title: Reducing Suicide Risk: Challenges and Opportunities in the Emergency Department.
abstract: Emergency departments (ED) are prime locations for identifying individuals at high risk of suicide and for making life-saving interventions. In an ideal scenario, all ED patients at risk of suicide could be identified and connected with effective, feasible interventions, and this would occur in a supportive system not overburdened by screening or assessment requirements. In this review, we focus on challenges to achieving this ideal--along with potential solutions--at the level of patients, providers, the ED environment, and the larger health care system.
authors.affiliation: Department of Emergency Medicine, University of Colorado School of Medicine, Denver, CO.
authors.forename: Marian E
authors.initials: ME
authors.lastname: Betz
authors.affiliation: Department of Psychiatry and Human Behavior, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.
authors.forename: Matthew
authors.initials: M
authors.lastname: Wintersteen
authors.affiliation: Departments of Emergency Medicine, Psychiatry, and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA.
authors.forename: Edwin D
authors.initials: ED
authors.lastname: Boudreaux
authors.affiliation: Department of Psychiatry, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA.
authors.forename: Gregory
authors.initials: G
authors.lastname: Brown
authors.affiliation: Center for the Study of the Prevention of Injury, Violence, and Suicide, Waltham, MA; Suicide Prevention Resource Center, Education Development Center, Inc., Waltham, MA.
authors.forename: Lisa
authors.initials: L
authors.lastname: Capoccia
authors.affiliation: Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa, FL.
authors.forename: Glenn
authors.initials: G
authors.lastname: Currier
authors.affiliation: Suicide Prevention Resource Center, Education Development Center, Inc., Waltham, MA.
authors.forename: Julie
authors.initials: J
authors.lastname: Goldstein
authors.affiliation: Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI.
authors.forename: Cheryl
authors.initials: C
authors.lastname: King
authors.affiliation: Center for Behavioral Health, Cape Cod Hospital, Hyannis, MA.
authors.forename: Anne
authors.initials: A
authors.lastname: Manton
authors.affiliation: Department of Psychiatry, Columbia University Medical Center, and New York State Psychiatric Institute, New York, NY.
authors.forename: Barbara
authors.initials: B
authors.lastname: Stanley
authors.affiliation: American Foundation for Suicide Prevention, New York, NY.
authors.forename: Christine
authors.initials: C
authors.lastname: Moutier
authors.affiliation: American Foundation for Suicide Prevention, New York, NY. Electronic address: JHarkavyFriedman@afsp.org.
authors.forename: Jill
authors.initials: J
authors.lastname: Harkavy-Friedman
mesh_terms: D004636:Emergency Service, Hospital; D006801:Humans; D008403:Mass Screening; D012307:Risk Factors; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000517:prevention & control / Q000523:psychology; D000092864:Suicide Prevention