TY  - JOUR
PY  - 2024//
TI  - Management of youth with suicidal ideation: challenges and best practices for emergency departments
JO  - Journal of the American College of Emergency Physicians open
A1  - Santillanes, Genevieve
A1  - Foster, Ashley A.
A1  - Ishimine, Paul
A1  - Berg, Kathleen
A1  - Cheng, Tabitha
A1  - Deitrich, Ann
A1  - Heniff, Melanie
A1  - Hooley, Gwen
A1  - Pulcini, Christian
A1  - Ruttan, Timothy
A1  - Sorrentino, Annalise
A1  - Waseem, Muhammad
A1  - Saidinejad, Mohsen
SP  - e13141
EP  - e13141
VL  - 5
IS  - 2
N2  - Suicide is a leading cause of death among youth, and emergency departments (EDs) play an important role in caring for youth with suicidality. Shortages in outpatient and inpatient mental and behavioral health capacity combined with a surge in ED visits for youth with suicidal ideation (SI) and self-harm challenge many EDs in the United States. This review highlights currently identified best practices that all EDs can implement in suicide screening, assessment of youth with self-harm and SI, care for patients awaiting inpatient psychiatric care, and discharge planning for youth determined not to require inpatient treatment. We will also highlight several controversies and challenges in implementation of these best practices in the ED. An enhanced continuum of care model recommended for youth with mental and behavioral health crises utilizes crisis lines, mobile crisis units, crisis receiving and stabilization units, and also maximizes interventions in home- and community-based settings. However, while local systems work to enhance continuum capacity, EDs remain a critical part of crisis care. Currently, EDs face barriers to providing optimal treatment for youth in crisis due to inadequate resources including the ability to obtain emergent mental health consultations via on-site professionals, telepsychiatry, and ED transfer agreements. To reduce ED utilization and better facilitate safe dispositions from EDs, the expansion of community- and home-based services, pediatric-receiving crisis stabilization units, inpatient psychiatric services, among other innovative solutions, is necessary.<p />  <p>Language: en</p>
LA  - en
SN  - 2688-1152
UR  - http://dx.doi.org/10.1002/emp2.13141
ID  - ref1
ER  -