@article{ref1,
title="Changes after emergency assessment of suicidal patients: an unexpected outcome",
journal="Archives of suicide research",
year="2020",
author="Rangel-Malo, Rafael Ventura and Molina-Lopez, Alejandro and Jiménez-Tapia, Alberto and Lopez-Jimenez, Leopoldo Alejandro and Carriedo Garcia-Morato, Pilar and Gonzalez-Forteza, Catalina Francisca",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Acute Suicide Risk (ASR) is widely evaluated at Emergency Departments (ED). Little is known about follow-up of ASR after psychiatric ED evaluation, and if there are differences within No ASR (NASR) counterparts at baseline and afterwards.   METHOD: We developed a naturalistic, 3-month follow-up study of adult patients from a psychiatric ED in Mexico City. Depressive patients who asked voluntarily for an emergency consultation from July 1 to December 1, 2014, were included. We compared depression severity, suicidal ideation, adherence to treatment, and perceived social support scales both in ASR and NASR participants at baseline and follow-up interviews.   RESULTS: Participants (n = 120) were divided into ASR or NASR groups (n = 60 each). The ASR group obtained more negative scores in all scales at baseline evaluation. After three months, 85% (n = 51) of ASR and 75% (n = 45) of NASR completed the second interview. 5.21% (n = 3) of participants showed new suicidal behavior. At follow-up, the ASR group showed a higher relative response in depression scales and treatment adherence (p = 0.036), and lower scores in suicidal ideation scales than NASR group (p = 0.012). Perceived support from family was significantly higher in the NASR group (p = 0.016).   DISCUSSION: These relative higher responses in clinical scales suggest a paradoxical advantage of ASR over NASR patients, suggesting a hypothetical phenomenon similar to &quot;The Tortoise and the Hare&quot; effect. However, it is not applicable for all ASR patients. <br><br>RESULTS suggest suicidal patients experience stigma from their families. Further research and public health programs for ASR at ED should be implemented.<p /> <p>Language: en</p>",
language="en",
issn="1381-1118",
doi="10.1080/13811118.2020.1845888",
url="http://dx.doi.org/10.1080/13811118.2020.1845888"
}