The suicidal child: assessment and management of adolescents after a suicide attempt.
It has been estimated that for each completed suicide, there are 15 to 20 nonfatal suicide attempts. A prior suicide attempt can create a major elevation in the risk of subsequent attempt. A prior suicide attempt also is a strong predictor for eventual completed suicide. Consequently, management of an adolescent who attempts suicide is important. In this article, the authors examine various issues related to suicide risk in adolescents. The article focuses on key issues that should be included in a thorough assessment of adolescents who are referred for an evaluation during a suicidal crisis. The empirical literature is used as a guide for identifying risk factors that should be monitored and managed as part of a comprehensive treatment plan.
Spirito
Anthony
A
Department of Psychiatry and Human Behavior, Brown Medical School, Box G-BH Providence, RI 02912, USA. Anthony_Spirito@brown.edu
Overholser
James
J
D000293:Adolescent; D001293:Attitude to Death; D002648:Child; D003419:Crisis Intervention; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000592:standards; D015995:Prevalence; D012737:Sex Factors; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data