{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:53:57Z","timestamp":1777521237228,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,10,3]],"date-time":"2018-10-03T00:00:00Z","timestamp":1538524800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000029","name":"Institute of Gender and Health","doi-asserted-by":"publisher","award":["FRN 134041"],"award-info":[{"award-number":["FRN 134041"]}],"id":[{"id":"10.13039\/501100000029","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We estimate associations between emergency department (ED) diagnoses and suicide among youth to guide ED care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>This ED-based case-control study used data from the Office of the Chief Coroner and all EDs in Ontario, Canada. Cases ( n = 697 males and n = 327 females) were aged 10 to 25 years who died by suicide in Ontario between April 2003 and March 2014, with an ED contact in the year before their death. Same-aged ED-based controls were selected during this time frame. Crude and adjusted odds ratios (aORs) and 95% confidence intervals were calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among youth diagnosed with a mental health problem at their most recent ED contact (41.9% cases, 5% controls), suicide was elevated among nonfatal self-inflicted: \u2018other\u2019 injuries, including hanging, strangulation, and suffocation in both sexes (aORs &gt; 14); cut\/pierce injuries in males (aOR &gt; 5); poisonings in both sexes (aORs &gt; 2.2); and mood and psychotic disorders in males (aORs &gt; 1.7). Among those remaining, \u2018undetermined\u2019 injuries and poisonings in both sexes (aORs &gt; 5), \u2018unintentional\u2019 poisonings in males (aOR = 2.1), and assault in both sexes (aORs &gt; 1.8) were significant. At least half of cases had ED contact within 106 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The results highlight the need for timely identification and treatment of mental health problems. Among those with an identified mental health problem, important targets for suicide prevention efforts are youth with self-harm and males with mood and psychotic disorders. Among others, youth with unintentional poisonings, undetermined events, and assaults should raise concern.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0706743718802799","type":"journal-article","created":{"date-parts":[[2018,10,3]],"date-time":"2018-10-03T22:02:59Z","timestamp":1538604179000},"page":"88-97","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["Emergency Department Presentations and Youth Suicide: A Case-Control Study"],"prefix":"10.1177","volume":"64","author":[{"given":"Anne E.","family":"Rhodes","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario"},{"name":"Institute for Clinical Evaluative Sciences, Toronto, Ontario"},{"name":"Offord Centre for Child Studies, Hamilton, Ontario"},{"name":"Department of Psychiatry and Behavioural Neuroscience Sciences, McMaster University, Hamilton, Ontario"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Sinyor","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario"},{"name":"Sunnybrook Health Sciences Centre, Toronto, Ontario"},{"name":"Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael H.","family":"Boyle","sequence":"additional","affiliation":[{"name":"Offord Centre for Child Studies, Hamilton, Ontario"},{"name":"Department of Psychiatry and Behavioural Neuroscience Sciences, McMaster University, Hamilton, Ontario"},{"name":"Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey A.","family":"Bridge","sequence":"additional","affiliation":[{"name":"Center for Suicide Prevention and Research, The Research Institute at Nationwide Children\u2019s Hospital, Columbus, OH, USA"},{"name":"Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurence Y.","family":"Katz","sequence":"additional","affiliation":[{"name":"Child and Adolescent Mental Health, Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Bethell","sequence":"additional","affiliation":[{"name":"The Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda S.","family":"Newton","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Alberta, Edmonton, Alberta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Cheung","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario"},{"name":"Sunnybrook Health Sciences Centre, Toronto, Ontario"},{"name":"Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Bennett","sequence":"additional","affiliation":[{"name":"Offord Centre for Child Studies, Hamilton, Ontario"},{"name":"Department of Psychiatry and Behavioural Neuroscience Sciences, McMaster University, Hamilton, Ontario"},{"name":"Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul S.","family":"Links","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioural Neuroscience Sciences, McMaster University, Hamilton, Ontario"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lil","family":"Tonmyr","sequence":"additional","affiliation":[{"name":"Surveillance and Epidemiology Division, Public Health Agency of Canada, Ottawa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin","family":"Skinner","sequence":"additional","affiliation":[{"name":"Surveillance and Epidemiology Division, Public Health Agency of Canada, Ottawa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,10,3]]},"reference":[{"key":"bibr1-0706743718802799","doi-asserted-by":"publisher","DOI":"10.1016\/j.chc.2017.05.002"},{"issue":"11","key":"bibr2-0706743718802799","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1007\/s11920-016-0735-9","volume":"18","author":"Babeva K Hughes JL","year":"2016","journal-title":"Curr Psychiatry 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The mental health of children and youth in Ontario: a baseline scorecard. Toronto, Ontario: Institute for Clinical Evaluative Sciences; 2015 [accessed 2017 Jun 7]. 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