Occult suicidality in an emergency department population

Cynthia A. Claassen · Gregory Luke Larkin

179 citations0/0 files storedThe British Journal of Psychiatry

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Suicide and Self-Harm Studies Psychiatric care and mental health services Emergency and Acute Care Studies

Abstract

The prevalence and severity of suicidal ideation was established in a patient sample seeking emergency treatment for non-psychiatric reasons. Using a computerised mental health screening panel, data were collected from waiting-room patients during randomised shifts over a 45-day period. Of 1590 screened patients, 185 (11.6%) acknowledged suicidal ideation and 31 (2%) reported planning to kill themselves. Almost all of those with suicidal ideation (97%) acknowledged symptoms consistent with mood, anxiety and/or substance-related disorders. Structured medical record review revealed that 25 of the 31 patients planning suicide were undetected during their index visit, and that 4 attempted suicide within 45 days of the visit. All survived.

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References

1999Suicide within 12 months of contact with mental health services: national clinical survey 2000Handbook of Psychological Assessment in Primary Care Settings 2003Attendance at the accident and emergency department in the year before suicide: Retrospective study 1998Suicide and recency of health care contacts 1990Panic Disorder, Comorbidity, and Suicide Attempts 1999Incidence of Suicidal Ideation and Behavior in the United States, 1994 2017Handbook of Psychological Assessment in Primary Care Settings, Second Edition 1990Noradrenergic function in panic disorder.

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2010Emergency Departments Are Underutilized Sites for Suicide Prevention 2014Suicide Risk Assessment and Risk Formulation Part I: A Focus on Suicide Ideation in Assessing Suicide Risk 2013The Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE): Method and design considerations 2015Managing Suicidal Patients in the Emergency Department 2010Detecção do risco de suicídio nos serviços de emergência psiquiátrica

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