Emergency Departments Are Underutilized Sites for Suicide Prevention

Abstract

EditorialEmergency Departments Are Underutilized Sites for Suicide PreventionGregory Luke Larkin and Annette L. BeautraisGregory Luke Larkin Yale University School of Medicine, New Haven, CT, USA Search for more papers by this author and Annette L. Beautrais Yale University School of Medicine, New Haven, CT, USA University of Otago, Christchurch, New Zealand Search for more papers by this authorPublished Online:March 02, 2010https://doi.org/10.1027/0227-5910/a000001PDFView Full Text ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinkedInReddit SectionsMoreReferences Academic ED SBIRT Collaborative . (2007). The impact of screening, brief intervention, and referral for treatment on emergency department patients’ alcohol use. Annals of Emergency Medicine, 50, 699–710. First citation in articleCrossref Medline, Google Scholar Beautrais, A.L. (2003). Subsequent mortality in medically serious suicide attempts: A 5-year follow-up. Australian and New Zealand Journal of Psychiatry, 37, 595–599. First citation in articleCrossref Medline, Google Scholar Beautrais, A.L. (2004). Further suicidal behavior among medically serious suicide attempters. Suicide and Life-Threatening Behavior, 34, 1–11. First citation in articleCrossref Medline, Google Scholar Brent, D.A. , Baugher, M. , Birmaher, B. , Kolko, D.J. , Bridge, J. (2000). Compliance with recommendations to remove firearms in families participating in a clinical trial for adolescent depression. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1220–1226. First citation in articleCrossref Medline, Google Scholar Brown, G.K. , Ten Have, T. , Henriques, G.R. , Xie, S.X. , Hollander, J.E. , Beck, A.T. (2005). Cognitive therapy for the prevention of suicide attempts: A randomized controlled trial. Journal of the American Medical Association, 294, 563–570. First citation in articleCrossref Medline, Google Scholar Carter, G. , Clover, K. , Whyte, I.M. , Dawson, A.H. , D’Este, C. (2005). Postcards from the EDge project: Randomised controlled trial of an intervention using postcards to reduce repetition of hospital treated deliberate self poisoning. British Medical Journal, 331(7520), 805. First citation in articleCrossref Medline, Google Scholar Carter, G.L. , Clover, K. , Whyte, I.M. , Dawson, A.H. , D’Este, C. (2007). Postcards from the EDge: 24-month outcomes of a randomised controlled trial for hospital-treated self-poisoning. British Journal of Psychiatry, 191, 548–553. First citation in articleCrossref Medline, Google Scholar Cedereke, M. , Ojehagen, A. (2007). Formal and informal help during the year after a suicide attempt: A one-year follow-up. International Journal of Social Psychiatry, 53, 419–429. First citation in articleCrossref Medline, Google Scholar Claassen, C.A. , Larkin, G.L. (2005). Occult suicidality in an emergency department population. British Journal of Psychiatry, 186, 352–353. First citation in articleCrossref Medline, Google Scholar Crandall, C. , Fullerton-Gleason, L. , Aguero, R. , LaValley, J. (2006). Subsequent suicide mortality among emergency department patients seen for suicidal behavior. Academic Emergency Medicine, 13, 435–442. First citation in articleCrossref Medline, Google Scholar Cuijpers, P. , Schoevers, R.A. (2004). Increased mortality in depressive disorders: A review. Current Psychiatry Report, 6, 430–437. First citation in articleGoogle Scholar Donaldson, D. , Spirito, A. , Esposito-Smythers, C. (2005). Treatment for adolescents following a suicide attempt: Results of a pilot trial. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 113–120. First citation in articleCrossref Medline, Google Scholar Esposito-Smythers, C. , Spirito, A. , Uth, R. , LaChance, H. (2007). Cognitive behavioral treatment for suicidal alcohol abusing adolescents: Development and pilot testing. American Journal on Addictions, 15 (Suppl. 1), 126–130. First citation in articleCrossref, Google Scholar Fields, W.W. , Brent, R.A. , Gregory, L.L. , Catherine, A.M. , Loren, A.J. , Charlotte, Y. et al. (2001). The Emergency Medical Treatment and Labor Act as a federal health care safety net program. Academic Emergency Medicine, 8, 1064–1069. First citation in articleCrossref Medline, Google Scholar Forster, P. , King, J. (1994a). Definitive treatment of patients with serious mental disorders in an emergency service, Part I. Hospital and Community Psychiatry, 45, 867–869. First citation in articleMedline, Google Scholar Forster, P. , King, J. (1994b). Definitive treatment of patients with serious mental disorders in an emergency service, Part II. Hospital and Community Psychiatry, 45, 1177–1178. First citation in articleMedline, Google Scholar Friedman, T. , Newton, C. , Coggan, C. , Hooley, S. , Patel, R. , Pickard, M. et al. (2006). Predictors of A&E staff attitudes to self-harm patients who use self-laceration: Influence of previous training and experience. Journal of Psychosomatic Research, 60, 273–277. First citation in articleCrossref Medline, Google Scholar Gairin, I. , House, A. , Owens, D. (2003). Attendance at the accident and emergency department in the year before suicide: retrospective study. British Journal of Psychiatry, 183, 28–33. First citation in articleCrossref Medline, Google Scholar Gentilello, L.M. , Ebel, B.E. , Wickizer, T.M. , Salkever, D.S. , Rivara, F.P. (2005). Alcohol interventions for trauma patients treated in emergency departments and hospitals: A cost-benefit analysis. Annals of Surgery, 241, 541–550. First citation in articleCrossref Medline, Google Scholar Goldney, R.D. (2000). Prediction of suicide and attempted suicide. In K. Hawton, K. van, Heeringen (Eds.), The international handbook of suicide and attempted suicide (pp. 585–595). New York: Wiley. First citation in articleCrossref, Google Scholar Institute of Medicine . (2002). Reducing suicide: A national imperative. Washington, DC: National Academies Press. First citation in articleGoogle Scholar Jacobs, D.G. (1999). Guide to suicide assessment and intervention. San Francisco: HC Printing. First citation in articleGoogle Scholar Jauregui, J. , Martinez, M.L. , Rubio, G. , Santo-Domingo, J. (1999). Patients who attempted suicide and failed to attend mental health centres. European Psychiatry, 14, 205–209. First citation in articleCrossref Medline, Google Scholar King, C.A. , Kramer, A. , Preuss, L. , Kerr, D. C.R. , Weisse, L. , Venkataraman, S. (2006). Youth-Nominated Support Team for suicidal adolescents (Version 1): A randomized controlled trial. Journal of Consulting and Clinical Psychology, 74, 199–206. First citation in articleCrossref Medline, Google Scholar Kruesi, M.J. , Grossman, J. , Pennington, J.M. , Woodward, P.J. , Duda, D. , Hirsch, J.G. (1999). Suicide and violence prevention: parent education in the emergency department. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 250–255. First citation in articleCrossref Medline, Google Scholar Krug, E.G. , Dahlberg, L. , Mercy, J. , Zwi, A. , Lozano, R. (2002). World report on violence and health. Geneva: World Health Organization. First citation in articleCrossref, Google Scholar Krulee, D.A. , Hales, R.E. (1988). Compliance with psychiatric referrals from a general hospital psychiatry outpatient clinic. General Hospital Psychiatry, 10, 339–345. First citation in articleCrossref Medline, Google Scholar Kurz, A. , Moller, H.J. (1984). [Help-seeking behavior and compliance of suicidal patients]. Psychiatrische Praxis, 11(1), 6–13. First citation in articleMedline, Google Scholar Larkin, G.L. (2003). Screening for adolescent firearms-carrying: One more way to save a life. Annals of Emergency Medicine, 42, 808–810. First citation in articleCrossref Medline, Google Scholar Larkin, G.L. , Beautrais, A.L. , Gibb, S. , Laing, N. (2008). The epidemiology of presentations for suicidal ideation to the emergency department. Academic Emergency Medicine, 15(5) (Suppl. 1), S208–S209. First citation in articleGoogle Scholar Larkin, G. , Beautrais, A. , Spirito, A. , Kirrane, B. M. , Lippmann, M. J. , Milzman, D. P. (2009). Mental health and emergency medicine: A research agenda. Academic Emergency Medicine, 16, 1110–1119. First citation in articleCrossref Medline, Google Scholar Larkin, G.L. , Smith, R.P. , Beautrais, A.L. (2008). Trends in US emergency department visits for suicide attempts, 1992–2001. Crisis, 29, 73–80. First citation in articleLink, Google Scholar Mackay, N. , Barrowclough, C. (2005). Accident and emergency staff’s perceptions of deliberate self-harm: Attributions, emotions and willingness to help. British Journal of Clin Psychol, 44(Pt. 2), 255–267. First citation in articleCrossref Medline, Google Scholar Miller, T.R. , Taylor, D.M. (2005). Adolescent suicidality: Who will ideate, who will act? Suicide and Life-Threatening Behavior, 35, 425–435. First citation in articleCrossref Medline, Google Scholar Monti, K. , Cedereke, M. , Jehagen, A. (2003). Treatment attendance and suicidal behavior 1 month and 3 months after a suicide attempt: A comparison between two samples. Archives of Suicide Research, 7, 167–174. First citation in articleCrossref, Google Scholar Owens, D. , Horrocks, J. , House, A. (2002). Fatal and non-fatal repetition of self-harm. Systematic review. British Journal of Psychiatry, 181, 193–199. First citation in articleCrossref Medline, Google Scholar Posner, K. , Oquendo, M. , Gould, M. , Stanley, B. , Davies, M. (2007). Columbia Classification Algorithm of Suicide Assessment (C-CASA): Classification of suicidal events in the FDA’s pediatric suicidal risk analysis of antidepressants. American Journal of Psychiatry, 164, 1035–1043. First citation in articleCrossref Medline, Google Scholar Randell, B.P. , Eggert, L.L. , Pike, K.C. (2001). Immediate post intervention effects of two brief youth suicide prevention interventions. Suicide and Life-Threatening Behavior, 31, 41–61. First citation in articleCrossref Medline, Google Scholar Rotheram-Borus, M.J. , Piacentini, J. , Cantwell, C. , Belin, T. R. , Song, J. (2000). The 18-month impact of an emergency room intervention for adolescent female suicide attempters. Journal of Consulting and Clinical Psychology, 68, 1081–1093. First citation in articleCrossref Medline, Google Scholar Rudd, M.D. (2006). The assessment and management of suicidality. Sarasota, FL: Professional Resource Press. First citation in articleGoogle Scholar Rudd, M.D. , Rajab, M.H. , Orman, D.T. , Joiner, T. , Stulman, D.A. , Dixon, W. (1996). Effectiveness of an outpatient intervention targeting suicidal young adults: preliminary results. Journal of Consulting and Clinical Psychology, 64, 179–190. First citation in articleCrossref Medline, Google Scholar Shea, S.C. (Ed.). (2002). The practical art of suicide assessment. Hoboken, NJ: Wiley Inc. First citation in articleGoogle Scholar Stanley, B. , Brown, G.K. (2008). The safety plan treatment manual to reduce suicide risk: Veteran version. Washington, DC: United States Department of Veterans Affairs. First citation in articleGoogle Scholar Vaiva, G. , Ducrocq, F. , Meyer, P. , Mathieu, D. , Philippe, A. , Libersa, C. , Goudemand, M. (2006). Effect of telephone contact on further suicide attempts in patients discharged from an emergency department: Randomised controlled study. British Medical Journal, 332(7552), 1241–1245. First citation in articleCrossref Medline, Google Scholar Weissberg, M. (1990). The meagerness of physicians’ training in emergency psychiatric intervention. Academic Medicine, 65, 747–750. First citation in articleCrossref Medline, Google Scholar Williams, R.M. (1996). The costs of visits to emergency departments. New England Journal of Medicine, 334, 642–646. First citation in articleCrossref Medline, Google ScholarFiguresReferencesRelatedDetailsCited byWhen to discharge and when to voluntary or compulsory hospitalize? Factors associated with treatment decision after self-harmPsychiatry Research, Vol. 317Firearms Access among Pediatric Patients at Risk for Suicide4 August 2022 | Archives of Suicide Research, Vol. 16Demoralization in suicide: A systematic reviewJournal of Psychosomatic Research, Vol. 157A Systematic Review of Training Interventions for Emergency Department Providers and Psychosocial Interventions delivered by Emergency Department Providers for Patients who self-harm18 May 2022 | Archives of Suicide Research, Vol. 6Feasibility of Peer-Delivered Suicide Safety Planning in the Emergency Department: Results From a Pilot Trial3 May 2022 | Psychiatric ServicesOccupational Suicide Exposure and Impact on Mental Health: Examining Differences Across Helping Professions23 June 2020 | OMEGA - Journal of Death and Dying, Vol. 85, No. 1Psychosocial Profiles of Patients Admitted to Psychiatric Emergency Services: Results from the Signature Biobank Project20 May 2021 | The Canadian Journal of Psychiatry, Vol. 67, No. 5Emergency department psychiatric holds are linked to increased emergency department violenceEthics, Medicine and Public Health, Vol. 20Measuring Quality of Care Received by Suicide Attempters in the Emergency Department26 July 2020 | Archives of Suicide Research, Vol. 26, No. 1Self-reported Symptoms of Anxiety Predict Positive Suicide Risk Screening in Adolescents Presenting to the Emergency Department14 September 2020 | Pediatric Emergency Care, Vol. 38, No. 1Effects of psychosocial interventions among people cared for in emergency departments after a suicide attempt: a systematic review protocol5 March 2021 | Systematic Reviews, Vol. 10, No. 1Psychiatric emergency admissions during and after COVID-19 lockdown: short-term impact and long-term implications on mental health24 September 2021 | BMC Psychiatry, Vol. 21, No. 1Using the Delphi Method for Determining Key Performance Elements for Delivery of Optimal Suicide-Specific Interventions in Emergency Departments10 October 2021 | Archives of Suicide Research, Vol. 12A Trauma-Informed Approach to Youth Suicide Prevention and Intervention24 September 2021 | Evidence-Based Practice in Child and Adolescent Mental Health, Vol. 6, No. 3Saving Lives: Recognizing and Intervening with Youth at Risk for SuicideAnnual Review of Clinical Psychology, Vol. 17, No. 1A randomized, controlled trial of the safety planning intervention: Research design and methodsContemporary Clinical Trials, Vol. 103Firearm suicide mortality among emergency department patients with physical health problemsAnnals of Epidemiology, Vol. 54Impact of the COVID-19 Pandemic on Psychiatric Admissions to a Large Swiss Emergency Department: An Observational Study28 January 2021 | International Journal of Environmental Research and Public Health, Vol. 18, No. 3The Magnitude of the Problem of Psychiatric Illness Presenting in the Emergency Department5 January 2021Using a Tablet-Based App to Deliver Evidence-Based Practices for Suicidal Patients in the Emergency Department: Pilot Randomized Controlled Trial1 March 2021 | JMIR Mental Health, Vol. 8, No. 3Emergency department safety assessment and follow-up evaluation 2: An implementation trial to improve suicide preventionContemporary Clinical Trials, Vol. 95Usual Care for Emergency Department Patients Who Present with Suicide Risk: A Survey of Hospital Procedures in Washington State18 July 2019 | Archives of Suicide Research, Vol. 24, No. 3Hopelessness is associated with repeated suicidal behaviors after discharge in patients admitted to emergency departments for attempted suicideJournal of Affective Disorders, Vol. 272Demoralization and Its Relationship with Depression and Hopelessness in Suicidal Patients Attending an Emergency Department26 March 2020 | International Journal of Environmental Research and Public Health, Vol. 17, No. 7Effect of a Crisis Intervention Team for suicide attempt patients in an emergency department in Korea9 January 2019 | Hong Kong Journal of Emergency Medicine, Vol. 27, No. 2Examining the impact of emergency care settings on suicidal patients: A call to actionGeneral Hospital Psychiatry, Vol. 63Predictors of emergency department visits for suicidal ideation and suicide attemptPsychiatry Research, Vol. 285Successful Suicide Screening in the Pediatric Emergency Department: Youth, Parent, Researcher, and Clinician Perspectives23 January 2019 | Archives of Suicide Research, Vol. 24, No. sup1Screening for Suicide Risk Among Youths With a Psychotic Disorder in a Pediatric Emergency DepartmentPsychiatric Services, Vol. 71, No. 2Caring E‐mails for Military and Veteran Suicide Prevention: A Randomized Controlled Trial27 September 2019 | Suicide and Life-Threatening Behavior, Vol. 50, No. 1Association of Suicide and Other Mortality With Emergency Department Presentation13 December 2019 | JAMA Network Open, Vol. 2, No. 12An Emergency Department‐Initiated Intervention to Lower Relapse Risk after Attempted Suicide14 February 2019 | Suicide and Life-Threatening Behavior, Vol. 49, No. 6Screening and Intervention for Suicide Prevention: A Cost-Effectiveness Analysis of the ED-SAFE Interventions27 August 2019 | Psychiatric ServicesSuicide Attempt Trends in Central Texas Youth7 March 2019 | Community Mental Health Journal, Vol. 55, No. 5Community Mental Health Provider Responses to a Competency-Based Training in Suicide Risk Assessment and Prevention3 August 2018 | Community Mental Health Journal, Vol. 55, No. 2Emergency Department Presentations and Youth Suicide: A Case-Control Study3 October 2018 | The Canadian Journal of Psychiatry, Vol. 64, No. 2Emergency Department Recognition of Mental Disorders and Short-Term Risk of Repeat Self-Harm Among Young People Enrolled in Medicaid22 August 2017 | Suicide and Life-Threatening Behavior, Vol. 48, No. 6Comparison of the Safety Planning Intervention With Follow-up vs Usual Care of Suicidal Patients Treated in the Emergency DepartmentJAMA Psychiatry, Vol. 75, No. 9Les soins médicaux de jeunes hommes et de jeunes femmes qui décèdent par suicide9 November 2017 | The Canadian Journal of Psychiatry, Vol. 63, No. 3Hospital Emergency Department Lethal Means Counseling for Suicidal PatientsAmerican Journal of Preventive Medicine, Vol. 54, No. 2Chronic substance use and self-harm in a primary health care setting19 June 2018 | African Journal of Primary Health Care & Family Medicine, Vol. 10, No. 1Mental Health and Drivers of Need in Emergent and Non-Emergent Emergency Department (ED) Use: Do Living Location and Non-Emergent Care Sources Matter?13 January 2018 | International Journal of Environmental Research and Public Health, Vol. 15, No. 1PLOS ONE, Vol. 13, No. 9The Emergency DepartmentChild and Adolescent Psychiatric Clinics of North America, Vol. 26, No. 4Lesão autoprovocada em todos os ciclos da vida: perfil das vítimas em serviços de urgência e emergência de capitais do BrasilCiência & Saúde Coletiva, Vol. 22, No. 9Psychiatric Consultation and Referral of Persons Who Have Attempted SuicideThe Perspective of Heads of Emergency and Psychiatry DepartmentsMarc Roelands, Reginald Deschepper, and Johan Bilsen23 February 2017 | Crisis, Vol. 38, No. 4Detecting Suicide-Related Emergency Department Visits Among Adults Using the District of Columbia Syndromic Surveillance System10 July 2017 | Public Health Reports, Vol. 132, No. 1_supplCommunity mental health care after self-harm: A retrospective cohort study12 November 2016 | Australian & New Zealand Journal of Psychiatry, Vol. 51, No. 7The application of the interpersonal-psychological theory of suicide to a sample of Swiss patients attending a psychiatric emergency department for a non-lethal suicidal eventJournal of Affective Disorders, Vol. 210Knowledge, Self-Confidence and Attitudes towards Suicidal Patients at Emergency and Psychiatric Departments: A Randomised Controlled Trial of the Effects of an Educational Poster Campaign14 March 2017 | International Journal of Environmental Research and Public Health, Vol. 14, No. 3Identification of At-Risk Youth by Suicide Screening in a Pediatric Emergency Department27 September 2016 | Prevention Science, Vol. 18, No. 2Adolescent Admissions to Emergency Departments for Self-Injurious Thoughts and Behaviors26 January 2017 | PLOS ONE, Vol. 12, No. 1Therapeutic Alliance and the Therapist18 October 2016Suicide in Asia18 October 2016A Pilot Study on the Efficacy of Volunteer Mentorship for Young Adults With Self-Harm Behaviors Using a Quasi-Experimental Design9 June 2016 | Crisis, Vol. 37, No. 6Acute Suicidal Affective Disturbance (ASAD): A confirmatory factor analysis with 1442 psychiatric inpatientsJournal of Psychiatric Research, Vol. 80Bullying and Suicide Risk Among Pediatric Emergency Department PatientsPediatric Emergency Care, Vol. 32, No. 6Suicide and Suicidal Attempts in the United States: Costs and Policy Implications29 October 2015 | Suicide and Life-Threatening Behavior, Vol. 46, No. 3Child Psychiatric Emergencies: Updates on Trends, Clinical Care, and Practice Challenges2 March 2016 | Current Psychiatry Reports, Vol. 18, No. 4ASSIP – Attempted Suicide Short Intervention Program. A manual for clinicians12 January 2016 | Advances in Mental Health, Vol. 14, No. 1Child and Adolescent Emergency Psychiatry: A Review of Recent Developments8 October 2015 | Current Emergency and Hospital Medicine Reports, Vol. 3, No. 4Number of visits to the emergency department and risk of suicide: a population- based case–control study7 March 2015 | BMC Public Health, Vol. 15, No. 1Barriers and facilitators of suicide risk assessment in emergency departments: a qualitative study of provider perspectivesGeneral Hospital Psychiatry, Vol. 37, No. 6Brief Intervention and Follow-Up for Suicidal Patients With Repeat Emergency Department Visits Enhances Treatment EngagementAmerican Journal of Public Health, Vol. 105, No. 8Early Intervention for Self-Harm and Suicidality3 October 2014Screening Youth for Suicide Risk in Medical SettingsAmerican Journal of Preventive Medicine, Vol. 47, No. 3Recent medical service utilization and health conditions associated with a history of suicide attemptsGeneral Hospital Psychiatry, Vol. 36, No. 4Coordination between medical care providers and information technology resources in the management of patients with suicide attempts attending the emergency departmentJournal of the Chinese Medical Association, Vol. 77, No. 6Emergency Department Utilization Among American Indian Adolescents Who Made a Suicide Attempt: A Screening OpportunityJournal of Adolescent Health, Vol. 54, No. 3Urgent and Nonurgent Presentations to a Psychiatric Emergency Service in Nigeria: Pattern and CorrelatesEmergency Medicine International, Vol. 2014Association of Positive Responses to Suicide Screening Questions With Hospital Admission and Repeated Emergency Department Visits in Children and AdolescentsPediatric Emergency Care, Vol. 29, No. 10Suicide assessmentsSex Differences in Suicides among Children and Youth: The Potential Impact of Help-Seeking Behaviour1 May 2013 | The Canadian Journal of Psychiatry, Vol. 58, No. 5Suicide Risk Protocols: Addressing the Needs of High Risk Youths Identified through Suicide Prevention Efforts and in Clinical Settings23 December 2012 | Suicide and Life-Threatening Behavior, Vol. 43, No. 2General considerations for psychiatric care in the emergency departmentCan Postdischarge Follow-Up Contacts Prevent Suicide and Suicidal Behavior?A Review of the Evidence1 January 2013 | Crisis, Vol. 34, No. 1Developing Measures of Quality for the Emergency Department Management of Pediatric Suicide-Related BehaviorsPediatric Emergency Care, Vol. 28, No. 11Patients Who Attend the Emergency Department Following Medication Overdose: Self-reported Mental Health History and Intended Outcomes of Overdose22 June 2011 | International Journal of Mental Health and Addiction, Vol. 10, No. 4Adolescent and Parent Attitudes Toward Screening for Suicide Risk and Mental Health Problems in the Pediatric Emergency DepartmentPediatric Emergency Care, Vol. 28, No. 7Outpatient Care of Young People After Emergency Treatment of Deliberate Self-HarmJournal of the American Academy of Child & Adolescent Psychiatry, Vol. 51, No. 2Cultural Context Is Crucial in Suicide Research and Prevention1 January 2011 | Crisis, Vol. 32, No. 2 Volume 31Issue 1January 2010ISSN: 0227-5910eISSN: 2151-2396 InformationCrisis (2010), 31, pp. 1-6 https://doi.org/10.1027/0227-5910/a000001.© 2010Hogrefe PublishingAcknowledgments:The International Association for Suicide Prevention (IASP) Task Force on Suicide and Emergency Medicine will meet at the 13th European Symposium on Suicide and Suicidal Behaviors (ESSSB13), Rome, September 1–4, 2010. IASP members interested in joining this Task Force, attending the meeting, and/or presenting a paper at a Suicide and Emergency Medicine symposium at ESSSB13 are invited to contact the Task Force Chair, Gregory Luke Larkin, at gluke.larkin@yale.edu.PDF download