Cross-sectional study of Apache adolescents (aged 13-19聽years) who attempted suicide and consented to medical chart review. Lifetime presenting problems for Indian Health Service ED visits before the index suicide attempt were extracted and coded.
A total of 1,424 ED visits from 72 Apache adolescents were extracted (median lifetime visits, n聽= 18). In the year before the attempt, 82% (n聽= 59) of participants had had an ED visit for any reason and 26% (n聽= 19) for a psychiatric reason, including suicidal thoughts or self-harm.
Service utilization data suggest that EDs are critical locations for reservation-based suicide prevention. Suicide screening for all ED patients could increase early identification and treatment of this at-risk group.