LETHAL MEANS ACCESS AND ASSESSMENT AMONG SUICIDAL EMERGENCY DEPARTMENT PATIENTS.

Abstract:

BACKGROUND:Reducing access to lethal means (especially firearms) might prevent suicide, but counseling of at-risk individuals about this strategy may not be routine. Among emergency department (ED) patients with suicidal ideation or attempts (SI/SA), we sought to describe home firearm access and examine ED provider assessment of access to lethal means. METHODS:This secondary analysis used data from the Emergency Department Safety Assessment and Follow-up Evaluation, a three-phase, eight-center study of adult ED patients with SI/SA (2010-2013). Research staff surveyed participants about suicide-related factors (including home firearms) and later reviewed the ED chart (including documented assessment of lethal means access). RESULTS:Among 1,358 patients with SI/SA, 11% (95% CI: 10-13%) reported ≥1 firearm at home; rates varied across sites (range: 6-26%) but not over time. On chart review, 50% (95% CI: 47-52%) of patients had documentation of lethal means access assessment. Frequency of documented assessment increased over study phases (40-60%, P < .001) but was not associated with state firearm ownership rates. Among the 337 (25%, 95% CI: 23-27%) patients discharged to home, 55% (95% CI: 49-60%) had no documentation of lethal means assessment; of these, 13% (95% CI: 8-19%; n = 24) actually had ≥1 firearm at home. Among all those reporting ≥1 home firearm to study staff, only half (50%, 95% CI: 42-59%) had provider documentation of assessment of lethal means access. CONCLUSIONS:Among these ED patients with SI/SA, many did not have documented assessment of home access to lethal means, including patients who were discharged home and had ≥1 firearm at home.

journal_name

Depress Anxiety

journal_title

Depression and anxiety

authors

Betz ME,Miller M,Barber C,Beaty B,Miller I,Camargo CA Jr,Boudreaux ED

doi

10.1002/da.22486

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

502-11

issue

6

eissn

1091-4269

issn

1520-6394

journal_volume

33

pub_type

杂志文章
  • Adult mental health outcomes of adolescent depression: A systematic review.

    abstract:BACKGROUND:Adolescent depression may increase risk for poor mental health outcomes in adulthood. The objective of this study was to systematically review the literature on the association between adolescent depression and adult anxiety and depressive disorders as well as suicidality. METHODS:EMBASE, MEDLINE, and PSYCi...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,评审

    doi:10.1002/da.22777

    authors: Johnson D,Dupuis G,Piche J,Clayborne Z,Colman I

    更新日期:2018-08-01 00:00:00

  • Quality of web-based information on social phobia: a cross-sectional study.

    abstract::The objective of the study is to evaluate the quality of web-based information on social phobia and to investigate particular quality indicators. Two keywords, "Social phobia" and "Social Anxiety Disorder", were entered into five popular World Wide Web search engines. Websites were assessed with a standardized proform...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.20381

    authors: Khazaal Y,Fernandez S,Cochand S,Reboh I,Zullino D

    更新日期:2008-01-01 00:00:00

  • Executive control of attention in individuals with contamination-related obsessive-compulsive symptoms.

    abstract:BACKGROUND:In this study, we examined executive control of attention in individuals with contamination-related obsessive-compulsive (OC) symptoms using a modified version of the Eriksen flanker task. The task indexes one's ability to resolve attentional conflict between different responses and to ignore task distracter...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.20703

    authors: Najmi S,Hindash AC,Amir N

    更新日期:2010-09-01 00:00:00

  • Cortisol awakening response in adolescents with acute sexual abuse related posttraumatic stress disorder.

    abstract:BACKGROUND:Little is known regarding changes in the hypothalamic-pituitary-adrenal axis (HPA axis) of adolescent girls with and without posttraumatic stress disorder (PTSD) who have recently experienced sexual abuse. Therefore, in this pilot study, we utilized non-stressed home saliva collection three times a day for t...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.22154

    authors: Keeshin BR,Strawn JR,Out D,Granger DA,Putnam FW

    更新日期:2014-02-01 00:00:00

  • IDENTIFYING PANIC DISORDER SUBTYPES USING FACTOR MIXTURE MODELING.

    abstract:BACKGROUND:The clinical presentation of panic disorder (PD) is known to be highly heterogeneous, complicating research on its etiology, neurobiological pathways, and treatment. None of the attempts to identify PD subtypes have been independently reproduced, rendering the current literature inconclusive. METHODS:Using ...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.22379

    authors: Pattyn T,Van Den Eede F,Lamers F,Veltman D,Sabbe BG,Penninx BW

    更新日期:2015-07-01 00:00:00

  • The role of early adverse experience and adulthood stress in the prediction of neuroendocrine stress reactivity in women: a multiple regression analysis.

    abstract::Sensitization of stress-responsive neurobiological systems as a possible consequence of early adverse experience has been implicated in the pathophysiology of mood and anxiety disorders. In addition to early adversities, adulthood stressors are also known to precipitate the manifestation of these disorders. The presen...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.10015

    authors: Heim C,Newport DJ,Wagner D,Wilcox MM,Miller AH,Nemeroff CB

    更新日期:2002-01-01 00:00:00

  • Detection and distraction effects for threatening information in social phobia and change after treatment.

    abstract::This work examines differences in the detection and distraction by social-threat-related information between a social phobia group (SP; N=33) and a normal control group (NC; N=32). The change obtained after psychological treatment is also studied for the SP group. A paper-and-pencil visual search task is used, in whic...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.20269

    authors: Baños RM,Quero S,Botella C

    更新日期:2008-01-01 00:00:00

  • Are obsessive-compulsive symptom dimensions familial in nonclinical individuals?

    abstract:BACKGROUND:Obsessive-compulsive disorder (OCD) is a heterogeneous condition, which can be expressed as various potentially overlapping symptom dimensions. In clinical samples, some of these dimensions are associated with increased familial risk for OCD and appear to be familial (intercorrelated within pairs of affected...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.20606

    authors: Taberner J,Fullana MA,Caseras X,Pertusa A,Bados A,van den Bree M,Torrubia R,Mataix-Cols D

    更新日期:2009-01-01 00:00:00

  • TRAUMA EXPOSURE AND RISK OF SUICIDAL IDEATION AMONG ETHNICALLY DIVERSE ADULTS.

    abstract:BACKGROUND:Little is known about the association between trauma exposure and suicidal ideation across racial/ethnic groups. Our study aim was to determine the association between trauma exposure and suicidal ideation in a nationally representative ethnically diverse sample of adults. METHODS:This study included 14,866...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.22485

    authors: Beristianos MH,Maguen S,Neylan TC,Byers AL

    更新日期:2016-06-01 00:00:00

  • Comorbidity in hoarding disorder.

    abstract:BACKGROUND:Hoarding Disorder (HD) is currently under consideration for inclusion as a distinct disorder in DSM-5 (1). Few studies have examined comorbidity patterns in people who hoard, and the ones that have suffer from serious methodological shortcomings including drawing from populations already diagnosed with obses...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.20861

    authors: Frost RO,Steketee G,Tolin DF

    更新日期:2011-10-03 00:00:00

  • The role of psychiatric, cardiometabolic, and musculoskeletal comorbidity in the recurrence of depression-related work disability.

    abstract:BACKGROUND:Comorbid psychiatric disorders, cardiovascular disease, chronic hypertension, diabetes, and musculoskeletal disorders are highly prevalent in depression. However, the extent to which these conditions affect the recurrence of depression-related work disability is unknown. The specific aims of the study were t...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.22286

    authors: Ervasti J,Vahtera J,Pentti J,Oksanen T,Ahola K,Kivekäs T,Kivimäki M,Virtanen M

    更新日期:2014-09-01 00:00:00

  • Megestrol attenuates the hormonal response to CCK-4-induced panic attacks.

    abstract::Progestational hormones may have anxiolytic properties. CCK-4 (cholecystokinin tetrapeptide) can be used pharmacologically to induce panic attacks both in normal controls and patients suffering from panic disorder. In this study we compared the effects of pretreatment with the progestational hormone megestrol and plac...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/da.20147

    authors: Raedler TJ,Jahn H,Goedeken B,Gescher DM,Kellner M,Wiedemann K

    更新日期:2006-01-01 00:00:00

  • Social anxiety (phobia) and east Asian culture.

    abstract::Since the introduction of the concept of social anxiety (or phobia) to the American nosological system in DSM-III (1980), it has become increasingly apparent that the condition is also prevalent in other cultures. In Japan, for example, the condition, called taijinkyofusho (usually abbreviated as TKS in English), is w...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,评审

    doi:10.1002/(sici)1520-6394(1997)5:3<115::aid-da1>3.0.

    authors: Chang SC

    更新日期:1997-01-01 00:00:00

  • Childhood maltreatment and social anxiety disorder: implications for symptom severity and response to pharmacotherapy.

    abstract:BACKGROUND:Childhood maltreatment has been associated with symptom severity, reduced quality of life, and impaired functioning in adults with social anxiety disorder (SAD). No study has investigated how childhood maltreatment impacts pharmacotherapy outcomes in this population, despite evidence for such a link in depre...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.20909

    authors: Bruce LC,Heimberg RG,Blanco C,Schneier FR,Liebowitz MR

    更新日期:2012-02-01 00:00:00

  • Does elimination of placebo responders in a placebo run-in increase the treatment effect in randomized clinical trials? A meta-analytic evaluation.

    abstract::The use of a placebo run-in phase, in which placebo responders are withdrawn from a study before random assignment to treatment condition, has been criticized as favoring the active treatment in clinical trials. We compared the effect size of randomized, placebo-controlled clinical trials (in the treatment of depressi...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,meta分析

    doi:10.1002/da.10134

    authors: Lee S,Walker JR,Jakul L,Sexton K

    更新日期:2004-01-01 00:00:00

  • Symptom profiles of late-life anxiety and depression: The influence of migration, religion and loneliness.

    abstract:OBJECTIVE:To examine (1) clinically relevant anxiety with comorbid depression in an older population, and the presentation of subthreshold symptoms; (2) to assess anxiety and levels of comorbid depression associated with migration, religion, loneliness and long-term illness. METHODS:Analysis of Wave 1 of The Irish Lon...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.22893

    authors: Curran E,Rosato M,Cooper J,Mc Garrigle CA,Leavey G

    更新日期:2019-09-01 00:00:00

  • Genetics of anxiety disorders: the complex road from DSM to DNA.

    abstract::Anxiety disorders are among the most common psychiatric disorders, affecting one in four individuals over a lifetime. Although our understanding of the etiology of these disorders is incomplete, familial and genetic factors are established risk factors. However, identifying the specific casual genes has been difficult...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,评审

    doi:10.1002/da.20623

    authors: Smoller JW,Block SR,Young MM

    更新日期:2009-01-01 00:00:00

  • Face-to-face versus remote administration of the Montgomery-Asberg Depression Rating Scale using videoconference and telephone.

    abstract::Although the use of telemedicine in psychiatry has a long history in providing clinical care to patients, its use in clinical trials research has not yet been commonly employed. Telemedicine allows for the remote assessment of study patients, which could be done by a centralized, highly calibrated, and impartial cohor...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.20392

    authors: Kobak KA,Williams JB,Jeglic E,Salvucci D,Sharp IR

    更新日期:2008-01-01 00:00:00

  • A longitudinal study of women's depression symptom profiles during and after the postpartum phase.

    abstract:BACKGROUND:An issue of critical importance for psychiatry and women's health is whether postpartum depression (PPD) represents a unique condition. The Diagnostic and Statistical Manual of Mental Disorders asserts that major depressive disorder (MDD) may present with peripartum onset, without suggesting any other differ...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.22719

    authors: Fox M,Sandman CA,Davis EP,Glynn LM

    更新日期:2018-04-01 00:00:00

  • Long-term efficacy of repeated daily prefrontal transcranial magnetic stimulation (TMS) in treatment-resistant depression.

    abstract:BACKGROUND:A few studies have examined the durability of transcranial magnetic stimulation (TMS) antidepressant benefit once patients remitted. This study examined the long-term durability of clinical benefit from TMS using a protocol-specified TMS taper and either continuation pharmacotherapy or naturalistic follow-up...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1002/da.21967

    authors: Mantovani A,Pavlicova M,Avery D,Nahas Z,McDonald WM,Wajdik CD,Holtzheimer PE 3rd,George MS,Sackeim HA,Lisanby SH

    更新日期:2012-10-01 00:00:00

  • Computational model of obsessive-compulsive disorder: examination of etiologic hypothesis and treatment strategies.

    abstract::Research has shown that obsessive compulsive disorder (OCD) is related to structural and functional abnormalities in the brain, and several authors have organized these findings into theories of OCD neuropsychiatric dysfunction. In this paper, these theories were used to develop a neural network model of OCD. OCD symp...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/(sici)1520-6394(1998)8:3<91::aid-da1>3.0.c

    authors: Ownby RL

    更新日期:1998-01-01 00:00:00

  • Biological and symptom changes in posttraumatic stress disorder treatment: a randomized clinical trial.

    abstract:BACKGROUND:Understanding cognitive and biological mechanisms of PTSD treatment can help refine treatments and increase rates of response. METHODS:Thirty-six veterans with PTSD were randomly assigned to receive Prolonged exposure therapy (PE) or Present-Centered therapy (PCT). We examined symptoms, trauma-related cogni...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/da.22331

    authors: Rauch SA,King AP,Abelson J,Tuerk PW,Smith E,Rothbaum BO,Clifton E,Defever A,Liberzon I

    更新日期:2015-03-01 00:00:00

  • The interaction of 5-HTT variation, recent stress, and resilience on current anxiety levels in adolescents and young adults from the general population.

    abstract:BACKGROUND:Previous work on gene-environment (GxE) interplay concerning anxiety has focused on the interaction of 5-HTTLPR with childhood adversities or traumatic events whereas the impact of recent stressors is understudied, as is the integration of resilience. The current study aimed to investigate the interactive ef...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.23101

    authors: Ollmann TM,Voss C,Venz J,Seidl E,Hoyer J,Kische H,Pieper L,Schiele MA,Domschke K,Beesdo-Baum K

    更新日期:2020-10-14 00:00:00

  • Attention bias to threat faces in severe mood dysregulation.

    abstract:BACKGROUND:We used a dot-probe paradigm to examine attention bias toward threat (i.e., angry) and happy face stimuli in severe mood dysregulation (SMD) versus healthy comparison (HC) youth. The tendency to allocate attention to threat is well established in anxiety and other disorders of negative affect. SMD is charact...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.22145

    authors: Hommer RE,Meyer A,Stoddard J,Connolly ME,Mogg K,Bradley BP,Pine DS,Leibenluft E,Brotman MA

    更新日期:2014-07-01 00:00:00

  • Symptoms of anxiety in depression: assessment of item performance of the Hamilton Anxiety Rating Scale in patients with depression.

    abstract:BACKGROUND:Although diagnostically dissociable, anxiety is strongly co-morbid with depression. To examine further the clinical symptoms of anxiety in major depressive disorder (MDD), a non-parametric item response analysis on "blinded" data from four pharmaceutical company clinical trials was performed on the Hamilton ...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.20435

    authors: Vaccarino AL,Evans KR,Sills TL,Kalali AH

    更新日期:2008-01-01 00:00:00

  • Sleep, circadian rhythm, and physical activity patterns in depressive and anxiety disorders: A 2-week ambulatory assessment study.

    abstract:BACKGROUND:Actigraphy may provide a more valid assessment of sleep, circadian rhythm (CR), and physical activity (PA) than self-reported questionnaires, but has not been used widely to study the association with depression/anxiety and their clinical characteristics. METHODS:Fourteen-day actigraphy data of 359 particip...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.22949

    authors: Difrancesco S,Lamers F,Riese H,Merikangas KR,Beekman ATF,van Hemert AM,Schoevers RA,Penninx BWJH

    更新日期:2019-10-01 00:00:00

  • Nonverbal memory dysfunction in obsessive-compulsive disorder patients with checking compulsions.

    abstract::Obsessive-compulsive disorder (OCD) is a clinically heterogeneous disorder; nonetheless, most of the previous neuropsychological studies for assessing the involvement of memory dysfunction grouped together patients with different symptoms, thereby potentially accounting for the inconsistencies of results. The goals of...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.20377

    authors: Cha KR,Koo MS,Kim CH,Kim JW,Oh WJ,Suh HS,Lee HS

    更新日期:2008-01-01 00:00:00

  • Parenting mediates the impact of maternal depression on child internalizing symptoms.

    abstract:BACKGROUND:To examine the potential mediating role of parenting behaviors in the longitudinal, bidirectional relationships between maternal depression and child internalizing symptoms (i.e. depression and anxiety). METHODS:We analyzed data from 4,581 mother-child dyads from the Fragile Families and Child Wellbeing Stu...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.22688

    authors: Kuckertz JM,Mitchell C,Wiggins JL

    更新日期:2018-01-01 00:00:00

  • Relationship between objective and subjective sleep measures in depressed patients and healthy controls.

    abstract::The purpose of this study was to correlate subjective sleep characteristics based on questionnaire response, and objective sleep EEG features based on polysomnography, in 52 patients with major depressive disorders (MDD) and 49 healthy controls. With the exception of the number of awakenings, subjective and objective ...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/(sici)1520-6394(1997)5:2<97::aid-da6>3.0.c

    authors: Armitage R,Trivedi M,Hoffmann R,Rush AJ

    更新日期:1997-01-01 00:00:00

  • Understanding the impact of complicated grief on combat related posttraumatic stress disorder, guilt, suicide, and functional impairment in a clinical trial of post-9/11 service members and veterans.

    abstract:BACKGROUND:Complicated grief (CG) is a bereavement-specific syndrome distinct from but commonly comorbid with posttraumatic stress disorder (PTSD). While bereavement is common among military personnel (Simon et al., 2018), there is little research on the impact of CG comorbidity on PTSD treatment outcomes. METHODS:To ...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/da.22911

    authors: Simon NM,Hoeppner SS,Lubin RE,Robinaugh DJ,Malgaroli M,Norman SB,Acierno R,Goetter EM,Hellberg SN,Charney ME,Bui E,Baker AW,Smith E,Kim HM,Rauch SAM

    更新日期:2020-01-01 00:00:00