OBJECTIVE: To examine risk of future documented suicide attempts and emergency room (ER) returns among children and adolescents with first suicidal ER presentations. METHOD: A total of 548 consecutive ER presentations of suicidal 5- to 19-year-olds to a Canadian center over a 1-year period (1997-1998) were reviewed. Relative risk analyses were performed on 224 first-time patients (mean age 14.6+/-2.1) to determine the strength of associations between predictors and outcomes (ER return and suicide attempts). RESULTS: At 6-month follow-up, 32.6% (n = 73) had returned to the ER, 24.1% (n = 54) had a documented suicide attempt, and 14.3% (n = 32) required psychiatric hospitalization. Predictors for both ER return and future documented suicide attempts included 15- to 19-year age range, past foster/group home placement, past mental health care, a suicide plan, reported mood symptoms, sobriety at ER visit, and general substance use. Child welfare guardianship and abuse history were also predictors of ER returns. CONCLUSIONS: Clinicians should be aware of these risk factors when assessing and managing suicidal youths with first ER presentations.
OBJECTIVE: To examine risk of future documented suicide attempts and emergency room (ER) returns among children and adolescents with first suicidal ER presentations. METHOD: A total of 548 consecutive ER presentations of suicidal 5- to 19-year-olds to a Canadian center over a 1-year period (1997-1998) were reviewed. Relative risk analyses were performed on 224 first-time patients (mean age 14.6+/-2.1) to determine the strength of associations between predictors and outcomes (ER return and suicide attempts). RESULTS: At 6-month follow-up, 32.6% (n = 73) had returned to the ER, 24.1% (n = 54) had a documented suicide attempt, and 14.3% (n = 32) required psychiatric hospitalization. Predictors for both ER return and future documented suicide attempts included 15- to 19-year age range, past foster/group home placement, past mental health care, a suicide plan, reported mood symptoms, sobriety at ER visit, and general substance use. Child welfare guardianship and abuse history were also predictors of ER returns. CONCLUSIONS: Clinicians should be aware of these risk factors when assessing and managing suicidal youths with first ER presentations.
Authors: Brian Greenfield; Melissa Henry; Margaret Weiss; Sze Man Tse; Jean-Marc Guile; Geoffrey Dougherty; Xun Zhang; Eric Fombonne; Eric Lis; Sam Lapalme-Remis; Bonnie Harnden Journal: J Can Acad Child Adolesc Psychiatry Date: 2008-11
Authors: Lauren R Few; Kimberly B Werner; Carolyn E Sartor; Julia D Grant; Timothy J Trull; Matthew K Nock; Kathleen K Bucholz; Sarah K Deitz; Anne L Glowinski; Nicholas G Martin; Elliot C Nelson; Dixie J Statham; Pamela A F Madden; Andrew C Heath; Michael T Lynskey; Arpana Agrawal Journal: Alcohol Clin Exp Res Date: 2015-10-14 Impact factor: 3.455
Authors: Eugene Grudnikoff; Erin Callahan Soto; Anne Frederickson; Michael L Birnbaum; Ema Saito; Robert Dicker; John M Kane; Christoph U Correll Journal: Eur Child Adolesc Psychiatry Date: 2014-10-21 Impact factor: 4.785