Texas Children's Hospital.
The Menninger Clinic.
Pediatr Emerg Care. 2022 Mar 1;38(3):e1127-e1132. doi: 10.1097/PEC.0000000000002530.
This study examined the feasibility of screening all patients entering the ED using the Columbia-Suicide Severity Rating Scale as well as examining the rates of suicide ideation and attempts endorsed by adolescents who present at the ED.
This study used a sample of 12,113 patients between the ages of 11 and 19 years.
Results revealed that 13.5% of the participants endorsed passive suicide ideation in the month leading up to their ED visit and 11.3% of the participants reported active ideation in the prior month. Results also revealed that patients whose chief complaints were coded as psychiatric or medical trauma were more likely to endorse either active or passive suicidal ideation than other presenting problems. Patients with a psychiatric or medical trauma chief complaint were also more likely to report lifetime suicidal behavior and suicidal behavior 3 months before the ED visit.
In addition to findings, implications, feasibility, and lessons learned are discussed for other institutions or departments considering implementation of a widespread screening.Highlights:• Suicide screenings were implemented in a large pediatric emergency department.• One in 5 endorsed suicidal ideation or behavior regardless of presenting problem.• Feasibility and lessons learned are discussed for others hoping to implement a widespread screening.
本研究旨在检验对所有进入急诊部的患者使用哥伦比亚自杀严重程度评定量表进行筛查的可行性，并调查在急诊部就诊的青少年中报告自杀意念和尝试的发生率。
本研究使用了年龄在 11 至 19 岁之间的 12113 名患者的样本。
结果显示，在进入急诊部就诊前的一个月内，13.5%的参与者表示有被动自杀意念，11.3%的参与者在前一个月报告有主动意念。结果还显示，主要投诉被编码为精神科或医疗创伤的患者比其他就诊问题更有可能表示有主动或被动自杀意念。有精神科或医疗创伤主要投诉的患者也更有可能报告终生自杀行为和在急诊部就诊前 3 个月的自杀行为。
除了研究结果外，还讨论了对其他考虑实施广泛筛查的机构或部门的意义、可行性和经验教训。
在大型儿科急诊部实施了自杀筛查。
无论就诊问题如何，五分之一的人表示有自杀意念或行为。
讨论了其他希望实施广泛筛查的机构的可行性和经验教训。
