Pediatric emergency medicine trisk 4185 4185
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(iii) the child is not actively suicidal or psychotic; (iv) the child can earnestly
engage in safety planning; (v) the family can take responsibility for safely
managing the child until formal psychiatric treatment is begun; and (vi)
adequate means restriction can be carried out. Before sending a family
home, the family should formulate an acceptable, concrete plan for how they
will manage the child.
Parents should be given guidelines for the prevention of suicide ( Table
126.20 ) and instruction in the early warning signs ( Table 126.21 ).
TABLE 126.18
AREAS TO ASSESS FOLLOWING A SUICIDE ATTEMPT
Social set
Intent
Method
History
Stress
Mental status
Support
TABLE 126.19
INDICATIONS FOR PSYCHIATRIC HOSPITALIZATION
FOLLOWING CHILDHOOD/ADOLESCENT SUICIDE ATTEMPT
1. Failure of rapport among physician, child, and family
2. Serious suicide attempt (lethality and intent)
3. Continuing active suicidality
4. Inability to engage in safety planning
5. Psychosis of child
6. Divisive/disturbed family, incapable of support and supervision
7. Denial of significance of suicide attempt
