxicology consultation (11.5% versus 27.3%, p < 0.001) and were more likely to abscond from the ED (7.5% versus 3.4%, p = 0.004). Repeat presenters were more likely to ingest paracetamol and antipsychotics than single presenters. The defined daily dose for the most common antipsychotic ingested, quetiapine, was less in the repeat presenter group (median 1.9 [IQR: 1.3-3.5]) compared with the single presenter group (4 [1.4-9.5]), (OR 0.85, 95% CI 0.74-0.99).ConclusionPatients who present repeatedly to the ED with DSP have pre-existing disadvantages, with increased likelihood of being unemployed and having a mental illness. These patients are also more likely to have health service inequities given the greater likelihood to abscond from the ED and lower likelihood of receiving toxicology consultation for their DSP. Early recognition of repeat DSP patients in the ED may facilitate the development of individualised care plans with the aim to reduce repeat episodes of self-poisoning and subsequent risk of successful suicide.

show abstract

“…6 The need for these roles has been reinforced by others as well. [7][8][9][10][11][12] Guidelines in the emergency (ED-based) care of children and adolescents after suicide-related events are available, [14][15][16][17][18] as is a body of literature reviews. 7,[19][20][21] Most guidelines and literature reviews have highlighted the limited high quality evidence available to inform ED clinical practices for suicide-related presentations, but these papers have not included several known ED-based trials or have not been updated with recently published data, thereby limiting the ability to make comprehensive clinical recommendations.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Suicide-Related Presentations: A Systematic Review of Mental Health Care in the Emergency Department

Newton

Hamm

Bethell

et al. 2010

Annals of Emergency Medicine

View full text Add to dashboard Cite

Study Objective-We evaluated the effectiveness of interventions for pediatric patients with suicide-related emergency department (ED) visits.Methods-We searched of MEDLINE, EMBASE, the Cochrane Library, other electronic databases, references, and key journals/conference proceedings. We included experimental or quasi-experimental studies that evaluated psychosocial interventions for pediatric suicide-related ED visits. Inclusion screening, study selection, and methodological quality were assessed by two CIHR Author ManuscriptCIHR Author Manuscript CIHR Author Manuscript independent reviewers. One reviewer extracted the data and a second checked for completeness and accuracy. Consensus was reached by conference; disagreements were adjudicated by a third reviewer. We calculated odds ratios (OR), relative risks (RR), or mean differences (MD) for each study's primary outcome with 95% confidence intervals (CI). Meta-analysis was deferred due to clinical heterogeneity in intervention, patient population, and outcome.Results-We included 7 RCTs and 3 quasi-experimental studies grouping and reviewing them according to intervention delivery: ED-based delivery (n=1), post-discharge delivery (n=6), and ED transition interventions (n=3). An ED-based discharge planning intervention increased the number of attended post-ED treatment sessions (MD=2.6; 95%CI:0.05,5.15). Of the 6 studies of post-discharge delivery interventions, one found increased adherence with service referral in patients who received community nurse home visits compared to simple placement referral at discharge (RR=1.28; 95%CI:1.06,1.56). The 3 ED transition intervention studies reported: (1) reduced risk of subsequent suicide following brief ED intervention and post-discharge contact (RR=0.10; 95%CI:0.03,0.41), (2) reduced suicide-related hospitalizations when ED visits were followed up with interim, psychiatric care (RR=0.41; 95%CI:0.28,0.60), and (3) increased likelihood of treatment completion when psychiatric evaluation in the ED was followed by attendance of outpatient sessions with a parent (OR=2.78; 95%CI:1.20,6.67).Conclusion-Transition interventions appear most promising for reducing suicide-related outcomes and improving post-ED treatment adherence. Use of similar interventions and outcome measures in future studies would enhance the ability to derive strong recommendations from the clinical evidence in this area.

show abstract

Subsequent Suicide Mortality among Emergency Department Patients Seen for Suicidal Behavior

Abstract: The suicide rate among these ED patients is higher than population-based estimates. Rates among patients with suicidal ideation, overdose, or self-harm are especially high, supporting policies that mandate psychiatric interventions in all cases.

Cited by 45 publications

References 27 publications

Social-Cognitive Moderators of the Relationship between Peer Victimization and Suicidal Ideation among Psychiatrically Hospitalized Adolescents

Social-Cognitive Moderators of the Relationship between Peer Victimization and Suicidal Ideation among Psychiatrically Hospitalized Adolescents

A retrospective descriptive study of the characteristics of deliberate self-poisoning patients with single or repeat presentations to an Australian emergency medicine network in a one year period

Pediatric Suicide-Related Presentations: A Systematic Review of Mental Health Care in the Emergency Department

Contact Info

Product

Resources

About