Emergency Department Youth Patients With Suicidal Ideation or Attempts: Predicting Suicide Attempts Through 18Months of Follow-Up

被引:27
作者
Asarnow, Joan Rosenbaum [1 ]
Berk, Michele [2 ]
Zhang, Lily [1 ]
Wang, Peter [1 ]
Tang, Lingqi [1 ]
机构
[1] Univ Calif Los Angeles, David Geffen Sch Med, Semel Inst Neurosci & Human Behav, 300 Med Plaza, Los Angeles, CA 90095 USA
[2] Stanford Univ, Sch Med, Stanford, CA 94305 USA
关键词
NONSUICIDAL SELF-INJURY; ADOLESCENT SUICIDE; LONGITUDINAL TRAJECTORIES; SLEEP PROBLEMS; RISK-FACTORS; HARM; BEHAVIOR; INTERVENTION; TRIAL; HOSPITALIZATION;
D O I
10.1111/sltb.12309
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
This prospective study of suicidal emergency department (ED) patients (ages 10-18) examined the timing, cumulative probability, and predictors of suicide attempts through 18months of follow-up. The cumulative probability of attempts was as follows: .15 at 6months, .22 at 1year, and .24 by 18months. One attempt was fatal, yielding a death rate of .006. Significant predictors of suicide attempt risk included a suicide attempt at ED presentation (vs. suicidal ideation only), nonsuicidal self-injurious behavior, and low levels of delinquent symptoms. Results underscore the importance of both prior suicide attempts and nonsuicidal self-harm as risk indicators for future and potentially lethal suicide attempts.
引用
收藏
页码:551 / 566
页数:16
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