Nonwillingness to return to the emergency department and nonattendance of follow-up care arrangements following an initial suicide-related presentation

Background: For people experiencing a suicidal crisis the emergency department (ED) is often the only option to find help. Aims: The aims of this study were (a) to identify predictors of patients’ nonwillingness to return to the ED for help with a future suicidal crisis, and (b) whether nonwillingness to return was associated with follow-up appointment nonattendance. Method: This study […]

A shelter in the storm: Acceptability and feasibility of a brief clinical intervention for suicidal crisis

Background: People attending the emergency department (ED) for suicidal crisis are at significantly higher risk of taking their own lives in the week following discharge. Aims: We aimed to evaluate the acceptability and feasibility of implementing a brief clinical aftercare intervention provided through Allied Health Brief Therapies (AHBTs) Clinics. Method: Consecutive referrals (n = 149) to the clinics following assessment in […]

Trends in suicidal ideation-related emergency department visits for youth in Illinois: 2016-2021

BACKGROUND AND OBJECTIVES: Increasing suicide rates and emergency department (ED) mental abstract health visits reflect deteriorating mental health among American youth. This  population-based study analyzes trends in ED visits for suicidal ideation (SI) before and during the coronavirus disease 2019 (COVID-19) pandemic. METHODS: We analyzed Illinois hospital administrative data for ED visits coded for SI […]

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 Emergency […]

Suicide presentations to an emergency department pre and during the COVID lockdown, March-May 2020, in Spain

The impact of the COVID-19 pandemic and lockdown may affect suicide risk and behavior. We compared suicide-related presentations during the national quarantine with pre-COVID data. This observational incidence study compared all suicide-related presentations at the University Hospital Reina Sofia emergency department (ED) in Cordoba, Spain, for the lockdown period from 15 March to 15 May […]

Single, fixed-dose intranasal ketamine for alleviation of acute suicidal ideation. An emergency department, trans-diagnostic approach: A randomized, double-blind, placebo-controlled, proof-of-concept trial

Background Suicidal patients often present to the emergency department, where specific anti-suicidal treatment is lacking. Ketamine, a Glutamate modulator and a rapidly acting antidepressant with anti-suicidal properties, might offer relief. Aims Evaluation of single, fixed-dosed intranasal ketamine for acute suicidal ideation in the emergency department. Methods Between August 2016 and April 2018, 30 eligible suicidal […]

A longitudinal study of correlates, discharge disposition, and rate of re-presentation to emergency services of adults who engage in non-suicidal self-injury

Objective In DSM-5, non-suicidal self-injury (NSSI) and suicide attempts (SA) are classified as distinct disorders in the section of conditions for further study. However, some have questioned the validity of distinguishing NSSI from SA. The objective of this study was to longitudinally examine the correlates, discharge disposition, and rate of re-presentation to emergency services of […]

Changes after emergency assessment of suicidal patients: An unexpected outcome

Introduction Acute Suicide Risk (ASR) is widely evaluated at Emergency Departments (ED). Little is known about follow-up of ASR after psychiatric ED evaluation, and if there are differences within No ASR (NASR) counterparts at baseline and afterwards. Method We developed a naturalistic, 3-month follow-up study of adult patients from a psychiatric ED in Mexico City. […]

Zolpidem as a high risk factor for elderly suicide in South Korea

Backgrounds South Korea, a nation with rapidly aging population, has the highest suicide rates in the world, and the elderly have a suicide rate three times higher than the national average. We classified the drugs ingested for suicide attempts by age groups and compare the clinical outcomes between non-elderly and elderly patients who attempted suicide […]

Psychosocial assessment in the emergency department: The experiences of people presenting with self-harm and suicidality

Background: In the United Kingdom, suicide risk is assessed in the emergency department (ED) in a face-to-face assessment with psychiatric liaison practitioners. This study aimed to explore patient experiences of psychosocial assessment after presenting with self-harm/suicidality. Method: A total of 28 patients were interviewed within 2 weeks of ED attendance for self-harm/suicidality. Interviews were transcribed and analyzed using […]

Higher suicide intent in patients attempting suicide with violent methods versus self-poisoning: A prospective study from Norway

Background: Suicidal intent for patients attempting suicide using violent methods (VMs) is assumed to be higher than for those using self-poisoning (SP), which may explain the higher mortality observed in follow-up studies. However, this has not been studied prospectively. Aims: We aimed to compare patients attempting suicide using VMs with those using SP regarding suicidal intent, suicidal ideation, […]

Clinical characteristics of adolescents hospitalized through emergency room for intentional self-harm or suicide attempts

Objectives: This study aimed to investigate the clinical characteristics of adolescents hospitalized through the emergency room for intentional self-harm or suicide attempts. Methods: This retrospective study used data from the Korean National Hospital Discharge In-depth Injury Survey conducted between 2006 and 2018 for individuals aged 10-24 years. The clinical characteristics of the patients were analyzed and compared […]

Effect of the SARS-COV-2 pandemic outbreak on the emergency department admission for an acute psychiatric condition”

Preliminary evidence seems to suggest a reduction in absolute terms of Emergency Department (ED) admissions for an acute psychiatric condition during the first months of the pandemic. The study aimed to test through a long-term time analysis the effect of COVID-19 on changes in ED visits for an acute psychiatric condition. A quasi-experimental interrupted time […]

Returning to the emergency department: A retrospective analysis of mental health re-presentations among young people in New South Wales, Australia

Objectives: This study aimed to describe mental health emergency department (ED) presentations among young people aged 8–26 years in New South Wales, Australia, and to identify key characteristics associated with higher risk of ED mental health re-presentation. Design, setting and participants: Retrospective analysis of linked ED data records for mental health presentations between 1 January […]

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 […]

Mental health service use, suicide behavior, and emergency department visits among rural US veterans who received video-enabled tablets during the COVID-19 pandemic

Objective  To evaluate the association between the escalated distribution of the US Department of Veterans Affairs’ (VA’s) video-enabled tablets during the COVID-19 pandemic and rural veterans’ mental health service use and suicide-related outcomes. Design, Setting, and Participants  This retrospective cohort study included rural veterans who had at least 1 VA mental health care visit in calendar year […]

Patients’ experiences of engagement with healthcare services following a high-risk self-harm presentation to a hospital emergency department: A mixed methods study

Experiences of engaging with healthcare services following a self-harm presentation to hospital of high lethality or high suicidal intent have not been examined previously, despite this subgroup of self-harm patients being at high risk of suicide. Therefore, this study addressed this issue by documenting patients’ experiences of engaging with healthcare services after a high-risk self-harm […]

Measuring the quality of care received by suicide attempters in the emergency department

Abstract Audits conducted on medical records have been traditionally used in hospitals to assess and improve quality of medical care but have yet to be properly integrated and used for suicide prevention purposes. We aimed to (1) revise a quality of care grid and adapt it to an adult population of suicide attempters and (2) […]

Evaluating adolescent substance use and suicide in the pediatric emergency department

Objectives This study evaluates the relationship between substance use and impairment and current suicidal thoughts or behaviors in adolescent patients screened in a pediatric emergency department (ED). Methods Data were collected between June 2013 and February 2018 from adolescent patients who presented to a single, urban, pediatric ED. Adolescents completed a computerized, self-administered assessment that evaluates depression, […]

Comparison of South Korean men and women admitted to emergency departments after attempting suicide: A retrospective study

Background: Suicide is a major health concern, especially in South Korea. The probability of dying by suicide and the fatality rate differ between men and women. The present study compared the suicide characteristics of women and men and analyzed the choice of suicide methods. Methods: This study retrospectively analyzed patients who visited the emergency department after […]

Emergency department adolescent suicidality A pilot study to determine how common actual attempts are

Objective Adolescent mental health is a rapidly escalating presentation to emergency departments in the United States with depression and suicidal thoughts being the most prevalent condition. Much of the research and focus has been on preventing future attempts. However, one outcome that may be very important in addition to focus on is the impact of presentations for […]

Risk assessment of self-injurious behavior and suicide presentation in the emergency department: An integrative review

Introduction Globally, there is a lack of clarity regarding the best practice to distinguish patients at the highest risk of suicide. This review explores the use of risk assessment tools in emergency departments to identify patients at high risk of repeat self-harm, suicide attempts, or death by suicide. Methods The review question (“Does the use […]

Adapting caring contacts for veterans in a Department of Veterans Affairs emergency department: Results from a type 2 hybrid effectiveness-implementation pilot study

Transitions in care, such as discharge from an emergency department (ED), are periods of increased risk for suicide and effective interventions that target these periods are needed. Caring Contacts is an evidence-based suicide prevention intervention that targets transitions, yet it has not been widely implemented. This pilot study adapted Caring Contacts for a Department of […]