Evidence map›Paper›PMID 22211209›Full record

Trial reportPsychiatric services (Washington, D.C.)2011

An emergency department intervention for linking pediatric suicidal patients to follow-up mental health treatment.

Joan Rosenbaum Asarnow, Larry J Baraff, Michele Berk, Charles S Grob, Mona Devich-Navarro, Robert Suddath, John C Piacentini, Mary Jane Rotheram-Borus, Daniel Cohen, Lingqi Tang

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Psychiatric services (Washington, D.C.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 15 pooled it
11.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

110 citing papers in PubMed, 15 syntheses or guidelines pooled it, 245 citations in OpenAlex.

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  3. Reducing self-harm in adolescents: the RISA-IPD comprehensive synopsis.Health technology assessment (Winchester, England) · 2026
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50 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Joan Rosenbaum AsarnowDepartment of Psychiatry and Semel Institute, University of California, Los Angeles, Los Angeles, CA 90024-1759, USA. jasarnow@mednet.ucla.edu
Larry J Baraff
Michele Berk
Charles S Grob
Mona Devich-Navarro
Robert Suddath
John C Piacentini
Mary Jane Rotheram-Borus
Daniel Cohen
Lingqi Tang
Neurobehavioral Systems · USUCLA Medical Center · USJohns Hopkins University · USSanta Monica College · USUCLA Health · USUniversity of West Los Angeles · US

Funding

The Role of Social Networks in Treatment Engagement for MinoritiesP30MH082760 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WELLS, KENNETH B. · 2008 to 2012
$8.6M
2/2-Evaluation of Family Focused Treatment for Childhood DepressionR01MH082856 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ASARNOW, JOAN ROSENBAUM · 2009 to 2013
$1.8M
Family Based Intervention for Adolescent Suicide AttemptersR34MH078082 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ASARNOW, JOAN ROSENBAUM · 2007 to 2009
$626k
NIMH NIH HHS P30 MH082760NIMH NIH HHS P30MH082760NIMH NIH HHS R01 MH082856NIMH NIH HHS R34 MH078082PHS HHS CCR921708
6 · The paper itself

Abstract

objectiveSuicide is the third leading cause of death among adolescents. Many suicidal youths treated in emergency departments do not receive follow-up treatment as advocated by the National Strategy for Suicide Prevention. Two strategies for improving rates of follow-up treatment were compared.

methodsIn a randomized controlled trial, suicidal youths at two emergency departments (N=181; ages ten to 18) were individually assigned between April 2003 and August 2005 to one of two conditions: an enhanced mental health intervention involving a family-based cognitive-behavioral therapy session designed to increase motivation for follow-up treatment and safety, supplemented by care linkage telephone contacts after emergency department discharge, or usual emergency department care enhanced by provider education. Assessments were conducted at baseline and approximately two months after discharge from the emergency department or hospital. The primary outcome measure was rates of outpatient mental health treatment after discharge.

resultsIntervention patients were significantly more likely than usual care patients to attend outpatient treatment (92% versus 76%; p=.004). The intervention group also had significantly higher rates of psychotherapy (76% versus 49%; p=.001), combined psychotherapy and medication (58% versus 37%; p=.003), and psychotherapy visits (mean 5.3 versus 3.1; p=.003). Neither the emergency department intervention nor community outpatient treatment (in exploratory analyses) was significantly associated with improved clinical or functioning outcomes.

conclusionsResults support efficacy of the enhanced emergency department intervention for improving linkage to outpatient mental health treatment but underscore the need for improved community outpatient treatment to prevent suicide, suicide attempts, and poor clinical and functioning outcomes for suicidal youths treated in emergency departments.

Indexed as

Community Mental Health ServicesSuicide PreventionAdolescentAmbulatory CareChildCognitive Behavioral TherapyDepressive DisorderEmergency Service, HospitalFamily TherapyFemaleHumansMalePatient Acceptance of Health CarePatient DischargePilot ProjectsRegression Analysis

Identifiers

PMID22211209
PMCPMC3251923
OpenAlexW2170748745

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.