Nav: Home

Most suicidal adolescents receive follow-up care after ER visits

October 01, 2010

SAN FRANCISCO - For suicidal adolescents, the emergency department (ED) is most often the chosen portal to mental health services. New research, presented Friday, Oct. 1, at the American Academy of Pediatrics (AAP) National Conference and Exhibition in San Francisco, looks at what happens to the 30 percent of suicidal adolescents who are discharged from the ED and whether they go on to access additional mental health services.

In "Predictors of Mental Health Follow up Among Adolescents with Suicidal Ideation After Emergency Department Discharge," researchers followed up with parents and guardians of adolescents (ages 11 to 18 years) one month after their pediatric ED visit. The adolescents had been discharged after undergoing a suicide risk assessment by a physician and a mental health professional.

The parents were asked if their son or daughter had visited a mental health professional since their ED visit, and whether or not the child had required a subsequent visit to the ED resulting in inpatient psychiatric admission. Parents were also asked about previous mental health service experiences.

Two out of three patients had seen a mental health professional within two months after an initial ED visit. Adolescents who had already been diagnosed with a mental health condition were more likely to successfully seek follow-up care. One in five adolescents had returned to the ED and required inpatient psychiatric admission.

Overall, most parents characterized their mental health care experiences as favorable.

"We plan to use the results of this study to develop interventions that will focus on delivering appropriate and effective mental health services to these high-risk teenagers," said lead study author Brad Sobolewski, MD, FAAP.
-end-
The American Academy of Pediatrics is an organization of 60,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well being of infants, children, adolescents and young adults. For more information, visit www.aap.org.

American Academy of Pediatrics

Related Emergency Department Articles:

Patient race & gender are important in predicting heart attack in the emergency department
Researchers at the George Washington University published research finding that certain symptoms are more and less predictive of patients' risk for acute coronary syndrome, which includes heart attack, in patients of different gender and race.
What are trends in emergency department utilization, costs for shingles?
A new article published by JAMA Dermatology uses a nationwide database of emergency department (ED) visits to examine herpes zoster (HZ, shingles)-related ED utilization and costs.
Many cancer patients' Emergency Department visits appear preventable
As many as 53 percent of cancer patients' Emergency Department visits that do not require admission could be avoided with better symptom management and greater availability of outpatient care tailored to their needs, according to a new study from Fred Hutchinson Cancer Research Center.
Lawn mower injuries send 13 children to the emergency department every day
A recent study from the Center for Injury Research and Policy at Nationwide Children's Hospital published in the American Journal of Emergency Medicine shows that, while there has been a decrease in the number of children injured by lawn mowers over the last few decades, this cause of serious injury continues to be a concern.
Cotton tip applicators are sending 34 kids to the emergency department each day
A study conducted by Nationwide Children's Hospital researchers found that over a 21-year period from 1990 through 2010, an estimated 263,000 children younger than 18 years of age were treated in US hospital emergency departments for cotton tip applicator related ear injuries -- that's about 12,500 annually, or about 34 injuries every day.
Regions with stronger gun laws have fewer gun-related pediatric emergency department visits
Regions of the United States with the strictest gun laws also have the fewest emergency department visits for pediatric firearm-related injuries, according to a new study by Children's National Health System researchers.
Intervention reduced suicide attempts among at-risk emergency department patients
Among suicidal patients, an intervention that included brief post-discharge phone calls significantly reduced the likelihood of a future suicide attempt, according to a clinical trial conducted at eight hospitals.
Study examines emergency department visits for patients injured by law enforcement in the US
From 2006 to 2012, there were approximately 51,000 emergency department visits per year for patients injured by law enforcement in the United States, with this number stable over this time period, according to a study published by JAMA Surgery.
Predicting a patient's future firearm violence risk in the emergency department
A new study, from researchers at Michigan Medicine, sought to provide emergency department physicians with a new clinical risk index tool to gauge firearm violence risk among urban youth.
Adolescents with autism four times more likely to visit emergency department
Adolescents with autism spectrum disorder (ASD) use emergency-department services four times as often as their peers without autism, according to Penn State College of Medicine researchers.

Related Emergency Department Reading:

Best Science Podcasts 2019

We have hand picked the best science podcasts for 2019. Sit back and enjoy new science podcasts updated daily from your favorite science news services and scientists.
Now Playing: TED Radio Hour

Setbacks
Failure can feel lonely and final. But can we learn from failure, even reframe it, to feel more like a temporary setback? This hour, TED speakers on changing a crushing defeat into a stepping stone. Guests include entrepreneur Leticia Gasca, psychology professor Alison Ledgerwood, astronomer Phil Plait, former professional athlete Charly Haversat, and UPS training manager Jon Bowers.
Now Playing: Science for the People

#524 The Human Network
What does a network of humans look like and how does it work? How does information spread? How do decisions and opinions spread? What gets distorted as it moves through the network and why? This week we dig into the ins and outs of human networks with Matthew Jackson, Professor of Economics at Stanford University and author of the book "The Human Network: How Your Social Position Determines Your Power, Beliefs, and Behaviours".