How do you approach the psychiatric evaluation and disposition of adolescents presenting after an overdose that was not a suicide attempt?
How do you approach the psychiatric evaluation and disposition of adolescents presenting after an overdose that they say was not a suicide attempt? What factors raise concern for underlying suicide risk despite reported non-suicidal intent? When do you recommend psychiatric admission versus outpatient management?
3 Answers
Mednet MemberInvited Expert
Psychiatry · Childrens Hospital Colorado
Answered on
There is much to learn.
- If previous history of SIB, OD-likely admit.
- Known psychiatric disorder - perhaps IOP/PHP.
- What triggered the OD? For instance, breakup, argument - perhaps IOP/PHP.
- Recent traumatic event - perhaps IOP/PHP
- Family functioning: Is the family supportive, dismissive, chaotic, or...
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Mednet MemberInvited Expert
Psychiatry · Siu Psychiatry
Answered on
I agree with the answer given by Dr. @Dr. First Last. Per my experience, most teenagers who are severely depressed will deny or minimize their suicide attempt for multiple reasons. This is like how a patient with an eating disorder won't admit to their symptoms. The disposition may not be straightfo...
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Mednet Member
Psychiatry · Rancho Cucamonga
Answered on
Agree with previous statements.
High-risk features that would support admission:
- Previous attempts
- Alcohol or drug use
- Other associated diagnoses, including personality disorders
- Eating disorders
- Psychotic features
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