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<< The Depressed Patient And Suicidal Patient In The Emergency Department: Evidence-Based Management And Treatment Strategies

Critical Appraisal Of The Literature

The primary references and articles for this review were collected from Ovid MEDLINE®, Web of Science,
Cochrane Database of Systematic Reviews, and PubMed. A search of PubMed was performed using the terms depression, suicide, suicidal ideation, depression in the emergency department, behavioral emergencies, biology of depression, depression treatment, suicide attempt treatment, suicide, and emergency department. The range of studies included articles from 1980-2011. A review was done under www.guidelines.gov, which provided a guidelines summary for the clinical practice of the management of major depression in adults released in 2008. A Cochrane review of depression revealed nearly 555 review
summaries. Among those, a review of the subgroup articles involving antidepressant treatment, adult
population, elderly population, assessment by nonpsychiatrists, and intervention narrowed the number of review articles used in this article to 14.

The evidence to guide the management and treatment of depression and suicidal ideation in the ED is limited. Despite a large volume of current work devoted towards understanding the pathophysiology, outcomes, and treatment of depressed as well as suicidal patients, there are no standardized guidelines to date released by either the body of the American Psychiatric Association or the American College of Emergency Physicians (ACEP) regarding management of acute depressive episodes or suicidal patients in the ED. There are multiple screening guidelines published in other disciplines (such as general internal medicine and family medicine) for depression and suicide, but none were found specific for emergency practice.6

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Last Modified: 12/12/2017
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