Psychiatry

Does Suicide Risk Screening…Actually Reduce Suicide?

ED Operations, Psychiatry

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Depression screening (with varying forms of intervention) reduces depression symptoms in follow up, and the screening tools are fairly accurate. Suicide screening (with various interventions) does not reduce suicidal ideation or suicide attempts and may actually increase attempts, though the evidence is very limited.

Source
Depression and Suicide Risk Screening: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2023 Jun 20;329(23):2068-2085. doi: 10.1001/jama.2023.7787.

Can Kids Get Follow-Up After Emergency Mental Health Visits?

Health Policy, Pediatrics, Psychiatry

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Among Medicaid-enrolled children, rates of outpatient follow-up after discharge from the ED for a mental health (MH) diagnosis are low, particularly for children who are Black, have fee-for-service (vs. capitated) coverage, and without previous outpatient mental health visits.

Source
Follow-up After Pediatric Mental Health Emergency Visits. Pediatrics. 2023 Mar 1;151(3):e2022057383. doi: 10.1542/peds.2022-057383.

Point-Counterpoint | IV Haloperidol is Safe for Emergency Department Use

Pain/Sedation/Procedure, Pharmacy/Pharmacology, Psychiatry

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The next couple of reviews will look at different authors making their case for why intravenous (IV) haloperidol (Haldol) should or should not be used in the emergency department setting.

Source
Haloperidol May Be Safely Administered Intravenously in the Emergency Department. Annals of Emergency Medicine. 2023;81:95-96. doi: 10.1016/j.annemergmed.2022.07.004

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