@article{ref1,
title="Suicidal children and adolescents with first emergency room presentations: predictors of six-month outcome",
journal="Journal of the American Academy of Child and Adolescent Psychiatry",
year="2001",
author="Stewart, S. E. and Manion, Ian G. and Davidson, S. and Cloutier, Paula",
volume="40",
number="5",
pages="580-587",
abstract="OBJECTIVE: To examine risk of future documented suicide attempts and emergency room (ER) returns among children and adolescents with first suicidal ER presentations. METHOD: A total of 548 consecutive ER presentations of suicidal 5- to 19-year-olds to a Canadian center over a 1-year period (1997-1998) were reviewed. Relative risk analyses were performed on 224 first-time patients (mean age 14.6+/-2.1) to determine the strength of associations between predictors and outcomes (ER return and suicide attempts). RESULTS: At 6-month follow-up, 32.6% (n = 73) had returned to the ER, 24.1% (n = 54) had a documented suicide attempt, and 14.3% (n = 32) required psychiatric hospitalization. Predictors for both ER return and future documented suicide attempts included 15- to 19-year age range, past foster/group home placement, past mental health care, a suicide plan, reported mood symptoms, sobriety at ER visit, and general substance use. Child welfare guardianship and abuse history were also predictors of ER returns. CONCLUSIONS: Clinicians should be aware of these risk factors when assessing and managing suicidal youths with first ER presentations.<p /><p>Language: en</p>",
language="en",
issn="0890-8567",
doi="",
url="http://dx.doi.org/"
}