ArticleJournal of the American Geriatrics Society2017
Disparities in Treatment of Older Adults with Suicide Risk in the Emergency Department.
Article in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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Who cites it
17 citing papers in PubMed.
- Mitigating risk in psychiatric hospital care for older adults by identifying adverse events with Global Trigger Tool for psychiatric patients.The International journal of risk & safety in medicine · 2026Article
- Self-focused rumination links stressful events to depressive and anxiety symptoms in older adults with depressive symptoms: path and network analyses.Scientific reports · 2026Article
- Predicting suicide death among veterans after psychiatric hospitalization using transformer based models with social determinants and NLP.Scientific reports · 2025Article
- Factors associated with a lack of health care utilization among Veterans after a positive suicide screen in the emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023Observational
- 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
- Treating Pediatric and Geriatric Patients at Risk of Suicide in General Emergency Departments: Perspectives From Emergency Department Clinical Leaders.Annals of emergency medicine · 2021Article
- Development and validation of the Durham Risk Score for estimating suicide attempt risk: A prospective cohort analysis.PLoS medicine · 2021Article
- Understanding Vulnerability to Late-Life Suicide.Current psychiatry reports · 2021Review
- 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
- Deliberate self-harm in older adults: A national analysis of US emergency department visits and follow-up care.International journal of geriatric psychiatry · 2019Article
- Social Disconnection Among Older Adults Receiving Care in the Emergency Department.The western journal of emergency medicine · 2018Article
- 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
- Emergency Department patients with suicide risk: Differences in care by acute alcohol use.General hospital psychiatryArticle
- Suicide risk among emergency care patients: Exploring incidental risk detection during routine care.General hospital psychiatryArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
BACKGROUND/
objectiveWe described characteristics and treatment received for older (≥60 years) vs younger (<60 years) adult emergency department (ED) patients with suicide risk.
designRetrospective chart review.
settingAn ED with universal screening for suicide risk.
participantsEligible charts included a random sample of adults (≥18 years) who screened positive for suicidal ideation (SI) in past 2 weeks and/or a suicide attempt (SA) within the past 6 months. Visit dates were from May 2014 to September 2016.
resultsA total of 800 charts were reviewed, with oversampling of older adults. Of the 200 older adults sampled, fewer older adults compared to younger adults (n = 600) had a chief complaint involving psychiatric behavior (53% vs 70%) or self-harm behavior (26% vs 36%). Although a higher number of older adults (93%) had documentation of current SI compared to younger adults (79%), fewer older adults (17%) reported SA in the past 2 weeks compared to younger adults (23%). Of those with a positive suicide screen who were discharged home, less than half of older adults received a mental health evaluation during their visit (42%, 95% CI 34-52) compared to 66% (95% CI 61-70) of younger adults who met the same criteria. Similarly, fewer older, than younger, adult patients with current SI/SA received referral resources (34%; 95% CI 26-43; vs 60%; 95% CI 55-65).
conclusionsSignificantly fewer suicidal older adult patients who were discharged home received a mental health evaluation when compared to similar younger adults. These findings highlight an important area for improvement in the treatment of older adults at risk for suicide.
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