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Related Experiment Videos

Pediatric management of suicidal behavior.

P D Trautman1, D Shaffer

  • 1Division of Child Psychiatry, New York State Psychiatric Institute, NY 10032.

Pediatric Annals
|February 1, 1989
PubMed
Summary

Pediatricians face challenges evaluating adolescent suicide attempts. Rapid assessment of risk factors and brief, problem-focused therapy can improve outcomes for these vulnerable youth.

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Area of Science:

  • Pediatrics
  • Adolescent Medicine
  • Mental Health

Background:

  • Adolescent suicide attempts are common, presenting complex challenges for pediatricians due to acute illness, psychosocial crisis, and potential co-occurring mental disorders.
  • Attempters often lack planning and awareness of method danger, yet face substantial risk of future death.
  • Suicide attempters share many characteristics with other emotionally troubled adolescents, but families can be resistant to treatment.

Purpose of the Study:

  • To outline a clinical approach for the emergency evaluation of adolescent suicide attempters.
  • To emphasize the importance of identifying individual and family risk factors.
  • To recommend therapeutic strategies for this population.

Main Methods:

  • Rapid evaluation of parents and adolescents to identify risk factors.
  • Consideration of short hospitalization for thorough assessment in complex cases.
  • Implementation of brief, problem-oriented therapy.

Main Results:

  • Increased risk factors necessitate greater clinical caution.
  • Short hospitalization facilitates comprehensive evaluation.
  • Brief therapy is often accepted by families and can lead to rapid improvement.

Conclusions:

  • A structured approach involving rapid risk assessment and targeted interventions is crucial for managing adolescent suicide attempts.
  • Brief, problem-oriented therapy is a viable and effective treatment modality for many adolescent attempters.
  • While most cases benefit from brief interventions, a subset may require long-term care.

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