Use of an Agitation Measure to Screen for Suicide and Self-Harm Risk Among Emergency Department Patients

Simpson, Scott A.; Goans, Christian; Loh, Ryan; Ryall, Karen; Middleton, Molly; Dalton, Alicia

doi:10.1016/j.jaclp.2022.07.004

Cited by 3 publications

(1 citation statement)

References 22 publications

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“…This suggests that the construct of agitation is important not only on average but also at a moment-to-moment level. In support of this, assessing for agitation has been found to greatly improve the assessment of suicide risk after discharge from the emergency room (Simpson et al, 2023). Taken together, the symptoms in our model interact dynamically and agitation and ineffectiveness are important drivers.…”

Section: Discussionsupporting

confidence: 55%

A longitudinal network analysis of suicide risk factors among service members and veterans sampled for suicidal ideation or attempt

Smith,

Forrest,

Kinkel-Ram

et al. 2024

Psychol. Med.

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Background Suicidal thoughts and behaviors are elevated among active-duty service members (ADSM) and veterans compared to the general population. Hence, it is a priority to examine maintenance factors underlying suicidal ideation among ADSM and veterans to develop effective, targeted interventions. In particular, interpersonal risk factors, hopelessness, and overarousal have been robustly connected to suicidal ideation and intent. Methods To identify the suicidal ideation risk factors that are most relevant, we employed network analysis to examine between-subjects (cross-sectional), contemporaneous (within seconds), and temporal (across four hours) group-level networks of suicidal ideation and related risk factors in a sample of ADSM and veterans (participant n = 92, observations n = 10 650). Participants completed ecological momentary assessment (EMA) surveys four times a day for 30 days, where they answered questions related to suicidal ideation, interpersonal risk factors, hopelessness, and overarousal. Results The between-subjects and contemporaneous networks identified agitation, not feeling close to others, and ineffectiveness as the most central symptoms. The temporal network revealed that feeling ineffective was most likely to influence other symptoms in the network over time. Conclusion Our findings suggest that ineffectiveness, low belongingness, and agitation are important drivers of moment-to-moment and longitudinal relations between risk factors for suicidal ideation in ADSM and veterans. Targeting these symptoms may disrupt suicidal ideation.

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Section: Discussionsupporting

confidence: 55%

A longitudinal network analysis of suicide risk factors among service members and veterans sampled for suicidal ideation or attempt

Smith,

Forrest,

Kinkel-Ram

et al. 2024

Psychol. Med.

View full text Add to dashboard Cite

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Better Science for Better Emergency Psychiatry: A New Section for JACLP

Simpson

Takeshita

2023

Journal of the Academy of Consultation-Liaison Psychiatry

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A Mortality Surveillance Collaboration Between a Health System and Public Health Department

Simpson,

Loh,

Elliott

et al. 2023

Am J Public Health

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We describe a collaboration between a health system and public health department to create a mortality surveillance system. The collaboration enabled the health system to identify more than six times the number of deaths identified through local system medical records alone. This powerful epidemiological process, combining the nuanced data captured through clinical care in health systems with subsequent data on mortality, drives quality improvement, scientific research, and epidemiology that can be of particular benefit to underserved communities. (Am J Public Health. 2023;113(9):943–946. https://doi.org/10.2105/AJPH.2023.307335 )

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Use of an Agitation Measure to Screen for Suicide and Self-Harm Risk Among Emergency Department Patients

Cited by 3 publications

References 22 publications

A longitudinal network analysis of suicide risk factors among service members and veterans sampled for suicidal ideation or attempt

A longitudinal network analysis of suicide risk factors among service members and veterans sampled for suicidal ideation or attempt

Better Science for Better Emergency Psychiatry: A New Section for JACLP

A Mortality Surveillance Collaboration Between a Health System and Public Health Department

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