Trends in US emergency department visits for attempted suicide and self-inflicted injury, 1993-2008.

Ting, Sarah A.; Sullivan, Ashley F.; Boudreaux, Edwin D.; Miller, Ivan; Camargo, Carlos A.

doi:10.1016/j.genhosppsych.2012.03.020

Cited by 252Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseGun Ownership and Violence Research

Trends in US emergency department visits for attempted suicide and self-inflicted injury, 1993-2008.

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Ting, Sarah A., Sullivan, Ashley F., Boudreaux, Edwin D., Miller, Ivan, Camargo, Carlos A.·2012·General Hospital Psychiatry

DOI 10.1016/j.genhosppsych.2012.03.020PMC PMC3428496

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Abstract

Objective The objective was to describe the epidemiology of emergency department (ED) visits for attempted suicide and self-inflicted injury over a 16-year period.Method Data were obtained from the National Hospital Ambulatory Medical Care Survey including all visits for attempted suicide and self-inflicted injury (E950-E959) during 1993-2008.Results Over the 16-year period, there was an average of 420,000 annual ED visits for attempted suicide and self-inflicted injury [1.50 (95% confidence interval, 1.33-1.67) visits per 1000 US population], and the average annual number for these ED visits more than doubled from 244,000 in 1993-1996 to 538,000 in 2005-2008. During the same time frame, ED visits for these injuries per 1000 US population almost doubled for males (0.84 to 1.62), females (1.04 to 1.96), whites (0.94 to 1.82) and blacks (1.14 to 2.10). Visits were most common among ages 15-19, and the number of visits coded as urgent/emergent decreased from 0.95 in 1993-1996 to 0.70 in 2005-2008.Conclusions ED visit volume for attempted suicide and self-inflicted injury has increased over the past two decades in all major demographic groups. Awareness of these longitudinal trends may assist efforts to increase research on suicide prevention. In addition, this information may be used to inform current suicide and self-injury related ED interventions and treatment programs.

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Visits to emergency departments for suicidal ideation and attempts have doubled over recent decades.
“Emergency department visits for suicidal ideation and suicide attempts have doubled in recent decades.4,5”
From Association of Suicide Prevention Interventions With Subsequent Suicide Attempts, Linkage to Follow-up Care, and Depression Symptoms for Acute Care Settings: A Systematic Review and Meta-analysis (2020) · cites this paper as [4]

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Authors: Ting, S. A., Sullivan, A. F., Boudreaux, E. D., Miller, I., & Camargo, C. A.
Affiliations: Massachusetts General Hospital (US)
University of Massachusetts Chan Medical School (US)
Butler Hospital (US)
Corresponding author: Ting, Sarah A.
ORCID: Sullivan, Ashley F.
Boudreaux, Edwin D.
Miller, Ivan
Camargo, Carlos A.
Venue: General Hospital Psychiatry
Publisher: Elsevier BV
Published: 2012-09
Volume: 34
Issue: 5
Pages: 557-565
ISSN: 0163-8343 (ISSN-L)
DOI: 10.1016/j.genhosppsych.2012.03.020
PMC: PMC3428496
OpenAlex: W2045899956
Cited by: 252
References: 33
Citations by year: 2026: 10 · 2025: 6 · 2024: 9 · 2023: 10 · 2022: 13 · 2021: 27 · 2020: 31 · 2019: 19 · 2018: 28 · 2017: 21 · 2016: 24 · 2015: 21 · 2014: 27 · 2013: 6
FWCI: 19.64
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: General Hospital Psychiatry (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
Funders: National Institute of Mental Health (U01MH088278)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Social Sciences › Health › Gun Ownership and Violence Research
Keywords: suicide attempts, self-harm, emergency department visits, suicide prevention, sex differences, racial differences, age differences, National Hospital Ambulatory Medical Care Survey
MeSH terms: Adolescent, Adult, Emergency Service, Hospital, Female, Humans, Male, Middle Aged, Suicide, Attempted, United States, Self-Injurious Behavior, Age Distribution, Sex Distribution, Health Care Surveys, Young Adult

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Trends in US emergency department visits for attempted suicide and self-inflicted injury, 1993-2008.

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