0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Addressing Suicide Risk in Emergency Department Patients

Mark Olfson, MD, MPH1; Steven C. Marcus, PhD2; Jeffrey A. Bridge, PhD3
[+] Author Affiliations
1Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, New York
2Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania
3Research Institute at Nationwide Children's Hospital, Center for Innovation in Pediatric Practice, Columbus, Ohio
JAMA. 2014;312(3):298. doi:10.1001/jama.2014.7155.
Text Size: A A A
Published online

Extract

In Reply We agree with Dr Hoyer that there is ample room for improvement in the emergency care of suicidal patients and that priority should be given to research on emergency assessment and management. We further agree that screening for suicide risk, which seldom occurs in routine emergency care,1 can alert emergency staff to individuals who may be at high risk.

In a large, diagnostically mixed research sample, for example, patients who reported a history of suicidal ideation with intent and behavior on the Columbia-Suicide Severity Rating Scale were approximately 9 times more likely than those without such histories to report suicidal behavior during the following 2 months.2 Beyond screening for risk factors, clinical evaluations should focus on detecting warning signs that can serve as targets for clinical intervention such as feeling trapped, escalating drug or alcohol use, recent social withdrawal, or dramatic mood changes.3 Training emergency medicine residents in the evaluation of suicidal patients offers the potential to build their skills in identifying high-risk patients and referring them for appropriate interventions.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

July 16, 2014
David Hoyer, MD
1Department of Emergency Medicine, University of Texas Health Science Center, Houston
JAMA. 2014;312(3):297-298. doi:10.1001/jama.2014.7149.
CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Jobs
brightcove.createExperiences();