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Adolescent suicide attempters presenting to a pediatric facility
M S Jay1, C J Graham, C Flowers
1Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock.
Adolescence
|January 1, 1989
Summary
This study examined adolescent suicide attempters in a pediatric emergency room (ER). Findings reveal episodic care and highlight the need for comprehensive programs for suicidal youth.
Area of Science:
- Pediatric Emergency Medicine
- Adolescent Psychiatry
- Suicidology
Background:
- Adolescent suicide attempts represent a significant public health concern.
- Understanding the characteristics and treatment of suicidal adolescents in emergency settings is crucial.
Purpose of the Study:
- To profile adolescent suicide attempters treated in a pediatric emergency room (ER).
- To analyze the treatment and care plans provided to these patients.
- To identify gaps in care and advocate for improved comprehensive programs.
Main Methods:
- Retrospective chart review of 4,072 adolescents seen in a children's hospital (CH) ER.
- Identification of 27 adolescents with deliberate self-injury.
- Analysis of patient demographics, methods of attempt, ER disposition, hospital consultations, and discharge plans.
Main Results:
- The average age of attempters was 14 years 7 months, with 78% being female.
- Ingestion was the most common method (78%), followed by hanging (11%).
- 59% were admitted to the CH, with 52% referred to outpatient counseling and 11% having no documented plan.
Conclusions:
- Evaluation and care for suicidal adolescents in pediatric facilities can be episodic.
- There is a demonstrated need for a comprehensive, integrated program to address adolescent suicidality.
- Improved continuity of care and follow-up planning are essential for this vulnerable population.