Identifying adolescents at highly elevated risk for suicidal behavior in the emergency department

Journal of Child and Adolescent Psychopharmacology
Cheryl A KingPolly Y Gipson

Abstract

The feasibility and concurrent validity of adolescent suicide risk screening in medical emergency departments (EDs) has been documented. The objectives of this short-term prospective study of adolescents who screened positive for suicide risk in the ED were: 1) to examine adolescents' rate of suicidal behavior during the 2 months following their ED visits and compare it with reported rates for psychiatric samples; and 2) to identify possible predictors of acute risk for suicidal behavior in this at-risk sample. Participants were 81 adolescents, ages 14-19 years, seeking services for psychiatric and nonpsychiatric chief complaints, who screened positive for suicide risk because of recent suicidal ideation, a suicide attempt, and/or depression plus alcohol or substance misuse. A comprehensive assessment of suicidal behavior, using the Columbia-Suicide Severity Rating Scale, was conducted at baseline and 2 month follow-up. Six adolescents (7.4%) reported a suicide attempt and 15 (18.5%) engaged in some type of suicidal behavior (actual, aborted, or interrupted suicide attempt; preparatory behavior) during the 2 months following their ED visit. These rates suggest that this screen identified a high-risk sample. Furthermore, adolesc...Continue Reading

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Citations

May 15, 2016·Psychiatry Research·Ewa K CzyzCheryl A King
Sep 30, 2016·Prevention Science : the Official Journal of the Society for Prevention Research·Elizabeth D BallardHolly C Wilcox
Mar 3, 2017·Journal of Clinical Psychology in Medical Settings·Cheryl A KingRebecca Lindsay
Jul 31, 2018·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Tim CarterJoseph C Manning
Feb 6, 2021·Annual Review of Clinical Psychology·Alejandra ArangoCheryl A King
Jun 10, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Paige E CervantesSarah McCue Horwitz
Jul 19, 2021·The Journal of Pediatrics·Jennifer A HoffmannJay G Berry
Nov 21, 2020·Medical Care Research and Review : MCRR·Lauren Marie O'ReillyKosali I Simon

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