Occult suicidality in an emergency department population.
Open accessAbstract
Summary: The prevalence and severity of suicidal ideation was established in a patient sample seeking emergency treatment for non-psychiatric reasons. Using a computerised mental health screening panel, data were collected from waiting-room patients during randomised shifts over a 45-day period. Of 1590 screened patients, 185 (11.6%) acknowledged suicidal ideation and 31 (2%) reported planning to kill themselves. Almost all of those with suicidal ideation (97%) acknowledged symptoms consistent with mood, anxiety and/or substance-related disorders. Structured medical record review revealed that 25 of the 31 patients planning suicide were undetected during their index visit, and that 4 attempted suicide within 45 days of the visit. All survived.
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- Authors
- Claassen, C. A., & Larkin, G. L.
- Affiliations
- The University of Texas Southwestern Medical Center (US)
- Corresponding author
- Claassen, Cynthia A.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2005-04
- Volume
- 186
- Issue
- 4
- Pages
- 352-353
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2130248151
- Cited by
- 179
- References
- 11
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 4 · 2023: 11 · 2022: 9 · 2021: 13 · 2020: 11 · 2019: 13 · 2018: 8 · 2017: 12 · 2016: 9 · 2015: 14 · 2014: 7 · 2013: 16 · 2012: 10
- FWCI
- 3.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- 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
- suicidal ideation, suicide planning, emergency department patients, mental health screening, mood disorders, anxiety disorders, substance-related disorders, suicide attempts, suicide detection
- MeSH terms
- Adolescent, Adult, Aged, Cross-Sectional Studies, Diagnosis, Computer-Assisted, Emergency Service, Hospital, Emergency Treatment, Feasibility Studies, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Retrospective Studies, Suicide, Prevalence
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