Emergency room evaluation of the adolescent who attempts suicide: Compliance with follow-up

Litt, Iris F.; Cuskey, Walter R.; Rudd, Shirley

doi:10.1016/s0197-0070(83)80028-x

Cited by 63 publications

(32 citation statements)

References 4 publications

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“…It is well-documented in the literature that youth referred from ED settings after presenting with a suicide attempt have low attendance and adherence to aftercare. [17][18][19][20][21][22] Although some ED interventions have demonstrated modest gains in treatment adherence for this population, [17][18][19][20][21]23 these findings suggest that youth who present with a suicide attempt are unlikely to have had an outpatient provider and yet likely to have made a prior suicide attempt. This suggests that these youth remain at great risk for non-adherence to care and for repeat suicide attempts.…”

Section: Discussionmentioning

confidence: 97%

Pediatric Emergency Consultations: Prior Mental Health Service Use in Suicide Attempters

Frosch

McCULLOCH

Yoon

et al. 2009

J Behav Health Serv Res

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This study investigated the relationship between presenting complaints and prior mental health encounters in youth seen for emergency psychiatric consultation. Records of youths aged 9-17 years old receiving a psychiatric consultation in a pediatric emergency department from 2002 to 2007 were examined (N=1,900). Youth were classified by presenting complaint: suicide attempt, suicidal ideation, and behavioral problems. Nearly half of the youth presented with behavior problems, and 39% presented with suicidal ideation and/or attempt. Those presenting with both suicide attempt and behavior problems were most likely to have made a prior suicide attempt. Those presenting with suicide attempt alone were least likely to report current mental health treatment, while youth presenting with behavior problems alone were the most likely to report current mental health treatment. Further research is needed to better understand the role that emergency departments play in the course of care and to maximize the opportunity to make lasting and effective community-based care connections.

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Section: Discussionmentioning

confidence: 97%

Pediatric Emergency Consultations: Prior Mental Health Service Use in Suicide Attempters

Frosch

McCULLOCH

Yoon

et al. 2009

J Behav Health Serv Res

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“…Only a few studies have presented data on referral to treatment in adolescent suicide attempters (5,19,30,32).…”

Section: Introductionmentioning

confidence: 99%

Recommended care for young people (15–19 years) after suicide attempts in certain European countries

Hultén

Wasserman

Hawton

et al. 2000

European Child & Adolescent Psychiatry

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Data on recommended care for young people aged 15±19 years after attempted suicide from nine European research centres during the period 1989±1992 were analysed in terms of gender, history of previous suicide attempt and methods used. Altogether 438 suicide attempts made by 353 boys and 1,102 suicide attempts made by 941 girls were included. Analyses of the total data from all centres showed that young people with a history of previous suicide attempt and those using violent methods had signi®-cantly higher chance of being recommended aftercare than ®rst-time attempters or those choosing selfpoisoning. There were no signi®cant dierences of being recommended care between genders. Logistic regression analyses of the material were performed and the results were similar. Both having previous attempted suicide (odds ratio 2.0, 95% CI 1.53±2.61) and using``hard'' methods (odds ratio 1.71, 95% CI 1.49±1.96) were signi®cantly associated with increased possibility of being recommended aftercare. When individual centres were analysed, large disparities of recommended care after suicide attempts were found and there were no uniform criteria of recommending care for young suicide attempters in Europe.

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“…Treatment compliance varies depending on the setting in which the adolescent is initially treated. For example, Litt et al (1983) found that of 14 adolescent suicide attempters seen in a general hospital ED and discharged home, only one-third received any follow-up care. In a sample of 76 female adolescent suicide attempters presenting to an urban hospital ED, (P. Trautman and M. J. Rotheram, poster presented at the Annual Meeting of the American Academy of Child Psychiatry, Los Angeles, 1987) found that 14.5% never attended an outpatient therapy appointment, 38% attended one or two appointments, and only 32% attended three or more appointments.…”

Section: Treatment Compliancementioning

confidence: 99%

“…The literature is unclear on whether a history of previous attempt is associated with treatment noncompliance. For example, in a small sample of adolescents, Litt et al (1983) found that those with a history of previous suicide attempts were much more likely to be noncompliant with treatment. Spirito and colleagues (1994) found that a history of prior attempt, alcohol use at the time of attempt, and greater planning of the attempt were all associated with better treatment compliance.…”

Section: Treatment Compliancementioning

confidence: 99%

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Adolescent suicide attempters: post-attempt course and implications for treatment

Spirito

Boergers

Donaldson

2000

Clin. Psychol. Psychother.

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The empirical literature on the follow-up outcome of adolescents following a suicide attempt is reviewed. Findings on eventual completed suicide, repeat attempts, and general psychosocial functioning are summarized. This group of adolescents is noteworthy for their poor compliance with outpatient treatment following a suicide attempt. Studies designed to enhance treatment compliance with these adolescents are reviewed. Finally, the small literature on empirical treatment trials with adolescent suicide attempters is reviewed. Clinical implications for the management of the acute suicidal crises and the psychotherapy of these adolescents are presented.

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Emergency room evaluation of the adolescent who attempts suicide: Compliance with follow-up

Cited by 63 publications

References 4 publications

Pediatric Emergency Consultations: Prior Mental Health Service Use in Suicide Attempters

Pediatric Emergency Consultations: Prior Mental Health Service Use in Suicide Attempters

Recommended care for young people (15–19 years) after suicide attempts in certain European countries

Adolescent suicide attempters: post-attempt course and implications for treatment

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