Emergency Department Screening for Suicide and Mental Health Risk

Babeva, Kalina N.; Hughes, Jennifer L.; Asarnow, Joan Rosenbaum

doi:10.1007/s11920-016-0738-6

Cited by 42 publications

(35 citation statements)

References 112 publications

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“…Given that NSSI and suicidality were found to be among the main reasons for presenting at a child and adolescent emergency psychiatric service, it seems crucial to provide efficiant services at that point of care. This includes thorough assessment (17), as well as adequate follow-up care. Especially in the population of minors with NSSI, high barriers to seeking treatments have been reported (18,19).…”

Section: Discussionmentioning

confidence: 99%

Emergency Presentations to Child and Adolescent Psychiatry: Nonsuicidal Self-Injury and Suicidality

et al. 2020

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Nonsuicidal Self-Injury (NSSI) and suicidality are common reasons for emergency presentations in child and adolescent psychiatry. Therefore, we focused on reasons for emergency presentations as well as specific characteristics of those presenting with NSSI or suicidality to an emergeny psychiatric service. We analyzed data from a German university hospital regarding emergency presentations during a 78 months' period. NSSI and suicidality were rated according to the Columbia Classification Algorithm of Suicide Assessment (C-CASA). Data from 546 emergency presentations was recorded, of which 347 (63.5%) presented for NSSI or suicidality. Given the high percentage, thorough assessment of sucidality as well as providing adequate treatment in emergency settings to establish further care, is of utmost importance.

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Section: Discussionmentioning

confidence: 99%

Emergency Presentations to Child and Adolescent Psychiatry: Nonsuicidal Self-Injury and Suicidality

et al. 2020

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“…These findings highlight the importance of screening for BEbs among adolescents with frequent access to EDpts unrelatedly to their stated reason for the visit [ 18 ]. Moreover, all measures used were widely validated, even in such stressful settings as EDpts [ 66 , 67 , 68 , 69 , 70 ].…”

Section: Discussionmentioning

confidence: 99%

A Theoretical and Empirical Linkage between Road Accidents and Binge Eating Behaviors in Adolescence

Cimino

Simonelli

Parolin

et al. 2018

IJERPH

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This study aimed at identifying specific clusters of maladaptive emotional–behavioral symptoms in adolescent victims of motorbike collisions considering their scores on alexithymia and impulsivity in addition to examining the prevalence of clinical binge eating behaviors (respectively through the Youth Self-Report (YSR), Toronto Alexithymia Scale-20 (TAS-20), Barratt Impulsiveness Scale-11 (BIS-11), and Binge Eating Scale (BES)). Emotional–behavioral profiles, difficulties in identifying and describing feelings, impulsivity, and binge eating behaviors have been assessed in 159 adolescents addressing emergency departments following motorbike collisions. Our results showed a cluster of adolescents with clinical binge eating behaviors, high rates of motorbike accidents, and high levels of internalizing and externalizing problems, alexithymia, and impulsivity (23.3% of the sample); a second cluster of adolescents with clinical binge eating behaviors, a moderate number of collisions, and moderate levels of emotional and behavioral problems on the above four dimensions (25.8% of the sample); and a third cluster of youth without clinical binge eating behaviors, with a moderate number of accidents, and with low scores on the four dimensions (50.9% of the sample). Adolescents of Cluster 1 showed a higher likelihood to be involved in motorbike collisions than the youth in Clusters 2 and 3 (p < 0.0001). We suggest that adolescents’ motor collisions could be associated with their difficulties in emotion regulation and with their impaired psychological profiles, which could also underpin their disordered eating. The identification of specific clusters of psychopathological symptoms among this population could be useful for the construction of prevention and intervention programs aimed at reducing motor collision recidivism and alleviating co-occurring psychopathologies.

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“…Recently, there has been a call for action to improve the assessment and management of suicide risk in emergency medicine, [ 5 , 18 – 21 ] because EDs are considered by youths as a primary source of health care [ 22 ] and ED visits may represent a window of opportunity to identify youths at high risk for suicide, and to intervene effectively, preventing fatal and nonfatal suicidal behaviors. [ 23 , 24 ]…”

Section: Introductionmentioning

confidence: 99%

Adolescent Admissions to Emergency Departments for Self-Injurious Thoughts and Behaviors

et al. 2017

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The objective of the present study was to describe the incidence and the characteristics of Self-Injurious Thoughts and Behaviors (SITBs), among adolescents aged 11–18 admitted, over a two year period, to all the Emergency Departments of a Region of North-eastern Italy through a comprehensive analysis of medical records. A two-step search was performed in the regional ED electronic database. First, we identified the cases that had been clearly diagnosed as SITBs by an Emergency Department physician. Secondly, suspect cases were detected through a keyword search of the database, and the medical records of these cases were hand screened to identify SITBs. The mean annual incidence rate of SITBs was 90 per 100,000 adolescents aged 11–18 years. Events were more frequent in females. Drug poisoning was the most frequently adopted method (54%). In 42% of cases a diagnosis of SITB was not explicitly reported by the physician. In 65% of cases adolescents were discharged within hours of admission. Only 9% of patients started a psychiatric assessment and treatment program during hospital stay. This research confirms the high incidence of SITBs among adolescents and highlights the difficulty in their proper diagnosis and management. Such difficulty is confirmed by the fact that only a few patients, even among those with a clear diagnosis, were sent for psychiatric assessment. Correct identification and management of SITB patients needs to be improved, since SITBs are an important public health problem in adolescence and one of the main risk factors for suicide.

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Emergency Department Screening for Suicide and Mental Health Risk

Cited by 42 publications

References 112 publications

Emergency Presentations to Child and Adolescent Psychiatry: Nonsuicidal Self-Injury and Suicidality

Emergency Presentations to Child and Adolescent Psychiatry: Nonsuicidal Self-Injury and Suicidality

A Theoretical and Empirical Linkage between Road Accidents and Binge Eating Behaviors in Adolescence

Adolescent Admissions to Emergency Departments for Self-Injurious Thoughts and Behaviors

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