@article{ref1,
title="National study of emergency department disposition for high suicide risk geriatric patients",
journal="General hospital psychiatry",
year="2019",
author="Schmutte, Timothy and Olfson, Mark and Xie, Ming and Marcus, Steven C.",
volume="58",
number="",
pages="67-70",
abstract="OBJECTIVE: To examine predictors of hospitalization among older adults at high risk for suicide treated in emergency departments (EDs). <br><br>METHODS: This retrospective cohort analysis used national 2015 Medicare claims for adults ≥65 years with ED visits for suicide ideation or deliberate self-harm (N = 50,472) merged with data from the Area Health Resource File. Rates and adjusted risk ratios (ARR) of hospital admission were assessed. <br><br>RESULTS: A majority of ED episodes resulted in hospital admission (81.9%) with most being admitted to a psychiatric unit (62.8%). Visits for self-harm with suicide ideation were most likely to result in hospitalization (94.7%) compared to suicide ideation alone (84.0%) or self-harm alone (73.1%). Current diagnosis of depression, bipolar, anxiety, cognitive, and personality disorder were associated with hospitalization. Co-occurring mental and substance use disorders were the most predictive mental health condition of admission. Overall, severity of current medical comorbidity was the strongest predictor of hospital admission. <br><br>CONCLUSIONS: Most older adults treated in EDs for suicide ideation or self-harm are hospitalized. Medical morbidity plays a more prominent role than other patient factors in admission status.<br><br>Copyright © 2019 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0163-8343",
doi="10.1016/j.genhosppsych.2019.03.005",
url="http://dx.doi.org/10.1016/j.genhosppsych.2019.03.005"
}