Suicidality and hospitalization as cause and outcome of pediatric psychiatric emergency room visits.
The aim of this study was to identify predictors of suicidality in youth presenting to a pediatric psychiatric emergency room service (PPERS). To this end, we conducted a retrospective cohort study of youth aged <18 years consecutively assessed by a PPERS 01.01.2002-12.31.2002, using a 12-page semi-...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 24; no. 7; pp. 797 - 815 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jul2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109816228&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109816228 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Jul2015 vid: 24 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 109816228 103642167 10.1007/s00787-014-0624-x 109816228 ppf: 797 ppct: 18 formats: fmt: @attributes: type: P tig: atl: Suicidality and hospitalization as cause and outcome of pediatric psychiatric emergency room visits. aug: au: Grudnikoff, Eugene Soto, Erin Frederickson, Anne Birnbaum, Michael Saito, Ema Dicker, Robert Kane, John Correll, Christoph affil: Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street Glen Oaks 11004 USA sug: subj: Suicidal Ideation Hospitalization Pediatric Care Emergency Services, Psychiatric Human Retrospective Design Multiple Logistic Regression Descriptive Statistics Male Female Sex Factors Scales Depression Adolescence Child Child, Preschool Post Hoc Analysis New York Algorithms Analysis of Variance Chi Square Test Odds Ratio Confidence Intervals Adolescent: 13-18 years Child: 6-12 years Child, Preschool: 2-5 years Male Female ab: The aim of this study was to identify predictors of suicidality in youth presenting to a pediatric psychiatric emergency room service (PPERS). To this end, we conducted a retrospective cohort study of youth aged <18 years consecutively assessed by a PPERS 01.01.2002-12.31.2002, using a 12-page semi-structured institutional evaluation form and the Columbia Classification Algorithm for Suicide Assessment. Multivariate regression analyses were conducted to identify correlates of suicidal thoughts and attempts/preparation and their relationship to outpatient/inpatient disposition. Of 1,062 youth, 265 (25.0 %) presented with suicidal ideation (16.2 %) or attempt/preparation (8.8 %). Suicidal ideation was associated with female sex, depression, adjustment disorder, absent referral by family/friend/self, school referral, precipitant of peer conflict, and no antipsychotic treatment ( p < 0.0001). Suicidal attempt/preparation was associated with female sex, depression, lower GAF score, past suicide attempt, precipitant of peer conflict, and no stimulant treatment ( p < 0.0001). Compared to suicidal attempt/preparation, suicidal ideation was associated with school referral, and higher GAF score ( p < 0.0001). Of the 265 patients with suicidality, 58.5 % were discharged home (ideation = 72.1 % vs. attempt/preparation = 33.7 %, p < 0.0001). In patients with suicidal ideation, outpatient disposition was associated with higher GAF score, school referral, and adjustment disorder ( p < 0.0001). In patients with suicidal attempt/preparation, outpatient disposition was associated with higher GAF score, lower acuity rating, and school referral ( p < 0.0001). Suicidality is common among PPERS evaluations. Higher GAF score and school referral distinguished suicidal ideation from suicidal attempt/preparation and was associated with outpatient disposition in both presentations. Increased education of referral sources and establishment of different non-PPERS evaluation systems may improve identification of non-emergent suicidal presentations and encourage more appropriate outpatient referrals. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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