ArticleJournal of the American Geriatrics Society2016
Screening for Suicidal Thoughts and Behaviors in Older Adults in the Emergency Department.
Article in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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Who cites it
19 citing papers in PubMed, 43 citations in OpenAlex.
- The geographic identification of elevated suicide risk model: evaluating a method for examining suicide-related behaviors at the neighborhood level in Harris County, Texas.BMC public health · 2025Article
- [Ageism "in the mind" as a risk factor for suicidal ideation in old age].Zeitschrift fur Gerontologie und Geriatrie · 2025Review
- Neurobiology and medico-legal aspects of suicides among older adults: a narrative review.Frontiers in psychiatry · 2024Review
- Suicidal behaviors and associated factors among patients attending an emergency department: a facility-based cross-sectional study.BMC psychiatry · 2023Article
- Health profiles of older nursing home residents by suicidal ideation: A latent class analysis.International journal of geriatric psychiatry · 2022Article
- Article
- Factors Associated With 7-Day Follow-Up Outpatient Mental Healthcare in Older Adults Hospitalized for Suicidal Ideation, Suicide Attempt, and Self-Harm.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2022Article
- Social determinants of health and depression in adults presenting to the emergency department: Implications for family medicine.Canadian family physician Medecin de famille canadien · 2021Article
- Treating Pediatric and Geriatric Patients at Risk of Suicide in General Emergency Departments: Perspectives From Emergency Department Clinical Leaders.Annals of emergency medicine · 2021Article
- Self-Harm, Suicidal Ideation, and Attempted Suicide in Older Adults: A National Study of Emergency Department Visits and Follow-Up Care.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2020Article
- Suicide in Older Adults With and Without Known Mental Illness: Results From the National Violent Death Reporting System, 2003-2016.American journal of preventive medicine · 2020Article
- Suicidality Assessment of the Elderly With Physical Illness in the Emergency Department.Frontiers in psychiatry · 2020Article
- Deliberate self-harm in older adults: A national analysis of US emergency department visits and follow-up care.International journal of geriatric psychiatry · 2019Article
- Late-life suicide prevention strategies: current status and future directions.Current opinion in psychology · 2018Review
- Behavioral Health Needs of Older Adults in the Emergency Department.Clinics in geriatric medicine · 2018Review
- Frequency of lethal means assessment among emergency department patients with a positive suicide risk screen.Psychiatry research · 2018Article
- Modeling the Cost-Effectiveness of Interventions to Reduce Suicide Risk Among Hospital Emergency Department Patients.Psychiatric services (Washington, D.C.) · 2018Article
- Suicide risk among emergency care patients: Exploring incidental risk detection during routine care.General hospital psychiatryArticle
- National study of emergency department disposition for high suicide risk geriatric patients.General hospital psychiatryArticle
Corrections and comments
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Authors and funding
6 authors at 6 institutions in 1 country.
Funding
Abstract
objectivesTo estimate the prevalence of self-harm, suicidal ideation (SI), and suicide attempts (SA) in older adults in the emergency department (ED), including differences according to age, sex, and race and ethnicity.
designQuasi-experimental, multiphase, eight-center study with prospective review of consecutive charts during enrollment shifts (November 2011-December 2014).
settingEight EDs in seven states, all with protocols for nurses to screen every patient for suicide risk (universal screening).
participantsAdults (≥18 years) registered in the ED. MEASUREMENTS: Demographic characteristics; documented screening for self-harm, SI, or SA; and positive self-harm, SI, or SA in those with screening performed.
resultsOf 142,534 visits, 23.3% were of individuals aged 60 and older. Documented screening for self-harm, SI, or SA declined with age, from approximately 81% in younger age groups to a low of 68% in those aged 85 and older. The prevalence of positive screens for self-harm, SI, or SA also declined with age, with peaks in young and middle-age (9.0%) and reaching the lowest point after the age of 75 (1.2%).
conclusionDocumented screening for suicide risk declined with age in this large sample of individuals in the ED. Although the reason for this finding is unclear, at least part of the decline may be related to increasing rates of altered mentation or other individual-level barriers to screening in the older population. These findings support the need for more-detailed examination of the best methods for identifying-and treating-suicide risk in older adults.
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Registered trials
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