Suicidality and hospitalization as cause and outcome of pediatric psychiatric emergency room visits
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| 024 | 7 | 0 | |a 10.1007/s00787-014-0624-x |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00787-014-0624-x | ||
| 245 | 0 | 0 | |a Suicidality and hospitalization as cause and outcome of pediatric psychiatric emergency room visits |h [Elektronische Daten] |c [Eugene Grudnikoff, Erin Soto, Anne Frederickson, Michael Birnbaum, Ema Saito, Robert Dicker, John Kane, Christoph Correll] |
| 520 | 3 | |a The aim of this study was to identify predictors of suicidality in youth presenting to a pediatric psychiatric emergency room service (PPERS). To this end, we conducted a retrospective cohort study of youth aged <18years consecutively assessed by a PPERS 01.01.2002-12.31.2002, using a 12-page semi-structured institutional evaluation form and the Columbia Classification Algorithm for Suicide Assessment. Multivariate regression analyses were conducted to identify correlates of suicidal thoughts and attempts/preparation and their relationship to outpatient/inpatient disposition. Of 1,062 youth, 265 (25.0%) presented with suicidal ideation (16.2%) or attempt/preparation (8.8%). Suicidal ideation was associated with female sex, depression, adjustment disorder, absent referral by family/friend/self, school referral, precipitant of peer conflict, and no antipsychotic treatment (p<0.0001). Suicidal attempt/preparation was associated with female sex, depression, lower GAF score, past suicide attempt, precipitant of peer conflict, and no stimulant treatment (p<0.0001). Compared to suicidal attempt/preparation, suicidal ideation was associated with school referral, and higher GAF score (p<0.0001). Of the 265 patients with suicidality, 58.5% were discharged home (ideation=72.1% vs. attempt/preparation=33.7%, p<0.0001). In patients with suicidal ideation, outpatient disposition was associated with higher GAF score, school referral, and adjustment disorder (p<0.0001). In patients with suicidal attempt/preparation, outpatient disposition was associated with higher GAF score, lower acuity rating, and school referral (p<0.0001). Suicidality is common among PPERS evaluations. Higher GAF score and school referral distinguished suicidal ideation from suicidal attempt/preparation and was associated with outpatient disposition in both presentations. Increased education of referral sources and establishment of different non-PPERS evaluation systems may improve identification of non-emergent suicidal presentations and encourage more appropriate outpatient referrals. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a Children |2 nationallicence | |
| 690 | 7 | |a Adolescents |2 nationallicence | |
| 690 | 7 | |a Emergency room |2 nationallicence | |
| 690 | 7 | |a Suicide |2 nationallicence | |
| 690 | 7 | |a Suicidal thoughts |2 nationallicence | |
| 690 | 7 | |a Attempt |2 nationallicence | |
| 690 | 7 | |a Hospitalization |2 nationallicence | |
| 700 | 1 | |a Grudnikoff |D Eugene |u Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA |4 aut | |
| 700 | 1 | |a Soto |D Erin |u Presbyterian Hospital, Columbia University, New York, NY, USA |4 aut | |
| 700 | 1 | |a Frederickson |D Anne |u Temple University School of Medicine, Philadelphia, PA, USA |4 aut | |
| 700 | 1 | |a Birnbaum |D Michael |u Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA |4 aut | |
| 700 | 1 | |a Saito |D Ema |u Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA |4 aut | |
| 700 | 1 | |a Dicker |D Robert |u Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA |4 aut | |
| 700 | 1 | |a Kane |D John |u Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA |4 aut | |
| 700 | 1 | |a Correll |D Christoph |u Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA |4 aut | |
| 773 | 0 | |t European Child & Adolescent Psychiatry |d Springer Berlin Heidelberg |g 24/7(2015-07-01), 797-814 |x 1018-8827 |q 24:7<797 |1 2015 |2 24 |o 787 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00787-014-0624-x |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00787-014-0624-x |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Grudnikoff |D Eugene |u Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Soto |D Erin |u Presbyterian Hospital, Columbia University, New York, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Frederickson |D Anne |u Temple University School of Medicine, Philadelphia, PA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Birnbaum |D Michael |u Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Saito |D Ema |u Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Dicker |D Robert |u Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Kane |D John |u Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Correll |D Christoph |u Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t European Child & Adolescent Psychiatry |d Springer Berlin Heidelberg |g 24/7(2015-07-01), 797-814 |x 1018-8827 |q 24:7<797 |1 2015 |2 24 |o 787 | ||