Enhanced Mental Health Interventions in the Emergency Department: Suicide and Suicide Attempt Prevention
Open accessAbstract
Suicide is the third leading cause of death in adolescents, and often youths with suicidal behavior or ideation present to the emergency department (ED) for care. Many suicidal youths do not receive mental health care after discharge from the ED, and interventions are needed to enhance linkage to outpatient intervention. This paper describes the Family Intervention for Suicide Prevention (FISP). Designed for use in emergency settings, the FISP is a family-based cognitive-behavior therapy session designed to increase motivation for follow-up treatment, support, coping, and safety, augmented by care linkage telephone contacts after discharge. In a randomized trial of the intervention, the FISP was shown to significantly increase the likelihood of youths receiving outpatient treatment, including psychotherapy and combined medication and psychotherapy. The FISP is a brief, focused, efficacious treatment that can be delivered in the ED to improve the probability of follow-up treatment for suicidal youths.
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Asarnow and colleagues demonstrated that FISP could effectively link youth and parents to care and was delivered in the ED setting in 80.9% of patients.
“Asarnow and colleagues53 demonstrated that a brief family-based ED intervention, the Family Intervention for Suicide Prevention (FISP), could effectively link youth and parents to care and this intervention was effectively delivered in the ED setting in 80.9% of patients54.”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [54]
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- Authors
- Hughes, J. L., & Asarnow, J. R.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Hughes, Jennifer L.
- Venue
- Clinical Pediatric Emergency Medicine
- Publisher
- Elsevier BV
- Published
- 2013-03
- Volume
- 14
- Issue
- 1
- Pages
- 28-34
- ISSN
- 1522-8401 (ISSN-L)
- PMC
- PMC4402934
- OpenAlex
- W1964857770
- Cited by
- 59
- References
- 20
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 4 · 2023: 8 · 2022: 5 · 2021: 10 · 2020: 4 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 5 · 2014: 2
- FWCI
- 2.59
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Pediatric Emergency Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R34MH078082)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Keywords
- suicide prevention, suicide attempt prevention, adolescents, emergency department, follow-up treatment, telephone follow-up, suicidal ideation, mental health interventions
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