Cited by 133Suicide and Self-Harm StudiesEmergency and Acute Care StudiesPsychiatric care and mental health services

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Emergency Departments Are Underutilized Sites for Suicide Prevention

Larkin, Gregory Luke, Beautrais, Annette L.·2010·Crisis

DOI 10.1027/0227-5910/a000001

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Alcohol Interventions for Trauma Patients Treated in Emergency Departments and Hospitals: A Cost Benefit Analysis
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“Firstly, the cases of self-harm were analyzed according to gender by the following sociodemographic variables: age - child (0-9 years), adolescent (10-19), adult (20-59) and elderly (60 and over); self-defined race/skin color; years of education; day of the week that care was provided; place of occurrence; area of res…”
Method
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The Emergency Department
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Acute Suicidal Affective Disturbance (ASAD): A confirmatory factor analysis with 1442 psychiatric inpatients
Stanley, I. H., Rufino, K. A., Rogers, M. L., Ellis, T. E., & Joiner, T. E. (2016) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2016.06.012 · Cited by 58
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Adolescent and Parent Attitudes Toward Screening for Suicide Risk and Mental Health Problems in the Pediatric Emergency Department
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“Of those who do, a substantial proportion will have visited the ED for suicidality the year before they die [23-25].”
The application of the interpersonal-psychological theory of suicide to a sample of Swiss patients attending a psychiatric emergency department for a non-lethal suicidal event
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Background
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Background
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“These results are consistent with previous research, healthcare professionals are likely to be exposed to suicide because of their occupations (Larkin & Beautrais, 2010).”
Result
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Recent medical service utilization and health conditions associated with a history of suicide attempts
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“ED settings in particular treat patients with many risk factors for suicide beyond psychiatric and medical illnesses, including alcohol and drug abuse, physical injury, and interpersonal violence [9].”
BackgroundMethod
Predictors of emergency department visits for suicidal ideation and suicide attempt
Gentil, L., Huỳnh, C., Grenier, G., & Fleury, M. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112805 · Cited by 29
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“…rates of suicide attempts are higher among adolescents than for any other age group and are associated with psychiatric and substance use problems, emergency psychiatric services, and increased risk of subsequent repeat suicidal behavior (Goldston et al., 2015, 2016; Larkin & Beautrais, 2010).”
Background
Number of visits to the emergency department and risk of suicide: a population-based case-control study
Kvaran, R. B., Gunnarsdottir, O. S., Kristbjornsdottir, A., Valdimarsdottir, U. A., & Rafnsson, V. (2015) · BMC Public Health · doi:10.1186/s12889-015-1544-5 · Cited by 22
“Screening for suicide in the ED has been suggested and investigated [8,10,11].”
Background
Community Mental Health Provider Responses to a Competency-Based Training in Suicide Risk Assessment and Prevention
Guardia, A. C. L., Cramer, R. J., Brubaker, M. D., & Long, M. M. (2018) · Community Mental Health Journal · doi:10.1007/s10597-018-0314-0 · Cited by 23
Association of Positive Responses to Suicide Screening Questions With Hospital Admission and Repeated Emergency Department Visits in Children and Adolescents
Ballard, E. D., Horowitz, L. M., Jobes, D. A., Wagner, B. M., Pao, M., & Teach, S. J. (2013) · Pediatric Emergency Care · doi:10.1097/pec.0b013e3182a5cba6 · Cited by 25
“Prospective studies with larger and more diverse samples could uncover trends in hospitalization and, in particular, repeated ED visits, which strain already overburdened health care resources.(17,22,23) Of note, there were few differences in responses to suicide screening questions between the 2 age groups.”
Background
Feasibility of Peer-Delivered Suicide Safety Planning in the Emergency Department: Results From a Pilot Trial
Wilson, M. P., Waliski, A., & Thompson, R. G. (2022) · Psychiatric Services · doi:10.1176/appi.ps.202100561 · Cited by 22
Detecting Suicide-Related Emergency Department Visits Among Adults Using the District of Columbia Syndromic Surveillance System
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Screening for Suicide Risk Among Youths With a Psychotic Disorder in a Pediatric Emergency Department
DeVylder, J., Ryan, T. C., Cwik, M. F., Jay, S. Y., Wilson, M. E., Goldstein, M. A., & Wilcox, H. C. (2019) · Psychiatric Services · doi:10.1176/appi.ps.201900290 · Cited by 22
Knowledge, Self-Confidence and Attitudes towards Suicidal Patients at Emergency and Psychiatric Departments: A Randomised Controlled Trial of the Effects of an Educational Poster Campaign
van Landschoot, R., Portzky, G., & van Heeringen, K. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14030304 · Cited by 20
“They can be among the first to screen and intervene for suicide risk as they may be in close contact with suicidal individuals and therefore have the opportunity to interrupt an ongoing suicidal process [5,6].”
Background
Depression, Suicidal Ideation, and Suicidal Attempt Presenting to the Emergency Department: Differences Between These Cohorts
Chakravarthy, B., Hoonpongsimanont, W., Anderson, C., Habicht, M., Bruckner, T. A., & Lotfipour, S. (2014) · Western Journal of Emergency Medicine · doi:10.5811/westjem.2013.11.13172 · Cited by 19
A Systematic Review of Training Interventions for Emergency Department Providers and Psychosocial Interventions delivered by Emergency Department Providers for Patients who self-harm
Zarska, A., Barnicot, K., Lavelle, M., Dorey, T., & McCabe, R. (2022) · Archives of Suicide Research · doi:10.1080/13811118.2022.2071660 · Cited by 17
“As such, the ED can be the only contact with the healthcare system for people who self-harm, representing a vital opportunity for intervention and suicide prevention (Betz et al., 2016; Larkin & Beautrais, 2010).”
BackgroundInfluential
Examining the impact of emergency care settings on suicidal patients: A call to action
Guzmán, E. M., Tezanos, K. M., Chang, B., & Cha, C. B. (2018) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2018.07.004 · Cited by 19
Successful Suicide Screening in the Pediatric Emergency Department: Youth, Parent, Researcher, and Clinician Perspectives
Vaughn, L. M., Sunny, C. E., Lindquist-Grantz, R., King, C. A., Brent, D. A., Boyd, S. D., & Grupp‐Phelan, J. (2018) · Archives of Suicide Research · doi:10.1080/13811118.2018.1541034 · Cited by 18
“For 1.5 million children in the United States, the Emergency Department (ED)1 is the only source of medical care (Wilson & Klein, 2000), making it a vital, but historically underutilized (Larkin & Beautrais, 2010) setting for suicide prevention.”
BackgroundInfluential
Suicide and all-cause mortality following routine hospital management of self-harm: Propensity score analysis using multicentre cohort data
Steeg, S., Carr, M., Emsley, R., Hawton, K. E., Waters, K., Bickley, H., Ness, J., Geulayov, G., & Kapur, N. (2018) · PLoS ONE · doi:10.1371/journal.pone.0204670 · Cited by 18
“Given the high risk of suicide after self-harm, particularly in the early aftermath, EDs are a key potential suicide prevention site [13].”
Background
Hopelessness is associated with repeated suicidal behaviors after discharge in patients admitted to emergency departments for attempted suicide
Tsujii, N., Shirakawa, O., Atsushi, N., Yonemoto, N., Kawanishi, C., Yamamoto, K., Sugimoto, T., & Hirayasu, Y. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.04.037 · Cited by 17
Emergency Department Utilization Among American Indian Adolescents Who Made a Suicide Attempt: A Screening Opportunity
Ballard, E. D., Tingey, L., Lee, A., Suttle, R., Barlow, A., & Cwik, M. F. (2014) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2013.11.015 · Cited by 13
“Consequently, screening in ED settings may be a critical strategy to increase identification of individuals at risk for suicide and decrease suicide attempts and deaths [6,7].”
Background
An Emergency Department‐Initiated Intervention to Lower Relapse Risk after Attempted Suicide
Martínez‐Alés, G., Jiménez‐Sola, E., Román‐Mazuecos, E., Sánchez-Castro, P., de Dios, C., Vega, B. R., & Bravo‐Ortiz, M. F. (2019) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12542 · Cited by 15
Emergency Department Recognition of Mental Disorders and Short‐Term Risk of Repeat Self‐Harm Among Young People Enrolled in Medicaid
Bridge, J. A., Olfson, M., Fontanella, C. A., & Marcus, S. C. (2018) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12377 · Cited by 11
“…to evaluate current and past psychiatric diagnoses and treatment, psychosocial stressors, and other signs and symptoms that could influence suicide risk (Jacobs et al., 2003), which may lead to potentially life-saving referrals for outpatient mental health care (Larkin & Beautrais, 2010).”
Background
Les soins médicaux de jeunes hommes et de jeunes femmes qui décèdent par suicide
Rhodes, A. E., Boyle, M. H., Bridge, J. A., Sinyor, M., Katz, L. Y., Bennett, K., Newton, A. S., Links, P. S., Tonmyr, L., Skinner, R., et al. (2018) · The Canadian Journal of Psychiatry · doi:10.1177/0706743717741060 · Cited by 12
Measuring Quality of Care Received by Suicide Attempters in the Emergency Department
Rassy, J., Daneau, D., Larue, C., Rahme, E., Low, N. C. P., Lamarre, S., Turecki, G., Bonin, J., Racine, H., Morin, S. M., et al. (2020) · Archives of Suicide Research · doi:10.1080/13811118.2020.1793043 · Cited by 12
“Many suicide attempters present themselves to the ED making it therefore a plausible place to prevent reenactment of suicidal behavior and the startup point for secondary prevention (Larkin & Beautrais, 2010).”
Background
Suicidality and mood disorders in psychiatric emergency patients: Results from SBQ‐R
Brousseau‐Paradis, C., LESAGE, A. D., Larue, C., Labelle, R. J., Giguère, C., & Rassy, J. (2023) · International Journal of Mental Health Nursing · doi:10.1111/inm.13161 · Cited by 13
Factors Associated with Parental Satisfaction with a Pediatric Crisis Clinic (PCC).
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Suicide and Coping: Specific Coping Behaviours Associated with Suicidal Ideation and Differences Between Predicted and Actual Coping Among Help-Seeking Individuals
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“Additionally, these predictors are interrelated, with SI constituting a prominent reason for psychiatric hospitalisation [2,3], and the presence of SI associated with an increased number of lifetime suicide attempts [4,5].”

Authors: Larkin, G. L., & Beautrais, A. L.
Affiliations: Yale University (US)
ORCID: Larkin, Gregory Luke
Venue: Crisis
Publisher: Hogrefe Publishing Group
Published: 2010-01
Volume: 31
Issue: 1
Pages: 1-6
ISSN: 0227-5910 (ISSN-L)
2151-2396
DOI: 10.1027/0227-5910/a000001
OpenAlex: W2119346643
Cited by: 133
References: 48
Citations by year: 2026: 2 · 2025: 5 · 2024: 7 · 2023: 8 · 2022: 8 · 2021: 14 · 2020: 10 · 2019: 8 · 2018: 10 · 2017: 12 · 2016: 11 · 2015: 10 · 2014: 10 · 2013: 6 · 2012: 5
FWCI: 5.64
Type: journal article
Language: en
Open access: closed
Locations: Crisis (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords: suicide prevention, emergency department, underutilization, emergency department visits, suicide risk assessment
MeSH terms: Suicide Prevention, Combined Modality Therapy, Emergency Service, Hospital, Health Services Accessibility, Health Services Needs and Demand, Humans, Mass Screening, Patient Education as Topic, Referral and Consultation, Suicide, Suicide, Attempted, Risk Assessment, Secondary Prevention, Suicidal Ideation

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