Skip to main content

Advertisement

Log in

Pediatric Emergency Consultations: Prior Mental Health Service Use in Suicide Attempters

  • Published:
The Journal of Behavioral Health Services & Research Aims and scope Submit manuscript

Abstract

This study investigated the relationship between presenting complaints and prior mental health encounters in youth seen for emergency psychiatric consultation. Records of youths aged 9–17 years old receiving a psychiatric consultation in a pediatric emergency department from 2002 to 2007 were examined (N = 1,900). Youth were classified by presenting complaint: suicide attempt, suicidal ideation, and behavioral problems. Nearly half of the youth presented with behavior problems, and 39% presented with suicidal ideation and/or attempt. Those presenting with both suicide attempt and behavior problems were most likely to have made a prior suicide attempt. Those presenting with suicide attempt alone were least likely to report current mental health treatment, while youth presenting with behavior problems alone were the most likely to report current mental health treatment. Further research is needed to better understand the role that emergency departments play in the course of care and to maximize the opportunity to make lasting and effective community-based care connections.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Burks HL, Hoekstra M. Psychiatric emergencies in children. American Journal of Orthopsychiatry. 1964;34:134–137.

    Article  CAS  PubMed  Google Scholar 

  2. Edelsohn GA, Braitman LE, Rabinovich H, et al. Predictors of urgency in a pediatric psychiatric emergency service. Journal of the American Academy of Child and Adolescent Psychiatry. 2003;42:1197–1202.

    Article  PubMed  Google Scholar 

  3. Mattsson A, Hawkins JW, Seese LR. Child psychiatric emergencies: clinical characteristics and follow-up results. Archives of General Psychiatry. 1967;17:584–592.

    CAS  PubMed  Google Scholar 

  4. Morrison GC. Therapeutic intervention in a child psychiatry emergency service. Journal of the American Academy of Child Psychiatry. 1969;8:542–558.

    Article  Google Scholar 

  5. Breslow RE, Erickson BJ, Cavanaugh KC. The psychiatric emergency service: where we've been and where we're going. Psychiatric Quarterly. 2000;71:101–121.

    Article  CAS  PubMed  Google Scholar 

  6. Haugh R. A crisis in adolescent psychiatry. Hospital Health Network. 2003;77:12.

    Google Scholar 

  7. Page D. Pediatric psychiatry: more blues in ED? Hospital Health Network. 2000;74:24.

    CAS  Google Scholar 

  8. Sills MR, Bland SD. Summary statistics for pediatric psychiatric visits to US emergency departments, 1993-1999. Pediatrics. 2002;110:1–5.

    Article  Google Scholar 

  9. Christodulu KV, Lichenstein R, Weist MD, et al. Psychiatric emergencies in children. Pediatric Emergency Care. 2002;18:268–270.

    Article  PubMed  Google Scholar 

  10. Hoyle JD, White LJ. Pediatric mental health emergencies: summary of a multidisciplinary panel. Prehospital Emergency Care. 2003;7:60–65.

    Article  PubMed  Google Scholar 

  11. Hoyle JD, White LJ. Treatment of pediatric and adolescent mental health emergencies in the United States: current practices, models, barriers, and potential solutions. Prehospital Emergency Care. 2003;7:66–73.

    Article  PubMed  Google Scholar 

  12. Asarnow JR, Baraff LJ, Berk M, et al. Pediatric emergency department suicidal patients: two-site evaluation of suicide ideators, single attempters, and repeat attempters. Journal of the American Academy of Child and Adolescent Psychiatry. 2008;47(8):958–966.

    Article  PubMed  Google Scholar 

  13. Santiago LI, Tunik MG, Foltin GL, et al. Children requiring psychiatric consultation in the pediatric emergency department: epidemiology, resource utilization, and complications. Pediatric Emergency Care. 2006;22(2):85–89.

    Article  PubMed  Google Scholar 

  14. Behar LJ, Shrier DK. Child and adolescent psychiatric emergencies: referral and discharge patterns. New Jersey Medicine. 1995;92:236–239.

    CAS  PubMed  Google Scholar 

  15. Goldstein AB, Horwitz SM. Child and adolescent psychiatric emergencies in nonsuicide-specific samples: the state of the research literature. Pediatric Emergency Care. 2006;22:379–384.

    Article  PubMed  Google Scholar 

  16. Suominen K, Isometsa E, Martunnen M, et al. J. Health care contacts before and after attempted suicide among adolescent and young adult versus older suicide attempters. Psychological Medicine. 2004;34(2):313–321.

    Article  CAS  PubMed  Google Scholar 

  17. Litt IF, Cuskey WR, Rudd S. Emergency room evaluation of the adolescent who attempts suicide: compliance with follow-up. Journal of Adolescent Health Care. 1983;4(2):106–108.

    Article  CAS  PubMed  Google Scholar 

  18. Rotheram-Borus MJ, Piacentini J, Miller S, et al. Toward improving treatment adherence among adolescent suicide attempters. Clinical Child Psychology and Psychiatry. 1996;1(1):99–108.

    Google Scholar 

  19. Rotheram-Borus MJ, Piacentini J, Van Rossem R, et al. Enhancing treatment adherence with a specialized emergency room program for adolescent suicide attempters. Journal of the American Academy of Child & Adolescent Psychiatry. 1996;35(5):654–663.

    Article  CAS  Google Scholar 

  20. Spirito A, Boergers J, Donaldson D. Adolescent suicide attempters: post-attempt course and implications for treatment. Clinical Psychology and Psychotherapy. 2000;7:161–173.

    Article  Google Scholar 

  21. Spirito A, Boergers J, Donaldson D, et al. An intervention trial to improve adherence to community treatment by adolescents after a suicide attempt. Journal of the American Academy of Child & Adolescent Psychiatry. 2002;41(4):435–442.

    Article  Google Scholar 

  22. Spirito A, Lewander W. Assessment and disposition planning for adolescent suicide attempters treated in the emergency department. Clinical Pediatric Emergency Medicine. 2004;5(3):154–163.

    Article  Google Scholar 

  23. Granboulan V, Roudot-Thoraval F, Lemerle S, et al. Predictive factors of post-discharge follow-up care among adolescent suicide attempters. Acta Psychiatr Scandanavia. 2001;104(1):31–36.

    Article  CAS  Google Scholar 

  24. Grupp-Phelan J, Harman JS, Kelleher KJ. Trends in mental health and chronic condition visits by children presenting for care at U.S. emergency departments. Public Health Reports. 2007;122(1)55–61.

    PubMed  Google Scholar 

  25. Lewinsohn PM, Rohde P, Seeley JR. Adolescent suicidal ideation and attempts: prevalence, risk factors, and clinical implications. Clinical Psychology: Science and Practice. 1996;3(1):25–46.

    Article  Google Scholar 

  26. Reinherz HZ, Giaconia RM, Silverman AB, et al. Early psychosocial risks for adolescent suicidal ideation and attempts. Journal of the American Academy of Child and Adolescent Psychiatry. 1995;34(5):599–611.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors would like to express their gratitude to Christine Cary, Janet Kowalski, Sarah Lusk, and Kate Maloney for their assistance on this project and preparation of this manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Emily Frosch M.D..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Frosch, E., McCulloch, J., Yoon, Y. et al. Pediatric Emergency Consultations: Prior Mental Health Service Use in Suicide Attempters. J Behav Health Serv Res 38, 68–79 (2011). https://doi.org/10.1007/s11414-009-9192-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11414-009-9192-0

Keywords

Navigation