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Related Experiment Videos

Adolescent violence screening in the ED.

Russell I Copelan1, Melissa A Messer, David J Ashley

  • 1Department of Neurosciences, Memorial Hospital, Colorado Springs, CO 80909, USA.

The American Journal of Emergency Medicine
|August 30, 2006
PubMed
Summary

This study introduces a new assessment and algorithm to evaluate youth violence risk, focusing on ideation and non-ideation states to predict attempts. It aims to improve emergency department assessments for adolescent suicidality and homicidality.

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Area of Science:

  • Public Health
  • Psychiatry
  • Emergency Medicine

Background:

  • Youth violence, including adolescent suicidality and homicide, is a significant public health issue.
  • Emergency department (ED) assessments for youth suicidality and homicidality are complex, with limited evidence supporting current risk assessment tools.
  • Previous models for predicting youth violence have faced challenges due to the prevalence of ideation and difficulties in assessing depression's impact.

Purpose of the Study:

  • To introduce an empirically based assessment, the Adolescent and Child Urgent Threat Evaluation (ACUTE), and a treatment algorithm.
  • To evaluate the impact of ideation and non-ideation states on suicide and homicide attempts in clinical samples.
  • To discuss a validated suicide-homicide final common pathway model.

Main Methods:

Related Experiment Videos

  • Development and application of the Adolescent and Child Urgent Threat Evaluation (ACUTE) assessment.
  • Utilization of the Violence Ideation and Suicidality Treatment Algorithm (VISTA) to analyze clinical samples.
  • Examination of clinical samples including those with serotonin reuptake inhibitor akathisia and acute adjustment disorders.

Main Results:

  • The study evaluates the impact of ideation and non-ideation states on suicide and homicide attempts.
  • Identifies important time-related factors and practical procedures for assessing near-future youth violence.
  • Presents findings on the relationship between ideation, non-ideation, and violent attempts.

Conclusions:

  • The proposed ACUTE assessment and VISTA algorithm offer a novel approach to evaluating youth violence risk.
  • The findings suggest that considering ideation and non-ideation states is crucial for predicting attempts.
  • The study emphasizes the need for improved, evidence-based tools for assessing youth suicidality and homicidality in emergency settings.