TY  - JOUR
PY  - 2015//
TI  - Emergency department visits prior to suicide and homicide
JO  - Crisis
A1  - Cerel, Julie
A1  - Singleton, Michael D.
A1  - Brown, Margaret M.
A1  - Brown, Sabrina V.
A1  - Bush, Heather M.
A1  - Brancato, Candice J.
SP  - 5
EP  - 12
VL  - 37
IS  - 1
N2  - BACKGROUND: Emergency departments (EDs) serve a wide range of patients who present at risk of impending suicide and homicide. AIMS: Two statewide surveillance systems were probabilistically linked to understand who utilizes EDs and then dies violently within 6 weeks. <br><br>METHOD: Each identified case was matched with four randomly selected controls on sex, race, date of birth, resident zip code, and date of ED visit vs. date of death. Matched-pair odds ratios were estimated by conditional logistic regression to assess differences between cases and controls on reported diagnoses and expected payment sources. <br><br>RESULTS: Of 1,599 suicides and 569 homicides in the 3-year study period, 10.7% of decedents who died by suicide (x = 13.6 days) and 8.3% who died by homicide (x = 16.3 days) were seen in a state ED within 6 weeks prior to death. ED attendees who died by suicide were more likely to have a diagnosis of injury/ poisoning diagnosis or mental disorder and more likely to have Medicare. Those who died by homicide were more likely to have a diagnosis of injury/poisoning and less likely to have commercial insurance. <br><br>CONCLUSION: It is essential for research to further explore risk factors for imminent suicide and homicide in ED patients who present for psychiatric conditions and general injuries.<p />  <p>Language: en</p>
LA  - en
SN  - 0227-5910
UR  - http://dx.doi.org/10.1027/0227-5910/a000354
ID  - ref1
ER  -