Management of youth with suicidal ideation: Challenges and best practices for emergency departments

dc.contributor.authorSantillanes, Genevieve
dc.contributor.authorFoster, Ashley A.
dc.contributor.authorIshimine, Paul
dc.contributor.authorBerg, Kathleen
dc.contributor.authorCheng, Tabitha
dc.contributor.authorDeitrich, Ann
dc.contributor.authorHeniff, Melanie
dc.contributor.authorHooley, Gwen
dc.contributor.authorPulcini, Christian
dc.contributor.authorRuttan, Timothy
dc.contributor.authorSorrentino, Annalise
dc.contributor.authorWaseem, Muhammad
dc.contributor.authorSaidinejad, Mohsen
dc.contributor.departmentEmergency Medicine, School of Medicine
dc.date.accessioned2024-07-16T09:36:35Z
dc.date.available2024-07-16T09:36:35Z
dc.date.issued2024-04-03
dc.description.abstractSuicide is a leading cause of death among youth, and emergency departments (EDs) play an important role in caring for youth with suicidality. Shortages in outpatient and inpatient mental and behavioral health capacity combined with a surge in ED visits for youth with suicidal ideation (SI) and self‐harm challenge many EDs in the United States. This review highlights currently identified best practices that all EDs can implement in suicide screening, assessment of youth with self‐harm and SI, care for patients awaiting inpatient psychiatric care, and discharge planning for youth determined not to require inpatient treatment. We will also highlight several controversies and challenges in implementation of these best practices in the ED. An enhanced continuum of care model recommended for youth with mental and behavioral health crises utilizes crisis lines, mobile crisis units, crisis receiving and stabilization units, and also maximizes interventions in home‐ and community‐based settings. However, while local systems work to enhance continuum capacity, EDs remain a critical part of crisis care. Currently, EDs face barriers to providing optimal treatment for youth in crisis due to inadequate resources including the ability to obtain emergent mental health consultations via on‐site professionals, telepsychiatry, and ED transfer agreements. To reduce ED utilization and better facilitate safe dispositions from EDs, the expansion of community‐ and home‐based services, pediatric‐receiving crisis stabilization units, inpatient psychiatric services, among other innovative solutions, is necessary.
dc.eprint.versionFinal published version
dc.identifier.citationSantillanes G, Foster AA, Ishimine P, et al. Management of youth with suicidal ideation: Challenges and best practices for emergency departments. J Am Coll Emerg Physicians Open. 2024;5(2):e13141. Published 2024 Apr 3. doi:10.1002/emp2.13141
dc.identifier.urihttps://hdl.handle.net/1805/42242
dc.language.isoen_US
dc.publisherWiley
dc.relation.isversionof10.1002/emp2.13141
dc.relation.journalJournal of the American College of Emergency Physicians Open
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0
dc.sourcePMC
dc.subjectMental health
dc.subjectBehavioral health
dc.subjectPediatric emergency
dc.subjectPsychiatric emergency
dc.subjectSuicide
dc.titleManagement of youth with suicidal ideation: Challenges and best practices for emergency departments
dc.typeArticle
Files
Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Santillanes2024Management-CCBYNCND.pdf
Size:
1.44 MB
Format:
Adobe Portable Document Format
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
2.04 KB
Format:
Item-specific license agreed upon to submission
Description: