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The Assault-Injured Youth and the Emergency Medical System: What Can We Do?
This article reviews the prevalence and impact of interpersonal violence on our young patients, offers a suggested management approach to assault-injured children and adolescents who visit the emergency department, and reviews multidisciplinary outpatient programs for which the emergency department practitioners can advocate within their medical and social services systems. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - March 1, 2013 Category: Emergency Medicine Authors: Joel A. Fein, Cynthia J. Mollen, Michael B. Greene Source Type: research

Childhood Traumatic Stress and the Emergency Department Visit
In 2008, 45.4 million injured youth were treated in an emergency department (ED) in the United States, most (87.4%) released after treatment. Many of these youth present with significant emotional distress with approximately 20% at risk for posttraumatic stress disorder and other posttrauma-related psychiatric issues. While performing their primary medical functions, ED personnel can also provide psychological support and stabilization that can promote psychological recovery and prevent the onset of posttraumatic difficulties. In addition, the provision of psychoeducation to caregivers and youth about typical posttraumatic...
Source: Clinical Pediatric Emergency Medicine - March 1, 2013 Category: Emergency Medicine Authors: Steven J. Berkowitz, Joel A. Fein Source Type: research

Self-Reported Recent Life Stressors and Risk of Suicide in Pediatric Emergency Department Patients
Emergency departments (EDs) are important venues for detecting youth at risk for suicide. Children and adolescents who present to the ED and report a recent life stressor, such as stressors related to interpersonal relationships, may be at elevated risk for suicide. Using data from 3 large, urban pediatric EDs, we examined the relationship between reported recent life stressors and suicide risk, as measured by the Suicidal Ideation Questionnaire. Overall, youth who reported a recent life stressor were at elevated risk for suicide. Importantly, however, this finding was tempered by the fact that 20% of youth who screened po...
Source: Clinical Pediatric Emergency Medicine - March 1, 2013 Category: Emergency Medicine Authors: Ian H. Stanley, Deborah J. Snyder, Sarah Westen, Elizabeth D. Ballard, Stephen J. Teach, Suad Kapetanovic, Elizabeth A. Wharff, Jeffrey A. Bridge, Katherine Ginnis, Maryland Pao, Lisa M. Horowitz Source Type: research

Enhanced Mental Health Interventions in the Emergency Department: Suicide and Suicide Attempt Prevention
This article describes the Family Intervention for Suicide Prevention (FISP). Designed for use in emergency settings, the FISP is a family-based cognitive behavior therapy session designed to increase motivation for follow-up treatment, support, coping, and safety, augmented by care linkage telephone contacts after discharge. In a randomized trial of the intervention, the FISP was shown to significantly increase the likelihood of youths receiving outpatient treatment, including psychotherapy and combined medication and psychotherapy. The FISP is a brief, focused, efficacious treatment that can be delivered in the ED to imp...
Source: Clinical Pediatric Emergency Medicine - March 1, 2013 Category: Emergency Medicine Authors: Jennifer L. Hughes, Joan R. Asarnow Source Type: research

Asking Youth Questions About Suicide Risk in the Pediatric Emergency Department: Results From a Qualitative Analysis of Patient Opinions
The emergency department (ED) is a promising setting to screen youth for suicide risk. Patient reactions to questions about suicidal thoughts and behaviors during their ED visit have implications for how screening is introduced, developed, and implemented. The current study is a qualitative investigation into patient opinions about screening for suicide risk in the ED. As part of a subset of a multisite study, 165 participants, 10 to 21 years old, were included in this subanalysis. Ninety percent of participants supported suicide risk screening. Reasons youth supported screening included prevention of suicide, detection of...
Source: Clinical Pediatric Emergency Medicine - March 1, 2013 Category: Emergency Medicine Authors: Elizabeth D. Ballard, Ian H. Stanley, Lisa M. Horowitz, Elizabeth A. Cannon, Maryland Pao, Jeffrey A. Bridge Source Type: research

Management of the Suicidal Pediatric Patient: An Emergency Medicine Problem
This article will discuss the epidemiology of suicide in children and provide the emergency physician a framework from which to evaluate and manage children who are acutely suicidal. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - March 1, 2013 Category: Emergency Medicine Authors: Jacqueline Grupp-Phelan, Sergio V. Delgado Source Type: research

Emergency Department Screening for Adolescent Mental Health Disorders: The Who, What, When, Where, Why, and How It Could and Should Be Done
Mental health problems are a significant cause of morbidity and mortality among pediatric populations. Screening for mental health can result in earlier identification and increase treatment and improve outcomes. The emergency department (ED) is an ideal site for such screening. Pediatric ED patients are known to be at higher risk for mental health problems. For many, an ED visit is one of the few opportunities to identify and intervene with these children and adolescents. A number of brief, efficient screening instruments have been developed for the ED setting. Screening for mental health problems is both feasible and acc...
Source: Clinical Pediatric Emergency Medicine - March 1, 2013 Category: Emergency Medicine Authors: Thomas H. Chun, Susan J. Duffy, James G. Linakis Source Type: research

An Evolving Crisis in Pediatric Emergency Care
Over the past decade, mental health problems in children presenting to the emergency department (ED) have continued to increase. Lack of access to mental health providers, long waiting times for mental health evaluation for even the highest risk children, inability to pay for care, and insufficient capacity of child and youth mental health providers have all contributed to the burden. The role of the emergency physician in caring for these children has been evolving as health systems take on the perspective of population health through assumption of risk under accountable care structures. The importance of taking advantage...
Source: Clinical Pediatric Emergency Medicine - March 1, 2013 Category: Emergency Medicine Authors: Jacqueline Grupp-Phelan, Jeffrey Bridge Tags: Guest Editors' Preface Source Type: research

Editorial Board
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - March 1, 2013 Category: Emergency Medicine Source Type: research

Table of Contents
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - March 1, 2013 Category: Emergency Medicine Source Type: research