Emergency Department Youth Patients With Suicidal Ideation or Attempts: Predicting Suicide Attempts Through 18 Months of Follow‐Up |
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| Authors: | Joan Rosenbaum Asarnow PhD Michele Berk PhD Lily Zhang MS Peter Wang BA Lingqi Tang PhD |
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| Affiliation: | 1. Semel Institute of Neuroscience & Human Behavior, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA;2. Stanford University School of Medicine, Stanford, CA, USA |
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| Abstract: | This prospective study of suicidal emergency department (ED) patients (ages 10–18) examined the timing, cumulative probability, and predictors of suicide attempts through 18 months of follow‐up. The cumulative probability of attempts was as follows: .15 at 6 months, .22 at 1 year, and .24 by 18 months. One attempt was fatal, yielding a death rate of .006. Significant predictors of suicide attempt risk included a suicide attempt at ED presentation (vs. suicidal ideation only), nonsuicidal self‐injurious behavior, and low levels of delinquent symptoms. Results underscore the importance of both prior suicide attempts and nonsuicidal self‐harm as risk indicators for future and potentially lethal suicide attempts. |
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