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June 2014Volume 32, Issue 6, Pages 535–540
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ED use by older adults attempting suicide☆

Mary W. Carter
x
Mary W. Carter
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Affiliations

  • College of Health Professions, Towson University, Towson, MD

Correspondence

  • Corresponding author. Office of Collaborative Programs, College of Health Professions, 8000 York Rd, Towson University, Towson, MD 21252-0001. Tel.: +1 410 704 4643; fax: +1 410 704 4965.
, PhDcorrespondence
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Mary W. Carter
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Affiliations

  • College of Health Professions, Towson University, Towson, MD

Correspondence

  • Corresponding author. Office of Collaborative Programs, College of Health Professions, 8000 York Rd, Towson University, Towson, MD 21252-0001. Tel.: +1 410 704 4643; fax: +1 410 704 4965.
,
Megan R. Reymann
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Megan R. Reymann
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Affiliations

  • Applied Gerontology Program, Towson University, Towson, MD
, BA
DOI: http://dx.doi.org/10.1016/j.ajem.2014.02.003
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Figures

Fig

Mechanism of intended self-harm among older adult ED visits.

Abstract

Objective

The objective of this study was to describe patterns of older adult patient visits to emergency departments (EDs) for self-harm and suicide-related injuries.

Methods

A retrospective, secondary data analysis of the Nationwide Emergency Department Sample was conducted. Nationally representative estimates of patient visits by older adults attempting suicide were calculated using available sampling weights. Population estimates were calculated using estimates from the US Census Bureau.

Results

Findings suggest that 22444 ED patient visits were made by adults aged 65 years and older for suicide-related injuries, representing an estimated population rate of 63 ED patient visits per 100000 adults aged 65 years and older, with nearly half of all visits involving substance use. Total ED and hospital charges exceeded $353.9 million.

Conclusions

Effort is needed to better integrate and deliver suicide screening and support services in the ED, while also connecting at-risk older adults with mental health services before and after the ED encounter.

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☆Sources of support: Data acquisition was supported by the Centers for Disease Control and Prevention (R49/CE001170).

© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
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June 2014Volume 32, Issue 6, Pages 535–540