TY - JOUR
T1 - Self-Reported Recent Life Stressors and Risk of Suicide in Pediatric Emergency Department Patients
AU - Stanley, Ian H.
AU - Snyder, Deborah J.
AU - Westen, Sarah
AU - Ballard, Elizabeth D.
AU - Teach, Stephen J.
AU - Kapetanovic, Suad
AU - Wharff, Elizabeth A.
AU - Bridge, Jeffrey A.
AU - Ginnis, Katherine
AU - Pao, Maryland
AU - Horowitz, Lisa M.
N1 - Funding Information:
The research in this article was supported by the Intramural Research Program of the National Institutes of Health and the National Institute of Mental Health. Dr. Bridge was supported by institutional research funds from The Research Institute at Nationwide Children’s Hospital, CDC grant R01 CE-002129, and NIMH grants K01 MH-69948 and R01 MH-93552.
PY - 2013/3
Y1 - 2013/3
N2 - Emergency departments (EDs) are important venues for detecting youth at risk for suicide. Children and adolescents who present to the ED and report a recent life stressor, such as stressors related to interpersonal relationships, may be at elevated risk for suicide. Using data from 3 large, urban pediatric EDs, we examined the relationship between reported recent life stressors and suicide risk, as measured by the Suicidal Ideation Questionnaire. Overall, youth who reported a recent life stressor were at elevated risk for suicide. Importantly, however, this finding was tempered by the fact that 20% of youth who screened positive for suicide risk did not report a stressor. Thus, although the knowledge of stressors may provide useful supplementary information to a suicide risk assessment, the presence or absence of a reported stressor is not sufficient to determine one's risk of suicide. ED clinicians are advised to include direct questions about suicidal thoughts and behaviors.
AB - Emergency departments (EDs) are important venues for detecting youth at risk for suicide. Children and adolescents who present to the ED and report a recent life stressor, such as stressors related to interpersonal relationships, may be at elevated risk for suicide. Using data from 3 large, urban pediatric EDs, we examined the relationship between reported recent life stressors and suicide risk, as measured by the Suicidal Ideation Questionnaire. Overall, youth who reported a recent life stressor were at elevated risk for suicide. Importantly, however, this finding was tempered by the fact that 20% of youth who screened positive for suicide risk did not report a stressor. Thus, although the knowledge of stressors may provide useful supplementary information to a suicide risk assessment, the presence or absence of a reported stressor is not sufficient to determine one's risk of suicide. ED clinicians are advised to include direct questions about suicidal thoughts and behaviors.
KW - Emergency department
KW - Recent life stressor
KW - Suicide risk
KW - Youth
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U2 - 10.1016/j.cpem.2013.01.005
DO - 10.1016/j.cpem.2013.01.005
M3 - Article
AN - SCOPUS:84875487818
SN - 1522-8401
VL - 14
SP - 35
EP - 40
JO - Clinical Pediatric Emergency Medicine
JF - Clinical Pediatric Emergency Medicine
IS - 1
ER -