Evidence map›Paper›PMID 30293842›Full record

ArticleGeneral hospital psychiatry

Emergency Department patients with suicide risk: Differences in care by acute alcohol use.

Chantel Urban, Sarah A Arias, Daniel L Segal, Carlos A Camargo, Edwin D Boudreaux, Ivan Miller, Marian E Betz

Open access · bronzeAbstract read
In one paragraph

Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 26 citations in OpenAlex.

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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

7 authors at 6 institutions in 1 country.

Chantel UrbanColorado School of Public Health, Aurora, CO, USA; Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Sarah A AriasDepartment of Psychiatry and Human Behavior, Brown University, Butler Hospital, Providence, RI, USA.
Daniel L SegalDepartment of Psychology, University of Colorado at Colorado Springs, Colorado Springs, CO, USA.
Carlos A CamargoDepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Edwin D BoudreauxDepartments of Emergency Medicine, Psychiatry, and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USA.
Ivan MillerDepartment of Psychiatry and Human Behavior, Brown University, Butler Hospital, Providence, RI, USA.
Marian E BetzDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA. Electronic address: marian.betz@ucdenver.edu.
Brown University · USColorado School of Public Health · USHarvard University · USUniversity of Colorado Colorado Springs · USUniversity of Colorado Denver · USUniversity of Massachusetts Chan Medical School · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
Physician Screening of Older Drivers: Decision Rules for Geriatric Injury PreventK23AG043123 · NIA · UNIVERSITY OF COLORADO DENVER · PI BETZ, MARIAN ELIZABETH · 2013 to 2017
$915k
Emergency Department Identification and Care of Suicidal Older AdultsR03MH107551 · NIMH · BUTLER HOSPITAL (PROVIDENCE, RI) · PI ARIAS, SARAH A · 2015 to 2016
$162k
NCRR NIH HHS UL1 RR025780NIA NIH HHS K23 AG043123NIMH NIH HHS R03 MH107551
6 · The paper itself

Abstract

objectiveTo compare Emergency Department (ED) care of suicidal patients with and without documented acute alcohol use.

methodsRetrospective chart review of randomly sampled patient visits (n = 800; January 2014 to December 2015) at an urban ED with universal screening for suicide risk. Eligible visits were by adults (18+ years) who screened positive for suicide risk at the ED visit (i.e., suicidal ideation in past two weeks or suicide attempt in past six months). Analyses compared those with and without documentation of acute alcohol use.

resultsAmong these patients with suicide risk, 19% had documented acute alcohol use (versus 43% with no use and 38% without documentation); individuals with acute alcohol use were more often male and aged 35-59 years. Overall, 62% were evaluated by a mental health professional in the ED. Individuals with acute alcohol use were significantly less likely (vs those without use) to be evaluated by a mental health professional in the ED (odds ratio 0.49, 95%CI 0.28-0.87) after adjustment for age, recent suicide ideation, current suicide plan, self-harm as a chief complaint, contact with family, and ED disposition.

conclusionsAlthough alcohol use can increase suicide risk, ED patients with acute use appear to receive less thorough suicide risk assessments.

Indexed as

Suicidal IdeationAdolescentAdultAlcoholismEmergency Service, HospitalFemaleHumansMaleMiddle AgedRetrospective StudiesRisk AssessmentSuicide, AttemptedYoung AdultAlcoholEmergency DepartmentSuicide

Identifiers

PMID30293842
PMCPMC6433543
OpenAlexW2893477788

What OpenQuestion holds

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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.