Lightning Learning: Suicidal Risk in Kids
STOP!
Between 2010-2017 there has been a 67% increase in suicides by teenagers (<19 years old).
There were 182 deaths in 2017.*
Today 25% of young people have suicidal thoughts at some point.**
Therefore, we are seeing an increase in presentations to the Emergency Department.
Suicidal thoughts may have triggers, e.g depression, low self-esteem, alcohol/drug use, future prospects. Or they may not.
Social circumstances are important. HEEADSSS is a good way to ask about this.
Persistent psychological stress can trigger a mental health crisis.
LOOK
These patients ALWAYS need to be seen by the mental health team prior to discharge.***
Risk factors to consider:
Sex: Male sex (increases risk)
Age: <19 (15-19 are highest risk)
Depression (may be subtle)
Previous self harm/suicide attempts
Excess alcohol/substance use
Rational loss of thinking
Social support lacking
Organised plan (written or otherwise)
Negligent parenting, family stress
School problems
Refer to the local safeguarding team, as per your local policies.
LEARN
- Office of National Statistics* (UK)
- Young Minds: Suicidal Feelings**
- Mental Health in Emergency Departments Guidance* (RCEM)
Further Reading
- Depression in Children (NICE)
- HEEADSSS Assessment (EM3)
