Assessing Suicide Risk: What is Commonly Missed in the Emergency Room?

Alavi, Nazanin; Reshetukha, Taras; Prost, Eric; Antoniak, Kristen; Groll, Dianne

doi:10.1097/pra.0000000000000216

Cited by 13 publications

(11 citation statements)

References 27 publications

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“…Doctors and nurses working in the ED department are trained in general mental health as part of their training programs. To date, special training on risk assessment or dealing with suicidal attempts, as practiced elsewhere, is lacking in Oman 34 …”

Section: Methodsmentioning

confidence: 99%

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Sociodemographic Characteristics and Clinical Profile of Suicide Attempters Attending the Emergency Department at a Tertiary Care Hospital in Oman: A Retrospective Study

Khatri

Al‐Huseini

Al-Maqbali

et al. 2023

Journal of Psychiatric Practice

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Objective: This study examined the sociodemographic and clinical characteristics of individuals who attended the emergency department of a tertiary care center in Muscat, Oman following a suicide attempt. Methods: A retrospective study (N=154) was conducted between January 2015 and June 2018. Information that was collected included sociodemographic variables (age, nationality, sex, marital status, and occupation), risk (medical comorbidities, psychiatric history, substance misuse, alcohol misuse, and previous history of suicide attempts), and precipitating factors, as well as the chosen methods for the suicide attempts. Results: In all, 83.1% of the sample were Omanis, and women constituted 69.5%. The mean age of the sample was 27 years; 30% were students, 42% were unemployed, and 40.9% had a history of psychiatric disorders. Family conflict, suffering from chronic illness, and having social problems were the most common precipitating factors for the suicide attempt. The most common method used in the suicide attempt was drug overdose (48.1%), mainly involving paracetamol (acetaminophen) (40%). Significant gender differences emerged in precipitating factors, history of substance misuse, and methods of suicide. Conclusions: The data from this study are consistent with international trends that suggest that women and younger age groups are the most vulnerable to suicide attempts. Although in its infancy, the type of research presented here could lay the groundwork for preventive interventions and programs.

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Section: Methodsmentioning

confidence: 99%

“…To date, special training on risk assessment or dealing with suicidal attempts, as practiced elsewhere, is lacking in Oman. 34…”

Section: Study Design and Settingmentioning

confidence: 99%

Sociodemographic Characteristics and Clinical Profile of Suicide Attempters Attending the Emergency Department at a Tertiary Care Hospital in Oman: A Retrospective Study

Khatri

Al‐Huseini

Al-Maqbali

et al. 2023

Journal of Psychiatric Practice

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“…For instance, in some cases, the prevalence of suicidal ideation in bullying victimization cases is promoted by poor teacher and family support (e.g., Miranda et al, 2019), by a poor sense of well-being (e.g., Baiden et al, 2019;Cosma et al, 2017;Moore et al, 2017;Weng et al, 2017), a low emotional intelligence (Galindo-Domínguez & Losada, 2023), by the presence of interpersonal difficulties or lack of friends (e.g., Acquah et al, 2016;Baiden et al, 2019;Galindo-Domínguez & Losada, 2023;Saeed & Taremian, 2020) or by a poor life satisfaction (Galindo-Domínguez & Losada, 2023;Miranda et al, 2019;Weng et al, 2017). Furthermore, the literature has examined the impact of individual characteristics such as sex (Brunstein et al, 2010;Lucas-Molina et al, 2018;Reed et al, 2015; and age (Alavi et al, 2017;Reed et al, 2015) on the relationship between bullying victimization and suicidal ideation in cross-sectional and longitudinal studies. Moreover, McBee-Strayer et al (2020) revealed how adolescents aged 13 to 16 that had passed from a grade retention or retook a course were more likely to report a suicide attempt with increased suicidal ideation and planning only in the case of males.…”

Section: Authorsmentioning

confidence: 99%

Bullying victimization and suicidal ideation in adolescents: The moderation effect of family, teachers and peers support

Galindo-Domínguez,

Losada Iglesias

2023

Journal of Social and Personal Relationships

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The aim of this study has been to analyze the moderation role of social support in the relationship between bullying victimization and suicidal ideation in adolescents. For this purpose, 898 Spanish adolescents ( M Age = 13.55; SD = 1.26) responded to the Peer School Victimization Scale, to the Scale of Perceived Social Support, to the Spanish Adaptation of School Environment Scale, and to the Suicide Risk Inventory for Adolescents. The results revealed that: (1) Higher levels of bullying victimization had a worse impact on suicidal ideation in females than in males; (2) In general, Family Support was more useful for females in reducing suicidal ideation, but in bullying victimization cases, a greater Family Support for men was more effective in reducing suicidal ideation than in females; (3) Peer Support was more useful for reducing suicidal ideation in females and in students that did not retake a course; (4) Regardless of the analyzed personal characteristics (sex, age and retake a course), teacher support contributes to reducing suicidal ideation. These results have important practical implications in that they allow to observe the relevance of peer and family interactions in learning processes in order to reduce one of the leading causes of adolescent death, as it is the case of the suicidal behavior.

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“…While it is preferable to be able to identify patients at a high risk for self‐inflicted harm before it occurs, this is not always feasible. Risk assessment for suicide has been extensively studied, yet is still an inexact process 3 . Studies cite healthcare provider factors such as attitudes toward suicide, limited training, the emergency department (ED) environment, and policies as barriers to effectively assessing suicide risk in the ED 4 .…”

Section: Introductionmentioning

confidence: 99%

“…Risk assessment for suicide has been extensively studied, yet is still an inexact process. 3 Studies cite healthcare provider factors such as attitudes toward suicide, limited training, the emergency department (ED) environment, and policies as barriers to effectively assessing suicide risk in the ED. 4 Numerous studies have shown that a history of prior attempts at suicide is the strongest predictor of future attempts, and that preventive efforts are needed to target the period immediately after discharge from the ED.…”

Section: Introductionmentioning

confidence: 99%

Effect of a Crisis Intervention Team for suicide attempt patients in an emergency department in Korea

Ahn

Kim

Moon

et al. 2020

Hong Kong j. emerg. med.

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Background: South Korea has one of the highest rates of suicide in the world, which poses an immense socioeconomic burden on the healthcare system. Objectives: We hypothesized that the implementation of a Crisis Intervention Team would lead to an improvement in completion rates of suicide prevention counseling programs. Methods: This is a retrospective before-and-after analysis, and was carried out in the emergency department in the city of Ansan, South Korea. The Crisis Intervention Team, funded by the Ministry of Health and Welfare, counsels suicide attempt patients with the ultimate goal of assuring proper administration of mental healthcare from community suicide support programs. Data on suicide attempt patients were collected using medical records. The primary outcome was defined as completion of the 8-week follow-up period for suicide attempt patients with the community suicide support programs. Results: A total of 246 patients from the pre-intervention period and 296 patients from the post-intervention period were included in the study. The completion rates of the 8-week follow-up period increased significantly after the intervention. During the pre-intervention period, 9 patients (3.7%) who were referred to the community suicide support program completed the 8 weeks of follow-up, whereas in the post-intervention period, 56 patients (18.9%) followed up for 8 weeks or more (p < 0.0001). The secondary outcome, overall linkage rates to community suicide support program, did not change significantly, with a minor increase from 46 (18.7%) to 63 (21.3%) (p = 0.45). Conclusion: The implementation of an in-hospital Crisis Intervention Team dedicated to active and assertive counseling that begins in the emergency department was correlated with significantly increased completion rates of the 8-week follow-up counseling program.

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Assessing Suicide Risk: What is Commonly Missed in the Emergency Room?

Cited by 13 publications

References 27 publications

Sociodemographic Characteristics and Clinical Profile of Suicide Attempters Attending the Emergency Department at a Tertiary Care Hospital in Oman: A Retrospective Study

Sociodemographic Characteristics and Clinical Profile of Suicide Attempters Attending the Emergency Department at a Tertiary Care Hospital in Oman: A Retrospective Study

Bullying victimization and suicidal ideation in adolescents: The moderation effect of family, teachers and peers support

Effect of a Crisis Intervention Team for suicide attempt patients in an emergency department in Korea

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