Screening for Suicidal Ideation and Attempts Among Emergency Department Medical Patients: Instrument and Results from the Psychiatric Emergency Research Collaboration
Authors
Allen, Michael H.Abar, Beau W.
McCormick, Mark
Barnes, Donna H.
Haukoos, Jason
Garmel, Gus M.
Boudreaux, Edwin D.
UMass Chan Affiliations
Department of Emergency MedicineDocument Type
Journal ArticlePublication Date
2013-06-01Keywords
SuicideSuicidal Ideation
Suicide, Attempted
Emergency Service, Hospital
Emergency Medical Services
Mass Screening
Emergency Medicine
Health Services Research
Mental and Social Health
Psychiatry
Psychiatry and Psychology
Metadata
Show full item recordAbstract
Joint Commission National Patient Safety Goal 15 calls for organizations "to identify patients at risk for suicide." Overt suicidal behavior accounts for 0.6% of emergency department (ED) visits, but incidental suicidal ideation is found in 3%-11.6%. This is the first multicenter study of suicide screening in EDs. Of 2,243 patients in six diverse emergency settings, 1,068 (47.7%) were screened with a brief instrument. Depression was endorsed by 369 (34.5%); passive suicidal ideation by 79 (7.3%); and active suicidal ideation by 24 (2.3%). One hundred thirty-seven (12.8%) reported prior attempts, including 35 (3.3%) with current suicidal ideation. Almost half of those with current ideation had a prior attempt (43.8%) versus those without current ideation, 10.3%, chi(2) (1) = 75.59, p < .001. Twenty cases (25%) were admitted to medical services, but only 10 (12.5%) received mental health assessment; none were admitted directly to a psychiatry service. The prevalence of suicidal ideation here is similar to previous studies but the frequency of prior attempts has not been reported. The 35 cases with current ideation and prior attempt are at risk. As they did not present psychiatrically, they would likely have gone undetected. Despite reporting these cases to clinical staff, few received risk assessment.Source
Suicide Life Threat Behav. 2013 Jun;43(3):313-23. doi: 10.1111/sltb.12018 Link to article on publisher's siteDOI
10.1111/sltb.12018Permanent Link to this Item
http://hdl.handle.net/20.500.14038/28530PubMed ID
23413776Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1111/sltb.12018
Scopus Count
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