The purposes of this study were to describe suicidal persons who come to the emergency department (ED) and to examine the relationship between clinical and health service characteristics and decisions regarding post-ED care. Data were collected from three hospital EDs by means of a retrospective review of records. During the 1-month study period, 163 ED visits were for suicidal ideation (f = 110) or behavior (f = 53). The mean age of the patients was 36.5 years (range = 5–87 years); 51% were female patients. Clinical decisions about post-ED care tended to be cautious, regardless of a patient's level of suicidality, with 71% of patients either transferred for psychiatric evaluation or admitted to the psychiatric unit. Emergency department staff tended to be slightly more conservative than mental health professionals, but the difference in their decisions about disposition was not significant.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Archives of Psychiatric Nursing
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Use of health records in research: Reliability and validity issues.Research in Nursing & Health. 1994; 17: 67-73
- Practice guideline for the assessment and treatment of patients with suicidal behaviors.(Retrieved October 23, 2005 from)
- Psychosocial assessment of patients who attend an accident and emergency department with self-harm.Journal of Psychiatric and Mental Health Nursing. 2005; 12: 130-138
- Nonfatal self-inflicted injuries treated in hospital emergency departments: United States, 2000.Morbidity and Mortality Weekly Report. 2002; 51: 436-438
- Factors that influence emergency department doctors' assessment of suicide risk in deliberate self-harm patients.European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine. 2003; 10: 283-287
Federal Reserve Bank of Minneapolis (n.d.). What is a dollar worth? Retrieved November 11, 2005 from:http://minneapolisfed.org/Research/data/us/calc/.
- Goldsmith S.K. Pellmar T.C. Kleinman A.M. Bunney W.E. Reducing suicide: A national imperative. National Academies Press, Washington, DC2002: 224-270
- Emergency department management and outcome for self-poisoning: A cohort study.General Hospital Psychiatry. 2004; 26: 36-41
- Predicting the risk of repetition after self harm: Cohort study.British Medical Journal. 2005; 330: 394-395
- Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990–1992 to 2001–2003.Journal of the American Medical Association. 2005; 293: 2487-2495
- Deaths: Final data for 2002.National vital statistics reports. 53(5). National Center for Health Statistics, Hyattsville, MD2004
- Clinical biostatistics: LIV. The biostatistics of concordance.Clinical Pharmacology and Therapeutics. 1981; 29: 111-123
- An unmatched case–control study of nearly lethal suicide attempts in Houston, Texas: Research methods and measurements.Suicide & Life-Threatening Behavior. 2001; 32: 7-20
- National Hospital Ambulatory Medical Care Survey: 2000 emergency department summary.Advance data from vital and health statistics: No. 326. National Center for Health Statistics, Hyattsville, MD2002
- National Hospital Ambulatory Medical Care Survey: 2002 emergency department summary.Advance data from vital and health statistics: No. 326. National Center for Health Statistics, Hyattsville, MD2004
- Ambulatory health care data: NHAMCS description.(Retrieved July 23, 2005, from)
- In harm's way: Suicide in America.(Retrieved July 25, 2005 from)
- The cost of suicide and suicide attempts in the United States.Clinical Neuropharmacology. 1995; 18: S25-S33
- Identification of nearly fatal suicide attempts: Self-Inflicted Injury Severity Form.Suicide & Life-Threatening Behavior. 1998; 32: 30-42
- Assessment following self-harm in adults. Council Report CR122.(Retrieved October 23, 2005, from)
U.S. Consumer Product Safety Commission. (n.d.). National Electronic Injury Surveillance System. CPSC Document # 3002. Retrieved July 23, 2005, from http://www.cpsc.gov/cpscpub/pubs/3002.html
- National strategy for suicide prevention: Goals and objectives for action.U. S. Department of Health and Human Services, Washington, DC2001
- Risk–rescue rating in suicide assessment.Archives of General Psychiatry. 1972; 26: 553-560
© 2006 Elsevier Inc. Published by Elsevier Inc. All rights reserved.