Pediatric emergency medicine trisk 4183 4183
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The ACEP online suicide assessment and treatment tool can be accessed
at .
Management
Evaluation for Hospitalization. No universally agreed-on criteria have been
established for when to hospitalize a child with suicidal behavior and when
they can be safely managed on an outpatient basis. Garfinkel and Golombek
identified seven areas to assess to determine whether hospitalization is
indicated ( Table 126.18 ).
The degree to which the family can commit to support the child’s safety
and well-being and other resources (extended family, neighbors, peers, and
teachers) must be assessed. The decision to hospitalize the child is made
when the child’s safety is still in doubt after these questions have been
answered.
TABLE 126.16
CHILDHOOD AND ADOLESCENT SUICIDE: ASSESSING
IMPULSIVITY
Evidence of impulsive suicide attempt
History of prior impulsive behaviors
Evidence of impulsivity during interview
