Pediatric emergency medicine trisk 4187 4187
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TABLE 126.21
PREVENTION OF CHILDHOOD AND ADOLESCENT SUICIDE:
WARNING SIGNS FOR PARENTS
Withdrawal (peers, parents, siblings)
Somatic complaints
Irritability
Crying
Diminished school performance
Sad or anxious appearance
Significant loss (rejection by peer group, breakup of romance, poor grades,
failure to achieve important goal)
Major event or change within family
Casual mention of suicide or being “better off dead”
Explicit suicide threat
Giving away of possessions
Abrupt improvement in mood (which may represent relief upon deciding
to carry out suicidal act)
Minor, seemingly unimportant suicide “gestures”
Apparent “accidents”
Other unusual behavior pattern—housebound behavior, breaking curfew,
running away, drug or alcohol abuse, bizarre or antisocial actions
DEPRESSION
Goals of Treatment
The goals of emergency treatment of the depressed pediatric patient are to
establish a safe and appropriate disposition plan and to provide brief
psychoeducational and therapeutic interventions to the patient and their
family.
CLINICAL PEARLS AND PITFALLS
