@article{ref1,
title="Identifying adolescents at highly elevated risk for suicidal behavior in the emergency department",
journal="Journal of child and adolescent psychopharmacology",
year="2015",
author="King, Cheryl A. and Berona, Johnny and Czyz, Ewa and Horwitz, Adam G. and Gipson, Polly Y.",
volume="25",
number="2",
pages="100-108",
abstract="OBJECTIVE: The feasibility and concurrent validity of adolescent suicide risk screening in medical emergency departments (EDs) has been documented. The objectives of this short-term prospective study of adolescents who screened positive for suicide risk in the ED were: 1) to examine adolescents' rate of suicidal behavior during the 2 months following their ED visits and compare it with reported rates for psychiatric samples; and 2) to identify possible predictors of acute risk for suicidal behavior in this at-risk sample. <br><br>METHOD: Participants were 81 adolescents, ages 14-19 years, seeking services for psychiatric and nonpsychiatric chief complaints, who screened positive for suicide risk because of recent suicidal ideation, a suicide attempt, and/or depression plus alcohol or substance misuse. A comprehensive assessment of suicidal behavior, using the Columbia-Suicide Severity Rating Scale, was conducted at baseline and 2 month follow-up. <br><br>RESULTS: Six adolescents (7.4%) reported a suicide attempt and 15 (18.5%) engaged in some type of suicidal behavior (actual, aborted, or interrupted suicide attempt; preparatory behavior) during the 2 months following their ED visit. These rates suggest that this screen identified a high-risk sample. Furthermore, adolescents who screened positive for suicidal ideation and/or attempt plus depression and alcohol/substance misuse were most likely to engage in future suicidal behavior (38.9%). <br><br>CONCLUSIONS: In this study, use of a higher screen threshold (multiple suicide risk factors) showed promise for identifying highly elevated acute risk for suicidal behavior.<p /> <p>Language: en</p>",
language="en",
issn="1044-5463",
doi="10.1089/cap.2014.0049",
url="http://dx.doi.org/10.1089/cap.2014.0049"
}