Reducing Suicide Risk: Challenges and Opportunities in the Emergency Department

被引:65
作者
Betz, Marian E. [1 ]
Wintersteen, Matthew [2 ]
Boudreaux, Edwin D. [3 ,4 ]
Brown, Gregory [5 ]
Capoccia, Lisa [6 ]
Currier, Glenn [7 ]
Goldstein, Julie [8 ]
King, Cheryl
Manton, Anne [9 ]
Stanley, Barbara [10 ]
Moutier, Christine [11 ]
Harkavy-Friedman, Jill [11 ]
机构
[1] Univ Colorado, Sch Med, Dept Emergency Med, Denver, CO USA
[2] Thomas Jefferson Univ, Sidney Kimmel Med Coll, Dept Psychiat, Philadelphia, PA USA
[3] Univ Massachusetts, Sch Med, Dept Emergency Med, Dept Psychiat, Worcester, MA USA
[4] Univ Massachusetts, Sch Med, Dept Quantitat Hlth Sci, Worcester, MA USA
[5] Univ Penn, Perelman Sch Med, Dept Psychiat, Philadelphia, PA USA
[6] Ctr Study Prevent Injury Violence & Suicide, Waltham, MA USA
[7] Univ S Florida, Morsani Coll Med, Dept Psychiat & Behav Neurosci, Tampa, FL USA
[8] Inc, Educ Dev Ctr, Suicide Prevent Resource Ctr, Waltham, MA USA
[9] Cape Cod Hosp, Ctr Behav Hlth, Hyannis, MA USA
[10] Columbia Univ, Med Ctr, New York State Psychiat Inst, New York, NY USA
[11] Amer Fdn Suicide Prevent, New York, NY 10005 USA
关键词
MENTAL-HEALTH; SELF-HARM; BEHAVIOR; IDEATION; CARE; EPIDEMIOLOGY; METAANALYSIS; POPULATION; PREVENTION; PROVIDERS;
D O I
10.1016/j.annemergmed.2016.05.030
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Emergency departments (ED) are prime locations for identifying individuals at high risk of suicide and for making life-saving interventions. In an ideal scenario, all ED patients at risk of suicide could be identified and connected with effective, feasible interventions, and this would occur in a supportive system not overburdened by screening or assessment requirements. In this review, we focus on challenges to achieving this ideal-along with potential solutions-at the level of patients, providers, the ED environment, and the larger health care system.
引用
收藏
页码:758 / 765
页数:8
相关论文
共 57 条
[1]   Health Care Contacts in the Year Before Suicide Death [J].
Ahmedani, Brian K. ;
Simon, Gregory E. ;
Stewart, Christine ;
Beck, Arne ;
Waitzfelder, Beth E. ;
Rossom, Rebecca ;
Lynch, Frances ;
Owen-Smith, Ashli ;
Hunkeler, Enid M. ;
Whiteside, Ursula ;
Operskalski, Belinda H. ;
Coffey, M. Justin ;
Solberg, Leif I. .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2014, 29 (06) :870-877
[2]  
Allen MH, REPORT RECOMMENDATIO
[3]   Screening for Suicidal Ideation and Attempts among Emergency Department Medical Patients: Instrument and Results from the Psychiatric Emergency Research Collaboration [J].
Allen, Michael H. ;
Abar, Beau W. ;
McCormick, Mark ;
Barnes, Donna H. ;
Haukoos, Jason ;
Garmel, Gus M. ;
Boudreaux, Edwin D. .
SUICIDE AND LIFE-THREATENING BEHAVIOR, 2013, 43 (03) :313-323
[4]  
[Anonymous], SUICIDE DATA REPORT
[5]  
[Anonymous], 2010, SENTINEL EVENT ALERT, V46
[6]  
[Anonymous], 2014, WAY FORWARD PATHWAYS
[7]   Psychiatric diagnoses in 3275 suicides: a meta-analysis [J].
Arsenault-Lapierre, Genevieve ;
Kim, Caroline ;
Turecki, Gustavo .
BMC PSYCHIATRY, 2004, 4 (1)
[8]   Does a brief training on suicide prevention among general hospital personnel impact their baseline attitudes towards suicidal behavior? [J].
Berlim, Marcelo T. ;
Perizzolo, Juliana ;
Lejderman, Fernando ;
Fleck, Marcelo P. ;
Joiner, Thomas E. .
JOURNAL OF AFFECTIVE DISORDERS, 2007, 100 (1-3) :233-239
[9]   The Triple Aim: Care, health, and cost [J].
Berwick, Donald M. ;
Nolan, Thomas W. ;
Whittington, John .
HEALTH AFFAIRS, 2008, 27 (03) :759-769
[10]   Managing Suicidal Patients in the Emergency Department [J].
Betz, Marian E. ;
Boudreaux, Edwin D. .
ANNALS OF EMERGENCY MEDICINE, 2016, 67 (02) :276-282