TY  - JOUR
PY  - 2019//
TI  - National study of emergency department disposition for high suicide risk geriatric patients
JO  - General hospital psychiatry
A1  - Schmutte, Timothy
A1  - Olfson, Mark
A1  - Xie, Ming
A1  - Marcus, Steven C.
SP  - 67
EP  - 70
VL  - 58
IS  - 
N2  - 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>
LA  - en
SN  - 0163-8343
UR  - http://dx.doi.org/10.1016/j.genhosppsych.2019.03.005
ID  - ref1
ER  -