caa a22 4500 605476705 CHVBK 20210128100357.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s00787-014-0624-x doi (NATIONALLICENCE)springer-10.1007/s00787-014-0624-x Suicidality and hospitalization as cause and outcome of pediatric psychiatric emergency room visits [Elektronische Daten] [Eugene Grudnikoff, Erin Soto, Anne Frederickson, Michael Birnbaum, Ema Saito, Robert Dicker, John Kane, Christoph Correll] 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. Springer-Verlag Berlin Heidelberg, 2014 Children nationallicence Adolescents nationallicence Emergency room nationallicence Suicide nationallicence Suicidal thoughts nationallicence Attempt nationallicence Hospitalization nationallicence Grudnikoff Eugene Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA aut Soto Erin Presbyterian Hospital, Columbia University, New York, NY, USA aut Frederickson Anne Temple University School of Medicine, Philadelphia, PA, USA aut Birnbaum Michael Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA aut Saito Ema Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA aut Dicker Robert Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA aut Kane John Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA aut Correll Christoph Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA aut European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/7(2015-07-01), 797-814 1018-8827 24:7<797 2015 24 787 https://doi.org/10.1007/s00787-014-0624-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00787-014-0624-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Grudnikoff Eugene Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA aut NATIONALLICENCE 700 1- Soto Erin Presbyterian Hospital, Columbia University, New York, NY, USA aut NATIONALLICENCE 700 1- Frederickson Anne Temple University School of Medicine, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Birnbaum Michael Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA aut NATIONALLICENCE 700 1- Saito Ema Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA aut NATIONALLICENCE 700 1- Dicker Robert Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA aut NATIONALLICENCE 700 1- Kane John Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA aut NATIONALLICENCE 700 1- Correll Christoph Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, 75-59 263rd Street, 11004, Glen Oaks, NY, USA aut NATIONALLICENCE 773 0- European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/7(2015-07-01), 797-814 1018-8827 24:7<797 2015 24 787