a-rapid-review-of-emergency-department-interventions-for-children-and-young-people-presenting-with-suicidal-ideation.pdf (622.97 kB)
A rapid review of emergency department interventions for children and young people presenting with suicidal ideation
Version 2 2023-06-12, 07:40
Version 1 2023-06-10, 02:32
journal contribution
posted on 2023-06-12, 07:40 authored by Farazi Virk, Julie Waine, Clio BerryClio BerryBackground Suicidal ideation is an increasingly common presentation to the paediatric emergency department. The presence of suicidal ideation is linked to acute psychiatric hospital admission and increased risk of suicide. The paediatric emergency department plays a critical role in reducing risk of suicide, strengthening protective factors and encouraging patient engagement with ongoing care. Aims This rapid review aims to synthesise evidence on interventions that can be implemented in the paediatric emergency department for children and adolescents presenting with suicidal ideation. Method Six electronic databases were searched for studies published since January 2010: PubMed, Web of Science, Medline, PsycINFO, CINAHL and Cochrane. Outcomes of interest included suicidal ideation, engagement with out-patient services, incidence of depressive symptoms, hopelessness, family empowerment, hospital admission and feasibility of interventions. The Cochrane risk-of-bias tool was used to evaluate the quality of studies. Results Six studies of paediatric emergency department-initiated family-based (n = 4) and motivational interviewing interventions (n = 2) were narratively reviewed. The studies were mainly small and of varying quality. The evidence synthesis suggests that both types of intervention, when initiated by the paediatric emergency department, reduce suicidal ideation and improve patient engagement with out-patient services. Family-based interventions also showed a reduction in suicidality and improvement in family empowerment, hopelessness and depressive symptoms. Conclusions Paediatric emergency department-initiated interventions are crucial to reduce suicidal ideation and risk of suicide, and to enhance ongoing engagement with out-patient services. Further research is needed; however, family-based and motivational interviewing interventions could be feasibly and effectively implemented in the paediatric emergency department setting.
History
Publication status
- Published
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- Published version
Journal
BJPsych OpenISSN
2056-4724Publisher
Cambridge University PressExternal DOI
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2Volume
8Page range
1-13Article number
a56Department affiliated with
- Primary Care and Public Health Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2022-02-04First Open Access (FOA) Date
2022-03-07First Compliant Deposit (FCD) Date
2022-02-04Usage metrics
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