An emergency department intervention for linking pediatric suicidal patients to follow-up mental health treatment
Open accessAbstract
OBJECTIVE: Suicide is the third leading cause of death among adolescents. Many suicidal youths treated in emergency departments do not receive follow-up treatment as advocated by the National Strategy for Suicide Prevention. Two strategies for improving rates of follow-up treatment were compared. METHODS: In a randomized controlled trial, suicidal youths at two emergency departments (N=181; ages ten to 18) were individually assigned between April 2003 and August 2005 to one of two conditions: an enhanced mental health intervention involving a family-based cognitive-behavioral therapy session designed to increase motivation for follow-up treatment and safety, supplemented by care linkage telephone contacts after emergency department discharge, or usual emergency department care enhanced by provider education. Assessments were conducted at baseline and approximately two months after discharge from the emergency department or hospital. The primary outcome measure was rates of outpatient mental health treatment after discharge. RESULTS: Intervention patients were significantly more likely than usual care patients to attend outpatient treatment (92% versus 76%; p=.004). The intervention group also had significantly higher rates of psychotherapy (76% versus 49%; p=.001), combined psychotherapy and medication (58% versus 37%; p=.003), and psychotherapy visits (mean 5.3 versus 3.1; p=.003). Neither the emergency department intervention nor community outpatient treatment (in exploratory analyses) was significantly associated with improved clinical or functioning outcomes. CONCLUSIONS: Results support efficacy of the enhanced emergency department intervention for improving linkage to outpatient mental health treatment but underscore the need for improved community outpatient treatment to prevent suicide, suicide attempts, and poor clinical and functioning outcomes for suicidal youths treated in emergency departments.
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Suicide ideation was designated as a primary outcome in zero studies and as a secondary outcome in 3 studies.
“SI was designated as a primary outcome in zero studies and designated as a secondary outcome in 3 studies.35,38,40”
From Safety Planning Interventions for Suicide Prevention in Children and Adolescents (2025) · cites this paper as [35]
The Methods (Outcome Measures) identify treatment linkage as this study’s primary outcome, consistent with suicidal ideation not being primary. But they designate suicide attempts—not suicidal ideation—as the secondary outcome; ideation was measured to provide additional detail on suicidality. This single paper also cannot establish the citing document’s count of three studies. (LLM, conf=0.85)
Experimental — accuracy not yet measuredIn controlled trials with children and adolescents, control conditions were often vaguely defined and sometimes involved elements of safety planning to varying degrees, although results were consistent whether these studies were removed or included.
“In controlled trials with children and adolescents,35,38,39,40,42,43,44 control conditions were often vaguely defined and sometimes involved elements of safety planning to varying degrees, although results were consistent whether these studies were removed (Figure 2) or included (eFigure in Supplement 1).”
From Safety Planning Interventions for Suicide Prevention in Children and Adolescents (2025) · cites this paper as [35]
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredBased on study-level results, adolescents who received family-based interventions had lower rates of re-presentation and were more likely to be linked to outpatient mental health services after discharge compared with adolescents who received treatment as usual.
“Based on study-level results, adolescents who received interventions that were family-based had lower rates of re-presentation44 and were more likely to be linked to outpatient mental health services after discharge35 compared with adolescents who received treatment as usual.”
From Safety Planning Interventions for Suicide Prevention in Children and Adolescents (2025) · cites this paper as [35]
Suicide-related behavior was designated as a primary outcome in 1 study and a secondary outcome in 2 studies.
“SRB was designated as a primary outcome in 1 study44 and a secondary outcome in 2 studies.35,38”
From Safety Planning Interventions for Suicide Prevention in Children and Adolescents (2025) · cites this paper as [35]
Suicide attempts were designated as a primary outcome in 1 study and a secondary outcome in 1 study.
“SA was designated as a primary outcome in 1 study40 and a secondary outcome in 1 study.35”
From Safety Planning Interventions for Suicide Prevention in Children and Adolescents (2025) · cites this paper as [35]
Only 3 studies had adequate-sized samples to compare treatment effects across groups; 2 of these used true randomization, and neither found significant between-group differences in suicide-related outcomes.
“Only 3 studies35,42,44 had adequate-sized samples to compare treatment effects across groups; 2 of these studies35,44 used true randomization, and neither found significant between-group differences in suicide-related outcomes.”
From Safety Planning Interventions for Suicide Prevention in Children and Adolescents (2025) · cites this paper as [35]
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 [53]
In a randomized controlled trial of suicidal youths aged 10-18 at two EDs (N=181), intervention patients were significantly more likely to attend outpatient treatment than usual care patients (92.1% vs 76.2%, p=0.004).
“FISP was tested in a randomized controlled trial in which suicidal youths at two EDs (N=181; aged 10-18) were individually randomized to 1) Usual ED Care enhanced by provider education (UC); or 2) FISP, supplemented by care linkage telephone contacts after discharge. Intervention patients were significantly more likely to attend outpatient treatment compared to UC patients (92.1% vs 76.2%, p=0.004”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [53]
In the same FISP trial, the intervention group had a significantly higher rate of psychotherapy, combined psychotherapy/medication, and more psychotherapy visits.
“The intervention group also had a significantly higher rate of psychotherapy, combined psychotherapy/medication, and more psychotherapy visits”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [53]
FISP is included as an evidence-based intervention by SPRC/AFSP and is an enhanced mental health intervention involving a family-based CBT session in the ED.
“FISP, also included as an evidence-based intervention by SPRC/AFSP , is an enhanced mental health intervention involving a family-based CBT session in the ED designed to increase motivation for follow-up treatment, support, coping, and safety.53”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [53]
The FISP trial found no significant effects on suicidality or other clinical/functioning outcomes in exploratory analyses.
“but no significant effects on suicidality or other clinical/functioning outcomes (exploratory analyses).53”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [53]
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“…focusing on youths who make SAs or including youths with SAs, suicidal ideation (SI), and/or suicidal events (generally defined as severe SI leading to emergency intervention) within a broad category of “suicidal youths (e.g. Asarnow et al., 2011, Esposito-Smythers 2011; King et al., 2019a).”
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Family factors associated with adolescent self‐harm: a narrative review
Fortune, S. A., Cottrell, D. J., & Fife, S. (2016) · Journal of Family Therapy · doi:10.1111/1467-6427.12119 · Cited by 79 · see citing works
“Several robust studies have highlighted the need to include and address family concerns in the Emergency Department setting in an effort to enhance adherence with treatment (Asarnow et al., 2011; Spirito et al., 2002; Stewart et al., 2002).”
Ranney, M. L., Patena, J. V., Nugent, N. R., Spirito, A., Boyer, E. W., Zatzick, D., & Cunningham, R. M. (2015) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2015.12.002 · Cited by 78 · see citing works
“It may, thereby, reduce the incidence of both chronic PTSD and other concurrent behavioral disorders [44,100].”
BackgroundKing, C. A., Gipson, P. Y., Horwitz, A. G., & Opperman, K. J. (2015) · Psychiatric Services · doi:10.1176/appi.ps.201300347 · Cited by 73 · see citing works
Family-Based Crisis Intervention With Suicidal Adolescents: A Randomized Clinical Trial
Wharff, E. A., Ginnis, K. B., Ross, A. M., White, E. M., White, M. T., & Forbes, P. W. (2019) · Pediatric Emergency Care · doi:10.1097/pec.0000000000001076 · Cited by 76 · see citing works
“The authors20 developed the family-based crisis intervention (FBCI) based on their clinical observations of suicidal adolescents and their families in the ED.”
BackgroundInfluentialO'Connor, E. J., Gaynes, B. N., Bu, B., Williams, C., & Ep, W. (2013) · Cited by 64 · see citing works
Curran, J., Gallant, A. J., Zemek, R. L., Newton, A. S., Jabbour, M., Chorney, J. M. L., Murphy, A. L., Hartling, L., MacWilliams, K., Plint, A. C., et al. (2019) · Systematic Reviews · doi:10.1186/s13643-019-0995-7 · Cited by 63 · see citing works
“We noted this intervention involved education, environmental restructuring, restriction, and training to improve follow-up rates of youth experiencing suicidality treated in an ED [92].”
BackgroundMethodInfluentialEvidence-Based Interventions for Youth Suicide Risk
Busby, D. R., Hatkevich, C., McGuire, T. C., & King, C. A. (2020) · Current Psychiatry Reports · doi:10.1007/s11920-020-1129-6 · Cited by 59 · see citing works
Bahji, A., Pierce, M., Wong, J., Roberge, J. N., Ortega, I., & Patten, S. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.6614 · Cited by 60 · see citing works
National Trends in Emergency Department Visits for Suicide Attempts and Intentional Self-Harm
Bommersbach, T. J., Olfson, M., & Rhee, T. G. (2024) · American Journal of Psychiatry · doi:10.1176/appi.ajp.20230397 · Cited by 60 · see citing works
Hughes, J. L., & Asarnow, J. R. (2013) · Clinical Pediatric Emergency Medicine · doi:10.1016/j.cpem.2013.01.002 · Cited by 59 · see citing works
Self-citationAsarnow, J. R., Babeva, K. N., & Horstmann, E. (2017) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2017.05.002 · Cited by 58 · see citing works
Self-citationGrupp-Phelan, J., Stevens, J., Boyd, S., Cohen, D. M., Ammerman, R. T., Liddy-Hicks, S., Heck, K., Marcus, S. C., Stone, L., Campo, J. V., et al. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.17941 · Cited by 57 · see citing works
Self-citationIdentifying adolescents at highly elevated risk for suicidal behavior in the emergency department
King, C. A., Berona, J., Czyz, E., Horwitz, A. G., & Gipson, P. Y. (2015) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2014.0049 · Cited by 54 · see citing works
Asarnow, J. R., & Miranda, J. M. (2014) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032813-153742 · Cited by 56 · see citing works
Self-citationSuicide prevention and follow-up services: A narrative review
Ghanbari, B., Malakouti, S. K., Nojomi, M., Alavi, K., & Khaleghparast, S. (2015) · Global Journal of Health Science · doi:10.5539/gjhs.v8n5p145 · Cited by 55 · see citing works
“…control groups after receiving interventions like regular post mails, phone calls, and long-term follow-up treatments after discharge (Aoun, 1999; Asarnow et al., 2011; Cebrià et al., 2013; Cedereke et al., 2002; Gruat, Cottencin, Ducrocq, Duhem, & Vaiva, 2010; Marasinghe, Edirippulige,…”
Emergency Department Screening for Suicide and Mental Health Risk
Babeva, K. N., Hughes, J. L., & Asarnow, J. R. (2016) · Current Psychiatry Reports · doi:10.1007/s11920-016-0738-6 · Cited by 57 · see citing works
Self-citationCzyz, E. K., King, C. A., Prouty, D., Micol, V. J., Walton, M., & Nahum‐Shani, I. (2021) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13383 · Cited by 54 · see citing works
“Safety plans have also been incorporated in multi-component interventions for adolescent at risk for suicide (Asarnow et al., 2011; Asarnow, Hughes, Babeva, & Sugar, 2017; Kennard et al., 2018).”
Suicide in the pediatric population: screening, risk assessment and treatment
Cwik, M. F., O’Keefe, V. M., & Haroz, E. E. (2020) · International Review of Psychiatry · doi:10.1080/09540261.2019.1693351 · Cited by 54 · see citing works
“…treatment approaches, including mobile app-based interventions with digital safety plans, may be effective in reducing suicide among adolescents (Asarnow et al., 2011; Asarnow, Hughes, Babeva, & Sugar, 2017; Gregory, Sukhera, & Taylor-Gates, 2017; Jobes, 2016; Kennard et al., 2018; Melvin et…”
BackgroundMethodOppenheimer, C. W., Glenn, C. R., & Miller, A. B. (2022) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2022.2051526 · Cited by 58 · see citing works
“Most randomized control trials (RTCs) that include younger youth only include down to 12 years of age, with only three RCTs including youth as young as age 10 (Asarnow et al., 2011; Harrington et al., 1998; Huey et al., 2004).”
BackgroundDevelopment and Piloting of a Brief Intervention for Suicidal American Indian Adolescents
Cwik (2016) · American Indian and Alaska Native Mental Health Research · doi:10.5820/aian.2301.2016.105 · Cited by 48 · see citing works
Ougrin, D., & Boege, I. (2012) · Journal of Adolescence · doi:10.1016/j.adolescence.2012.09.006 · Cited by 50 · see citing works
“Despite recent advances in self harm assessment and management (Asarnow et al., 2011; Huey et al., 2004; Ougrin, Ng, & Low, 2008; Ougrin, Zundel, et al., 2012; Ougrin, Zundel, et al., 2011) many unanswered questions remain (Ougrin, 2011; Ougrin & Latif, 2011).”
Abbott‐Smith, S., Ring, N., Dougall, N., & Davey, J. (2023) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.12928 · Cited by 50 · see citing works
Ballard, E. D., Stanley, I. H., Horowitz, L. M., Cannon, E. A., Pao, M., & Bridge, J. A. (2013) · Clinical Pediatric Emergency Medicine · doi:10.1016/j.cpem.2013.01.001 · Cited by 47 · see citing works
“(8, 16) Understanding reasons why a small minority of patients disagreed with screening may also be helpful in implementing universal ED screening for suicide risk.”
The Development and Feasibility Outcomes of a Youth Suicide Prevention Intensive Outpatient Program
Kennard, B. D., Mayes, T. L., King, J. L., Moorehead, A., Wolfe, K. L., Hughes, J. L., Castillo, B., Smith, M., Matney, J., Oscarson, B., et al. (2018) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2018.09.015 · Cited by 45 · see citing works
Czyz, E. K., Horwitz, A. G., Yegüez, C. E., Foster, C. E., & King, C. A. (2017) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2017.1342546 · Cited by 44 · see citing works
“…has been identified as a key factor of efficacious interventions for suicidal adolescents (Brent et al., 2013; Glenn et al., 2015) and has been integrated into promising interventions for high-risk teens during or following an ED visit (e.g., Asarnow et al., 2011, 2017; Huey et al., 2004).”
BackgroundWerlen, L., Gjukaj, D., Mohler-Kuo, M., & Puhan, M. A. (2020) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796019000544 · Cited by 45 · see citing works
Czyz, E. K., Berona, J., & King, C. A. (2016) · Psychiatric Services · doi:10.1176/appi.ps.201400252 · Cited by 41 · see citing works
Weinstein, S. M., Cruz, R. A., Isaia, A., Peters, A. T., & West, A. E. (2017) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12416 · Cited by 41 · see citing works
“…studies of psychosocial treatments for adolescent SI and behavior, across a range of therapeutic orientations, report similar results (e.g., Asarnow et al., 2011; Brent et al., 2009; Donaldson, Spirito, & Esposito-Smythers, 2005; Green et al., 2011; Harrington et al., 1998; Ougrin, Boege,…”
Asarnow, J. R., Berk, M. S., Zhang, L., Wang, P., & Tang, L. (2016) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12309 · Cited by 40 · see citing works
Self-citationFrey, L. M., & Fulginiti, A. (2017) · Journal of Mental Health · doi:10.1080/09638237.2017.1340592 · Cited by 40 · see citing works
“This recommendation is in line with a push for increasing access to emergency room-based interventions that help to prevent suicide (e.g. Asarnow et al., 2011; Rotheram-Borus et al., 2000).”
Asarnow, J. R., Goldston, D. B., Tunno, A. M., Inscoe, A. B., & Pynoos, R. S. (2020) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2020.1796547 · Cited by 40 · see citing works
Self-citationTompson, M. C., Boger, K. D., & Asarnow, J. R. (2012) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2012.01.003 · Cited by 40 · see citing works
Self-citationEdwards, D. J., Carrier, J., Csontos, J. K., Evans, N., Elliott, M. B., Gillen, E., Hannigan, B., Lane, R., & Williams, L. (2023) · Child and Adolescent Mental Health · doi:10.1111/camh.12639 · Cited by 35 · see citing works
Prioritizing Research to Reduce Youth Suicide and Suicidal Behavior
Bridge, J. A., Horowitz, L. M., Fontanella, C. A., Grupp-Phelan, J., & Campo, J. V. (2014) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.06.001 · Cited by 34 · see citing works
“004); attend more outpatient treatment visits; receive psychotherapy; and receive combined psychotherapy and medication.(32) The following example assumes that the 12-month recurrence rate of youth suicide attempts is 18% and that roughly 0.”
BackgroundMethodInfluentialParental expressed emotion and suicidal ideation in adolescents with bipolar disorder
Ellis, A. J., Portnoff, L. C., Axelson, D., Kowatch, R. A., Walshaw, P. D., & Miklowitz, D. J. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.02.013 · Cited by 32 · see citing works
“Family-oriented psychoeducational interventions have been supported as effective for children with mood disorders such as depression (Asarnow et al., 2011) and bipolar disorder (Miklowitz et al.”
Wang, M., Swaraj, S., Chung, D., Stanton, C., Kapur, N., & Large, M. M. B. (2019) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13023 · Cited by 32 · see citing works
Review of family‐based treatments from 2010 to 2019 for suicidal ideation and behavior
Frey, L. M., Hunt, Q. A., Russon, J. M., & Diamond, G. (2022) · Journal of Marital and Family Therapy · doi:10.1111/jmft.12568 · Cited by 32 · see citing works
Yuan, S. N. V., Kwok, R. K. H., & Ougrin, D. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.00104 · Cited by 31 · see citing works
The Celebrating Life Team, O’Keefe, V. M., Haroz, E. E., Goklish, N. A., Ivanich, J., Cwik, M. F., & Barlow, A. (2019) · BMC Public Health · doi:10.1186/s12889-019-7996-2 · Cited by 29 · see citing works
Korczak, D. J., Finkelstein, Y., Barwick, M. A., Chaim, G., Cleverley, K., Henderson, J. L., Monga, S., Moretti, M. E., Willan, A. R., & Szatmári, P. (2020) · BMC Psychiatry · doi:10.1186/s12888-019-2422-y · Cited by 31 · see citing works
Safety Planning for Suicidality in Autism: Obstacles, Potential Solutions, and Future Directions
Schwartzman, J. M., Smith, J. R., & Bettis, A. H. (2021) · PEDIATRICS · doi:10.1542/peds.2021-052958 · Cited by 31 · see citing works
School Reintegration Post-Psychiatric Hospitalization: Protocols and Procedures Across the Nation
Marraccini, M. E., Lee, S., & Chin, A. J. (2019) · School Mental Health · doi:10.1007/s12310-019-09310-8 · Cited by 32 · see citing works
Developing the Blueprint for Youth Suicide Prevention
Gorzkowski, J., Horowitz, L. M., Standley, C. J., Ryan, P. C., Wei, A. X., Lau, M., & Moutier, C. Y. (2023) · Journal of Public Health Management and Practice · doi:10.1097/phh.0000000000001764 · Cited by 29 · see citing works
Emergency Department Presentations and Youth Suicide: A Case-Control Study
Rhodes, A. E., Sinyor, M., Boyle, M. H., Bridge, J. A., Katz, L. Y., Bethell, J., Newton, A. S., Cheung, A., Bennett, K., Links, P. S., et al. (2019) · The Canadian Journal of Psychiatry · doi:10.1177/0706743718802799 · Cited by 28 · see citing works
Safety Planning Interventions for Suicide Prevention in Children and Adolescents
Albaum, C., Irwin, S. H., Muha, J., Schumacher, A., Clarissa, S., Finkelstein, Y., Bridge, J. A., & Korczak, D. J. (2025) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2025.1012 · Cited by 28 · see citing works
Woolf, S. H. (2025) · Pediatrics · doi:10.1542/peds.2025-070849 · Cited by 29 · see citing works
Saving Lives: Recognizing and Intervening with Youth at Risk for Suicide
Arango, A., Gipson, P. Y., Votta, J. G., & King, C. A. (2021) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-081219-103740 · Cited by 28 · see citing works
Rapp, A. M., Chavira, D. A., Sugar, C. A., & Asarnow, J. R. (2017) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsx057 · Cited by 29 · see citing works
“These findings are also consistent with other work demonstrating that brief emergency interventions that provide suicidal adolescents with exposure to high-quality mental health care lead to improved linkage to mental health services (Asarnow et al., 2011; Ougrin, Tranah, Stahl, Moran, & Asarnow, 2015; Rotheram-Borus,…”
InfluentialSelf-citationRoberts, N., Booij, L., Axas, N., & Repetti, L. (2016) · International Journal of Adolescent Medicine and Health · doi:10.1515/ijamh-2016-0006 · Cited by 27 · see citing works
Family-Based Crisis Intervention in the Emergency Department: A New Model of Care
Ginnis, K. B., White, E. M., Ross, A. M., & Wharff, E. A. (2013) · Journal of Child and Family Studies · doi:10.1007/s10826-013-9823-1 · Cited by 27 · see citing works
“To date, only two studies outside of our work have evaluated outcomes based on an ED intervention for suicidal adolescents (Asarnow et al. 2011; Rotheram-Borus et al. 1996, 2000).”
BackgroundYouth Suicide in India: A Critical Review and Implication for the National Suicide Prevention Policy
Gupta, S., & Basera, D. S. (2021) · OMEGA - Journal of Death and Dying · doi:10.1177/00302228211045169 · Cited by 27 · see citing works
“It involves psychoeducation of youth and their parents, safety planning, linkage, and ensuring compliance with the follow-up care (Asarnow et al., 2011, 2017).”
Time Trends in Suicide-Related Behaviours in Girls and Boys
Rhodes, A. E., Bethell, J., Carlisle, C. E., Rosychuk, R. J., Lu, H., & Newton, A. S. (2014) · The Canadian Journal of Psychiatry · doi:10.1177/070674371405900307 · Cited by 25 · see citing works
A Trauma-Informed Approach to Youth Suicide Prevention and Intervention
Tunno, A. M., Inscoe, A. B., Goldston, D. B., & Asarnow, J. R. (2021) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2021.1923089 · Cited by 24 · see citing works
“, 2014) and is associated with greater risk for subsequent suicidal behavior among adolescents with depression (Asarnow et al., 2011; Wilkinson et al., 2011).”
BackgroundSelf-citationCoping with suicidal urges among youth seen in a psychiatric emergency department.
Czyz, E. K., Horwitz, A. G., Arango, A., Cole-Lewis, Y. C. O., Berona, J., & King, C. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.04.118 · Cited by 27 · see citing works
Kodish, T., Kim, J. J., Le, K., Yu, S. H., Bear, L., & Lau, A. S. (2019) · School Mental Health · doi:10.1007/s12310-019-09354-w · Cited by 26 · see citing works
The potential use of CAMS for suicidal youth: building on epidemiology and clinical interventions
Jobes, D. A., Vergara, G. A., Lanzillo, E. C., & Ridge-Anderson, A. (2019) · Children s Health Care · doi:10.1080/02739615.2019.1630279 · Cited by 23 · see citing works
“Most of the research conducted on treatments for suicidal youth has been done with adolescent samples, although there have been some studies on children as young as 8– 11 years of age (Asarnow et al., 2011; Harrington et al., 1998; Huey et al., 2005; Perepletchikova et al., 2011).”
BackgroundGiles, L. L., Shepard, L. D., Asarnow, J. R., & Keeshin, B. R. (2021) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2021.1961643 · Cited by 23 · see citing works
“…and designated as “program with effectiveness” by the Suicide Prevention Resource Center (see http:// www.sprc.org/resources-programs/familyintervention-suicide-prevention-fisp), has been shown to increase linkage to treatment after an initial emergency visit (Asarnow et al., 2011, 2009).”
BackgroundSelf-citationBallard, 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 23 · see citing works
“Age is an important consideration in screening for suicide risk, specifically, how young is too young to be screened? Because suicide is a leading cause of death in adolescents,(8) suicidal adolescents (ages 13Y18 years) have been the focus of surveillance,(9) screening,(6,7) and intervention efforts.(10) In contrast,…”
BackgroundEngaging families in the management of adolescent self-harm
Aggarwal, S., & Patton, G. (2018) · Evidence Based Mental Health · doi:10.1136/eb-2017-102791 · Cited by 22 · see citing works
Chihara, I., Ae, R., Kudo, Y., Uehara, R., Makino, N., Matsubara, Y., Sasahara, T., Aoyama, Y., Kotani, K., & Nakamura, Y. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1690-2 · Cited by 24 · see citing works
“Because medically serious or potentially lethal suicidal patients are likely to present to emergency departments (EDs) [11], and research has shown that about 16 to 24% of them will repeat the attempts with more * Correspondence: nakamuyk@jichi.”
BackgroundGoldman-Mellor, S. J., Phillips, D., Brown, P., Gruenewald, P. J., Cerdá, M., & Wiebe, D. J. (2019) · Psychiatric Services · doi:10.1176/appi.ps.201900153 · Cited by 21 · see citing works
Djembi, L. F., Vaïva, G., Debien, C., Duhem, S., Demarty, A.-L., Koudou, Y. A., & Messiah, A. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-2443-6 · Cited by 21 · see citing works
Bettis, A. H., Donise, K. R., MacPherson, H. A., Bagatelas, P., & Wolff, J. C. (2020) · Psychiatric Services · doi:10.1176/appi.ps.201900563 · Cited by 21 · see citing works
Assessment of Suicidal Youth in the Emergency Department
Berk, M. S., & Asarnow, J. R. (2014) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12133 · Cited by 21 · see citing works
Self-citationHughes, J. L., Anderson, N. L., Wiblin, J. L., & Asarnow, J. R. (2016) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12271 · Cited by 21 · see citing works
Self-citationYouth Suicide Prevention and Intervention
Ackerman, J. P., & Horowitz, L. M. (2022) · SpringerBriefs in psychology · doi:10.1007/978-3-031-06127-1 · Cited by 20 · see citing works
Gaynor, K., Dwan-O'Reilly, M., Redmond, D., Nealon, C., Twomey, C. D., & Hennessy, E. (2023) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2023.152374 · Cited by 19 · see citing works
Bantjes, J. R., Nel, A., Louw, K.-A., Frenkel, L., Benjamin, E., & Lewis, I. (2016) · Journal of Health Psychology · doi:10.1177/1359105316628744 · Cited by 19 · see citing works
“This draws attention to the need to develop brief, context-sensitive hospital-based psychosocial interventions, such as those described by Asarnow et al. (2011) and Fleischmann et al. (2008), which can be immediately offered to suicide attempters who present at hospitals without necessitating…”
BackgroundHolder, S. M., Rogers, K. M., Peterson, E., & Ochonma, C. (2017) · Child Psychiatry & Human Development · doi:10.1007/s10578-017-0719-y · Cited by 19 · see citing works
“The presence of high quality mental health services has been found to assist youth in connecting to appropriate outpatient services when the initial interventions occur in the ED [33].”
BackgroundA Systematic Review of Help-Seeking Interventions for Parents of Adolescents
Murphy, D., Heary, C., Hennessy, M., Dwan-O'Reilly, M., & Hennessy, E. (2021) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2021.07.004 · Cited by 18 · see citing works
Watling, D. P., Preece, M. H. W., Hawgood, J. L., Bloomfield, S., & Kõlves, K. (2022) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-022-00460-3 · Cited by 18 · see citing works
“Briefly, however, the questions primarily focused on three distinct models of follow-up interventions (an existing unstructured model; assertive [7]; caring contacts [19]) post-discharge from the ED.”
BackgroundZarska, A., Barnicot, K., Lavelle, M., Dorey, T., & McCabe, R. (2022) · Archives of Suicide Research · doi:10.1080/13811118.2022.2071660 · Cited by 18 · see citing works
“These strategies have also been implemented and proven somewhat effective for suicide prevention in other psychiatric settings (Asarnow et al., 2011; Inagaki, Kawashima, Yonemoto, & Yamada, 2019; Zalsman et al., 2016).”
BackgroundAsarnow, J. R., McArthur, D. L., Hughes, J. L., Barbery, V., & Berk, M. S. (2012) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.2012.00122.x · Cited by 18 · see citing works
“The study questions were examined using data from 131 patients participating in a randomized controlled trial evaluating an enhanced mental health intervention, as compared to usual care, in pediatric patients (aged 10–18) presenting to the ED with suicidal behavior (Asarnow et al., 2011).”
InfluentialSelf-citation
- Authors
- Asarnow, J. R., Baraff, L. J., Berk, M., Grob, C. S., Devich-Navarro, M., Suddath, R., Piacentini, J. C., Rotheram-Borus, M. J., Cohen, D., & Tang, L.
- Affiliations
- University of California, Los Angeles (US)
- Harbor–UCLA Medical Center (US)
- Santa Monica College (US)
- Dr. Suddath, Dr. Piacentini, Dr. Rotheram-Borus, and Dr. Tang are with the Department of Psychiatry and Biobehavioral Sciences, UCLA.
- Johns Hopkins University (US)
- Venue
- Psychiatric Services
- Published
- 2011-11
- Volume
- 62
- Issue
- 11
- Pages
- 1303-1309
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- PMC
- PMC3251923
- OpenAlex
- W2170748745
- Cited by
- 251
- References
- 41
- Citations by year
- 2026: 15 · 2025: 20 · 2024: 18 · 2023: 24 · 2022: 16 · 2021: 28 · 2020: 19 · 2019: 20 · 2018: 11 · 2017: 15 · 2016: 21 · 2015: 9 · 2014: 19 · 2013: 12 · 2012: 4
- FWCI
- 12.05
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Public Health Service (CCR921708)
- National Institute of Mental Health (R34MH078082, P30MH082760, R01MH082856)
- 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
- adolescent suicide, suicide prevention, emergency department care, provider education, suicide attempts
- MeSH terms
- Suicide Prevention, Adolescent, Ambulatory Care, Child, Community Mental Health Services, Depressive Disorder, Emergency Service, Hospital, Family Therapy, Female, Humans, Male, Patient Acceptance of Health Care, Patient Discharge, Pilot Projects, Regression Analysis, Stress Disorders, Post-Traumatic, Suicide, Suicide, Attempted, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult, Suicidal Ideation
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Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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