ED-Administered Safety Planning Intervention Reduces Suicidal Behaviors

A brief clinical intervention in the emergency department (ED) along with structured follow-up phone calls can reduce suicidal behaviors in patients and  encourage them to use mental health services, according to a study published today inJAMA Psychiatry.Barbara Stanley, Ph.D., of Columbia University and colleagues enrolled 1,640 adults who had been admitted to one of nine Veterans Administration EDs who had had a suicidal crisis (but who did not subsequently require inpatient hospitalization) between 2010 and 2015. Four of the EDs continued to provide their usual care for the patients, while the other five implemented a safety-planning intervention combined with telephone follow-up. Safety planningprovides patients with a written safety plan that includes coping skills, strategies to make their environment safer, and a list of people who can provide support. The telephone follow-up consisted of at least two postdischarge contacts with a patient to monitor suicide risk, review the safety plan, and encourage continued treatment.Six months after ED discharge, fewer patients in the safety planning group engaged in suicidal behavior compared with the usual care group (3.03% vs. 5.29%, respectively). Recipients receiving the safety-plan intervention and follow-up also had more than double the odds of attending at least one outpatient mental health visit after discharge. The increased visits with outpatient mental health services were not solely responsible for the r...
Source: Psychiatr News - Category: Psychiatry Tags: emergency department safety plan suicidal behavior suicide risk Veterans Health Administration Source Type: research

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Conclusion. Spinal injuries in suicidal jumpers differed from spinal injuries in non-suicidal patients with regard to sex, age, mental health condition, injury location, neurologic damage, and associated injuries. Most survivors of suicidal jumping were young female patients with mental health problems. They tended to have thoracic and lumbar spine trauma rather than cervical trauma with less severe neurological deficits and a higher incidence of accompanying limb injury. Level of Evidence: 3
Source: Spine - Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research
Conclusions: SI is associated with depressive severity and less directly with IBD activity. Low-dose TCA, often used for chronic abdominal pain, is also a risk factor. Identifying the subset of IBD patients most vulnerable to SI can facilitate proper referrals to behavioral services and prevent progression to completed suicides.
Source: Journal of Clinical Gastroenterology - Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research
Sean Duggan,chief executive of the Mental Health Network, urges for a cross-governmental approach to taking crucial steps towards achieving parity of esteem Related items fromOnMedica Recoveries after psychological therapy rise to record levels Children with mental health crises get raw deal in emergency care departments Experts urge radical action on mental health crises Major trauma linked to higher risk of mental illness and suicide High rates of poor mental health among children and young people
Source: OnMedica Views - Category: Primary Care Source Type: news
AbstractThis paper examines the epidemiology of nonfatal firearm violence (NFFV) on the Westside of Chicago over three finite time periods: 2005 –2008, 2009–2012, and 2013–2016. The trend analysis will look at any significant changes over the time periods and describe the demographic characteristics of NFFV. A descriptive analysis of Mount Sinai Hospital (MSH) Emergency Department (ED) data was conducted. NFFV patients were identified by specific firearm ICD-9 primary eCode injury categories: accident, assault, legal intervention, undetermined intent, suicide or self-inflicted injury, and legal interventi...
Source: Journal of Community Health - Category: International Medicine & Public Health Source Type: research
This study examined the risk of self-directed violence after visiting the emergency department for a range of physical health conditions among youth.MethodsThis retrospective cohort study used 2012–2013 statewide emergency department data from six states. Among patients aged 15–29 years, the exposure group included 2,192,322 emergency department visits for 16 selected conditions, coded by whether visits for those conditions were the first, second, or third or later visit for that condition. Emergency department visits for a minor infection served as the reference group (n=149,163). A Cox proportional hazard mod...
Source: American Journal of Preventive Medicine - Category: International Medicine & Public Health Source Type: research
MONDAY, Dec. 17, 2018 -- The risk for subsequent self-directed violence is increased among young people presenting to the emergency department for certain medical conditions, according to a study published online Dec. 17 in the American Journal of...
Source: Drugs.com - Pharma News - Category: Pharmaceuticals Source Type: news
Source: Notes from Dr. RW - Category: Internal Medicine Tags: ethics Source Type: blogs
(Elsevier) A new study published in the American Journal of Preventive Medicine provides detailed insights on the increased risk of self-directed violence that patients aged 15-29 years visiting the emergency department (ED) for medical complaints subsequently experience. This underscores the importance of EDs in suicide prevention. The broad number of physical health conditions associated with an increased risk of self-directed violence may serve to support expanded or broader screening among teens and young adults.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
(Michigan State University) Can being in a strong committed relationship reduce the risk of suicide? Researchers at Michigan State University believe so, especially among members of the National Guard.
Source: EurekAlert! - Social and Behavioral Science - Category: International Medicine & Public Health Source Type: news
(Institute of Transformative Bio-Molecules (ITbM), Nagoya University) An interdisciplinary team led by researchers at Nagoya University has discovered a highly potent and selective molecule, SPL7, that can lead seeds of the noxious parasitic weed Striga to suicide germination.
Source: EurekAlert! - Biology - Category: Biology Source Type: news
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