ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2019
Emergency Department Presentations and Youth Suicide: A Case-Control Study.
Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Research Review: Sex differences in the clinical correlates of nonsuicidal self-injury in adolescents - a systematic review.Journal of child psychology and psychiatry, and allied disciplines · 2025Pooled it
- Sex Differences in the Global Prevalence of Nonsuicidal Self-Injury in Adolescents: A Meta-Analysis.JAMA network open · 2024Pooled it
- Article
- A clinical review of acute poisoning among pediatric individuals.European journal of medical research · 2025Article
- Suicide among youth and young adults in Canada: bereaved parents' perspectives on the systems of care.International journal of mental health systems · 2025Article
- Investigating the Effect of Substance Desire and Child Abuse in Adolescent Suicide Attempt.Addiction & health · 2024Article
- Health Diagnoses and Service Utilization in the Year Before Youth and Young Adult Suicide.Psychiatric services (Washington, D.C.) · 2023Article
- Near-Fatal Self-Harm Among Canadian Adolescents.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Article
- Segmenting or Summing the Parts? A Scoping Review of Male Suicide Research in Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021Article
- Suicidal thoughts (ideation) among elite athletics (track and field) athletes: associations with sports participation, psychological resourcefulness and having been a victim of sexual and/or physical abuse.British journal of sports medicine · 2021Article
- Parents' Experience and Psychoeducation Needs When Supporting a Young Person Who Self-Harms.International journal of environmental research and public health · 2020Article
- Changing Rates of Self-Harm and Mental Disorders by Sex in Youths Presenting to Ontario Emergency Departments: Repeated Cross-Sectional Study.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2019Observational
Corrections and comments
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Authors and funding
12 authors at 9 institutions in 2 countries.
Funding
Abstract
objectiveWe estimate associations between emergency department (ED) diagnoses and suicide among youth to guide ED care.
methodThis ED-based case-control study used data from the Office of the Chief Coroner and all EDs in Ontario, Canada. Cases ( n = 697 males and n = 327 females) were aged 10 to 25 years who died by suicide in Ontario between April 2003 and March 2014, with an ED contact in the year before their death. Same-aged ED-based controls were selected during this time frame. Crude and adjusted odds ratios (aORs) and 95% confidence intervals were calculated.
resultsAmong youth diagnosed with a mental health problem at their most recent ED contact (41.9% cases, 5% controls), suicide was elevated among nonfatal self-inflicted: 'other' injuries, including hanging, strangulation, and suffocation in both sexes (aORs > 14); cut/pierce injuries in males (aOR > 5); poisonings in both sexes (aORs > 2.2); and mood and psychotic disorders in males (aORs > 1.7). Among those remaining, 'undetermined' injuries and poisonings in both sexes (aORs > 5), 'unintentional' poisonings in males (aOR = 2.1), and assault in both sexes (aORs > 1.8) were significant. At least half of cases had ED contact within 106 days.
conclusionsThe results highlight the need for timely identification and treatment of mental health problems. Among those with an identified mental health problem, important targets for suicide prevention efforts are youth with self-harm and males with mood and psychotic disorders. Among others, youth with unintentional poisonings, undetermined events, and assaults should raise concern.
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