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dc.contributor.authorUrban, Chantel
dc.contributor.authorArias, Sarah A.
dc.contributor.authorSegal, Daniel L.
dc.contributor.authorCamargo, Carlos A. Jr.
dc.contributor.authorBoudreaux, Edwin D
dc.contributor.authorMiller, Ivan
dc.contributor.authorBetz, Marian E.
dc.date2022-08-11T08:08:17.000
dc.date.accessioned2022-08-23T15:49:36Z
dc.date.available2022-08-23T15:49:36Z
dc.date.issued2018-09-25
dc.date.submitted2018-12-05
dc.identifier.citation<p>Gen Hosp Psychiatry. 2018 Sep 25. pii: S0163-8343(18)30030-6. doi: 10.1016/j.genhosppsych.2018.09.010. [Epub ahead of print] <a href="https://doi.org/10.1016/j.genhosppsych.2018.09.010">Link to article on publisher's site</a></p>
dc.identifier.issn0163-8343 (Linking)
dc.identifier.doi10.1016/j.genhosppsych.2018.09.010
dc.identifier.pmid30293842
dc.identifier.urihttp://hdl.handle.net/20.500.14038/28473
dc.description.abstractOBJECTIVE: To compare Emergency Department (ED) care of suicidal patients with and without documented acute alcohol use. METHODS: Retrospective chart review of randomly sampled patient visits (n=800; January 2014 to December 2015) at an urban ED with universal screening for suicide risk. Eligible visits were by adults (18+ years) who screened positive for suicide risk at the ED visit (i.e., suicidal ideation in past two weeks or suicide attempt in past six months). Analyses compared those with and without documentation of acute alcohol use. RESULTS: Among these patients with suicide risk, 19% had documented acute alcohol use (versus 43% with no use and 38% without documentation); individuals with acute alcohol use were more often male and aged 35-59years. Overall, 62% were evaluated by a mental health professional in the ED. Individuals with acute alcohol use were significantly less likely (vs those without use) to be evaluated by a mental health professional in the ED (odds ratio 0.49, 95%CI 0.28-0.87) after adjustment for age, recent suicide ideation, current suicide plan, self-harm as a chief complaint, contact with family, and ED disposition. CONCLUSIONS: Although alcohol use can increase suicide risk, ED patients with acute use appear to receive less thorough suicide risk assessments.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=30293842&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.1016/j.genhosppsych.2018.09.010
dc.subjectAlcohol
dc.subjectEmergency Department
dc.subjectSuicide
dc.subjectEmergency Medicine
dc.subjectHealth Services Administration
dc.subjectMental and Social Health
dc.subjectMental Disorders
dc.subjectPsychiatry
dc.subjectPsychiatry and Psychology
dc.titleEmergency Department patients with suicide risk: Differences in care by acute alcohol use
dc.typeJournal Article
dc.source.journaltitleGeneral hospital psychiatry
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1168&amp;context=emed_pp&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/emed_pp/163
dc.identifier.contextkey13424022
refterms.dateFOA2022-08-23T15:49:36Z
html.description.abstract<p>OBJECTIVE: To compare Emergency Department (ED) care of suicidal patients with and without documented acute alcohol use. METHODS: Retrospective chart review of randomly sampled patient visits (n=800; January 2014 to December 2015) at an urban ED with universal screening for suicide risk. Eligible visits were by adults (18+ years) who screened positive for suicide risk at the ED visit (i.e., suicidal ideation in past two weeks or suicide attempt in past six months). Analyses compared those with and without documentation of acute alcohol use. RESULTS: Among these patients with suicide risk, 19% had documented acute alcohol use (versus 43% with no use and 38% without documentation); individuals with acute alcohol use were more often male and aged 35-59years. Overall, 62% were evaluated by a mental health professional in the ED. Individuals with acute alcohol use were significantly less likely (vs those without use) to be evaluated by a mental health professional in the ED (odds ratio 0.49, 95%CI 0.28-0.87) after adjustment for age, recent suicide ideation, current suicide plan, self-harm as a chief complaint, contact with family, and ED disposition. CONCLUSIONS: Although alcohol use can increase suicide risk, ED patients with acute use appear to receive less thorough suicide risk assessments.</p>
dc.identifier.submissionpathemed_pp/163
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.contributor.departmentDepartment of Psychiatry
dc.contributor.departmentDepartment of Emergency Medicine


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