The Importance of Screening Preteens for Suicide Risk in the Emergency Department.

Autor: Lanzillo EC; Office of the Clinical Director, National Institute of Mental Health, Bethesda, Maryland., Horowitz LM; Office of the Clinical Director, National Institute of Mental Health, Bethesda, Maryland; horowitzl@mail.nih.gov., Wharff EA; Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts., Sheftall AH; The Research Institute at Nationwide Children's Hospital, Columbus, Ohio; and Departments of.; Pediatrics, Ohio State University College of Medicine, Columbus, Ohio., Pao M; Office of the Clinical Director, National Institute of Mental Health, Bethesda, Maryland., Bridge JA; The Research Institute at Nationwide Children's Hospital, Columbus, Ohio; and Departments of.; Psychiatry and Behavioral Health and.; Pediatrics, Ohio State University College of Medicine, Columbus, Ohio.
Jazyk: angličtina
Zdroj: Hospital pediatrics [Hosp Pediatr] 2019 Apr; Vol. 9 (4), pp. 305-307. Date of Electronic Publication: 2019 Mar 11.
DOI: 10.1542/hpeds.2018-0154
Abstrakt: Objectives: To describe the prevalence of screening positive for suicide risk in a sample of 10- to 12-year-olds presenting to the emergency department (ED).
Methods: Patients presenting to the ED were administered a battery of measures, including the Ask Suicide-Screening Questions and the criterion-standard Suicidal Ideation Questionnaire. Answering affirmatively to any of the 4 Ask Suicide-Screening Questions and/or scoring above the Suicidal Ideation Questionnaire cutoff score was considered a positive screen result for suicide risk.
Results: The sample included 79 preteen patients. The overall positive screen result rate was 29.1% (23 of 79). More than half (54.1%) of patients presenting with psychiatric chief complaints screened positive for suicide risk, and 7.1% of preteens presenting with chief medical complaints screened positive. Of preteens, 17.7% (14 of 79) reported previous suicidal behavior.
Conclusions: Preteens think about suicide and engage in suicidal behavior at rates that warrant further study. Notably, 7% of preteens presenting with chief medical complaints screened positive, highlighting the importance of screening all preteen patients as young as 10 years old for suicide risk in the ED.
Competing Interests: POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.
(Copyright © 2019 by the American Academy of Pediatrics.)
Databáze: MEDLINE