Suicidality Presented to a Child and Adolescent Psychiatry Emergency Service
Increasing Rate and Changing Characteristics
Bibliographic Data
| ID | 15526227 |
|---|---|
| Authors | Stephanie Kandsperger (0000-0003-3925-7615, University of Regensburg, corresponding author), Irina Jarvers (0000-0002-8414-2895, University of Regensburg), Daniel Schleicher (0000-0002-4518-3512, University of Regensburg), Angelika Ecker (0000-0002-4387-0634, University of Regensburg), Michael A Wirth (0000-0002-3639-6014, University of Regensburg), Michael Wirth, Romuald Brunner (0000-0001-7815-0699, University of Regensburg) |
| Year | 2021 |
| Volume | 12 |
| Pages | 708208-708208 |
| Publication date | 2021-07-15 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2021.708208 |
| PMID | 34335339 |
| OpenAlex | W3185277888 |
| Language | EN |
| Citations received | 1 |
| References cited | 33 |
Background: Children and adolescents who present to child and adolescent psychiatric emergency departments show a variety of reasons for their presentations. Suicidality, in particular suicidal thoughts and suicide attempts, as well as non-suicidal self-injury (NSSI) play a large and important role. In this context, inpatient admissions frequently serve as crisis intervention. Methods: In this study, face-to-face emergency presentations to the emergency department at our Clinic of Child and Adolescent Psychiatry (CAP) were analyzed over the years 2014-2018, the 4th quarter (October-December) of each year. Data from 902 emergency presentations were evaluated, primarily with regard to suicidal thoughts, suicide attempts, and NSSI as reasons for presentation. Results: Data demonstrated that the number of emergency presentations increased in general and especially for suicidal thoughts and NSSI as reasons for presentation. In addition, suicidal thoughts, suicide attempts, and NSSI as reasons for emergency presentation were more likely to result in crisis-related inpatient admissions. Furthermore, reporting suicide attempts at emergency presentation was associated with longer inpatient stays. Finally, cases with multiple diagnoses increased independent of the general increase in emergency presentations. Conclusion: The increase of utilization of clinics with CAP outpatient emergency patients and following admissions to the inpatient units for crisis intervention poses a major challenge for the future. It is important to prepare for the assessment and treatment of suicidality, which is of extraordinary importance in the care of emergency patients
Child and adolescent psychiatry · Context (archaeology · Emergency department · Emergency psychiatry · Intervention (counseling · Medical emergency · Poison control · Presentation (obstetrics · Psychiatry · Suicide prevention · Child and Adolescent Psychosocial and Emotional Development · Medicine · Psychosomatic Disorders and Their Treatments · Suicide and Self-Harm Studies
Age of onset of mental disorders
Comorbidity Patterns of Anxiety and Depressive Disorders in a Large Cohort Study
Seasonal Affective Disorder
Self-Injury
Unmet Need for Mental Health Care Among U.S. Children
Controlling the False Discovery Rate
Emergency Presentations to Child and Adolescent Psychiatry
Changes in the Use of Emergency Care for the Youth With Mental Health Problems Over Decades
| Unique citing works | 1 |
|---|---|
| Citations per year | 0.25 |
| Citation span | 2022 - 2022 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |