Suicidal behavior in persons attended in out-of-hospital emergency services in Spain

Background: The aims of this study were to describe the use of health services by patients attended for suicidal behavior by out-of-hospital emergency services and to identify the variables associated with the repetition of this behavior in Spain. Methods: An analytical, observational, retrospective study was carried out. A total of 554 patients attended by the mobile teams […]

Feasibility of peer-delivered suicide safety planning in the emergency department: Results from a pilot trial

Objective: The emergency department (ED) is an important site for suicide prevention efforts, and safety planning has been identified as a best practice for suicide prevention among ED patients at increased suicide risk. However, few ED clinicians are prepared to assess suicide risk or guide patients in the creation of safety plans. This study was a […]

The association between problematic use of alcohol and drugs and repeat self-harm and suicidal ideation: Insights from a population-based administrative health data set

Aims: We investigated the association between problematic use of alcohol and/or drugs (PUAD) and the incidence, urgency, and mode of discharge for a subsequent episode of self-harm (SH) or suicidal ideation (SI). Methods: This was a retrospective population-based cohort study of individuals admitted to hospital for an index episode of SH/SI (2010-2014) using linked data from hospital […]

Trends and seasonality of emergency department visits and hospitalizations for suicidality among children and adolescents in the US from 2016 to 2021

Importance: The detection of seasonal patterns in suicidality should be of interest to clinicians and US public health officials, as intervention efforts can benefit by targeting periods of heightened risk. Objectives : To examine recent trends in suicidality rates, quantify the seasonality in suicidality, and demonstrate the disrupted seasonality patterns during the spring 2020 COVID-19–related […]

Outcome of rodenticide poisoning and its associated factors among adult patients admitted with rodenticide poisoning at the emergency unit of Debre Tabor Comprehensive Specialized Hospital, Debre Tabor, North Central Ethiopia

Introduction: Rodenticides are pesticides used to eradicate rodents. It is a common reason for visits to the emergency department and hospitalization, and it is a major public health concern. Intentional or unintentional intoxication can result in severe consequences with a high fatality rate. In Ethiopia, studies on the outcome of rodenticide poisoning are scarce. The goal […]

A qualitative study on the psychological experience of emergency department medical staff caring for patients with suicide attempts in northeastern Sichuan

The purpose of this study was to explore the psychological experiences of emergency department staff in northeastern Sichuan when treating patients with suicide attempts and to provide a theoretical basis for developing appropriate clinical interventions and improving mental health services for suicidal patients. Sixteen emergency department staff members who met recruitment requirements at two hospitals […]

A systematic review of training interventions for emergency department providers and psychosocial interventions delivered by emergency department providers for patients who self-harm

Objectives: People who self-harm frequently present to the emergency department (ED) and are treated by generalist healthcare staff with no specialist mental health training. We systematically reviewed (i) training interventions for generalist ED providers and (ii) psychosocial interventions delivered predominantly by generalist ED providers for people who self-harm. Method: Five databases were searched for studies reporting on […]

Suicidal behaviors and associated factors among patients attending an emergency department: A facility-based cross-sectional study

Background: Emergency departments (ED) are an important site for screening patients with suicidal behaviors. However, there is insufficient data in low-and middle-income countries regarding the magnitude of suicidal attempts among patients attending EDs. Therefore, the present study aimed to screen suicidal behavior and factors associated with suicide in patients attending an ED of Addis Ababa Burn, […]

Effect of an emergency department process improvement package on suicide prevention: The ED-SAFE 2 cluster randomized clinical trial

Importance: Suicide is a leading cause of deaths in the US. Although the emergency department (ED) is an opportune setting, ED-initiated interventions remain underdeveloped and understudied. Objective: To determine if an ED process improvement package, with a subfocus on improving the implementation of collaborative safety planning, reduces subsequent suicide-related behaviors. Design, setting, and participants: The Emergency Department Safety […]

Evidence-based vs informal suicide training: Nurse confidence and comfort with suicidal patient care

Introduction Emergency nurses are on the front line of patient care for suicidal persons, yet many nurses report feeling unprepared to effectively manage suicidal patients owing to a lack of suicide-specific training. The purpose of this study was to examine the suicide-specific training experiences of emergency nurses and evaluate how training relates to burnout, confidence, and comfort […]

Comparative effectiveness of safety planning intervention with instrumental support calls (ISC) versus safety planning intervention with two-way text message caring contacts (CC) in adolescents and adults screening positive for suicide risk in emergency departments and primary care clinics: Protocol for a pragmatic randomized controlled trial

Background: Suicide is a leading cause of death in adolescents and adults in the US. Follow-up support delivered when patients return home after an emergency department (ED) or primary care encounter can significantly reduce suicidal ideation and attempts. Two follow-up models to augment usual care including the Safety Planning Intervention have high efficacy: Instrumental Support Calls […]

Aboriginal and non-aboriginal emergency department presentations involving suicide-related thoughts and behaviors: Characteristics and discharge arrangements

Background: Rates of hospital admission for suicide-related thoughts and behaviors (SRTBs) are elevated in the Northern Territory (NT) of Australia, especially by Aboriginal people, but very little is known about emergency department (ED) presentations. Aim: We aimed to profile ED presentations in the NT involving SRTBs by Indigenous status and compare discharge arrangements. Method: Logistic regression analyses were performed on […]

Emergency department visits involving mental health conditions, suicide-related behaviors, and drug overdoses among adolescents: United States, January 2019-February 2023

What is already known about this topic? High baseline rates of poor adolescent mental and behavioral health were exacerbated by the COVID-19 pandemic. What is added by this report? By fall 2022, weekly ED visits among adolescents, and females in particular, for mental health conditions overall, suicide-related behaviors, and drug overdoses decreased compared with those […]

Self-harm and suicidal ideation among young people is more often recorded by child protection than health services in an Australian population cohort

Objective: We investigated patterns of service contact for self-harm and suicidal ideation recorded by a range of human service agencies – including health, police and child protection – with specific focus on overlap and sequences of contacts, age of first contact and demographic and intergenerational characteristics associated with different service responses to self-harm. Methods: Participants were 91,597 […]

The characteristics and effects of suicide attempters’ suicidality levels in gender differences

Objective: The causal reasons for gender differences in suicide attempt and suicide death have been addressed by previous studies: Some emphasized suicidal intent, while others focused on method lethality. The  present study is to examine the effects of suicidality levels defined as severity of intent and method lethality on gender differences. Methods: The data were […]

Secondary mental health service utilisation following emergency department contact for suicidal behaviour: A systematic review

Objective: Engagement with secondary mental health services after an emergency department presentation with suicidal behaviours may be an important strategy for reducing the risk of repeat attempts. Our aim was to examine secondary mental health service contact following a presentation to emergency department with suicidal behaviours. Methods: A systematic review of papers published between 2000 and 2020 […]

Predictors of emergency department use for suicidal behaviors among patients with substance-related disorders

Objective: This study aimed to identify predictors of emergency department (ED) use for suicide ideation or suicide attempt compared with other reasons among 14,158 patients with substance-related disorders (SRD) in Quebec (Canada). Methods: Longitudinal data on clinical, sociodemographic, and service use variables for patients who used addiction treatment centers in 2012-13 were extracted from Quebec administrative databases. […]

Implementation of Columbia Suicide Severity Rating Scale (C-SSRS) as a universal suicide risk screening tool in a high volume emergency department

Objective: To examine clinical and demographic parameters with regards to efficacy, resource utilization, and clinician burden associated with implementation of universal suicide screening by Columbia Suicide Severity Rating Scale (C-SSRS) in a single high-volume emergency department. Methods: This retrospective cohort study, performed via chart review, included 10,197 adult patients seen in the emergency department over two specific […]

Effects of a training workshop on suicide prevention among emergency room nurses

Background: Suicide attempts are frequently encountered by emergency department nurses. Such encounters can potentially provide a foundation for secondary suicide prevention. Aims: The aim of the present investigation was to evaluate the effect of a 7-hr training program for emergency room nursing personnel in Japan. Method: In all, 52 nurses completed the questionnaires before the workshop and 1 month after […]

An intervention and follow-up study following a suicide attempt in the emergency departments of four general hospitals in Shenyang, China

Background: Studies on the effects of interventions in patients who have attempted suicide in China have not reported so far. Aims: To describe the basic situation surrounding the interventions and follow-up of patients who have attempted suicide and to determine whether the interventions would be effective in reducing repeat suicide attempts. Method: 239 patients who had attempted suicide […]

Using the Delphi Method for determining key performance elements for delivery of optimal suicide-specific interventions in emergency departments

Objective: Evidence-based suicide prevention interventions directed to those seeking psychiatric crisis services for suicidality in the emergency department (ED) can reduce death by suicide and related suffering. Best practice guidelines for the care of suicidal patients in the ED exist but are not accompanied by fidelity tools for use in determining whether the interventions were applied, […]

Suicide attempts by adolescents assisted in an emergency department: A cross-sectional study

Objectives: to identify and characterize the care provided to adolescents admitted to an emergency department due to a suicide attempt. Methods: an observational, cross sectional, descriptive study with a retrospective approach, carried out with medical records of adolescents aged 10 to 19 admitted for suicide attempts, between January 2015 and July 2020, in an emergency […]

Time of self‑harm presentations to hospital emergency departments: A scoping review

Background The time at which a self-harm presentation occurs has been shown to be a significant factor as to whether a patient receives a psychiatric assessment or not, which may benefit the patient’s future care. This scoping review sought to identify studies that report on the peak time of day for self-harm presentations to hospital […]