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Ann Emerg Med. 2016 Dec;68(6):758-765. doi: 10.1016/j.annemergmed.2016.05.030. Epub 2016 Jul 21.

Reducing Suicide Risk: Challenges and Opportunities in the Emergency Department.

Author information

1
Department of Emergency Medicine, University of Colorado School of Medicine, Denver, CO.
2
Department of Psychiatry and Human Behavior, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.
3
Departments of Emergency Medicine, Psychiatry, and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA.
4
Department of Psychiatry, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA.
5
Center for the Study of the Prevention of Injury, Violence, and Suicide, Waltham, MA; Suicide Prevention Resource Center, Education Development Center, Inc., Waltham, MA.
6
Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa, FL.
7
Suicide Prevention Resource Center, Education Development Center, Inc., Waltham, MA.
8
Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI.
9
Center for Behavioral Health, Cape Cod Hospital, Hyannis, MA.
10
Department of Psychiatry, Columbia University Medical Center, and New York State Psychiatric Institute, New York, NY.
11
American Foundation for Suicide Prevention, New York, NY.
12
American Foundation for Suicide Prevention, New York, NY. Electronic address: JHarkavyFriedman@afsp.org.

Abstract

Emergency departments (ED) are prime locations for identifying individuals at high risk of suicide and for making life-saving interventions. In an ideal scenario, all ED patients at risk of suicide could be identified and connected with effective, feasible interventions, and this would occur in a supportive system not overburdened by screening or assessment requirements. In this review, we focus on challenges to achieving this ideal--along with potential solutions--at the level of patients, providers, the ED environment, and the larger health care system.

[Indexed for MEDLINE]

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