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David Pagliaccio @dpagliaccio.bsky.social · 9d

@auerbachlab.bsky.social @columbiapsych.bsky.social @columbiauniversity.bsky.social #MedSky
#PsychSky

David Pagliaccio @dpagliaccio.bsky.social · 9d

Suicide risk is worrying common among young kids ending up in the psych ED. Some critical risk factors are logged routinely in EHR but we identify other factors that could be more regularly tracked/assessed with checkboxes or flowsheets to enhance use as data and flag risk in EHR

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David Pagliaccio @dpagliaccio.bsky.social · 9d

Some may not expect in young kids, but we often see ⬆️ risk for STB among girls. LGBTQ+ disparities in risk also start this young. Increasingly, we see mention of social media or tech; parent revoking access to📱💻🎮 was a notable source of conflict precipitating attempts

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David Pagliaccio @dpagliaccio.bsky.social · 9d

1/5 of kids returned to our ED for STB, typically w/i 90 days. Despite the young age of this sample, this was similar to rates for teens. Girls were more likely to return as were kids on antidep. meds, with family stress, sleep concerns, and esp. with hx of prior hospitalization

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David Pagliaccio @dpagliaccio.bsky.social · 9d

We coded multiple domains of risk factors in EHR notes from treating & psych providers. Nearly all were more frequent in STB cases-including abuse, irritability, impulsivity, bullying, etc. Concerningly, 93% of cases that mentioned LGBTQ+ identity reported STB.

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David Pagliaccio @dpagliaccio.bsky.social · 9d

32 kids were brought to the ED following an attempt, mainly girls, mainly ingestion/overdose. Most had a prior history of suicide behavior before this event. 56% reported an interpersonal stress trigger, i.e. family conflict or bullying.

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David Pagliaccio @dpagliaccio.bsky.social · 9d

We identified 920 8-12yo children in our ED over a 3 year period presenting with behavioral health and/or suicide concerns. Suicide thoughts and behaviors (STB) were common in this population (65%) though thankfully acute suicide attempts were rare.

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David Pagliaccio @dpagliaccio.bsky.social · 9d

Our 2nd electronic health record (EHR) review on pre-teen suicide risk is out @JAACAPOpen. This is a deep dive into 920 cases from our emergency department (ED) at @nyphospital including extensive provider notes to understand risk in this population.
doi.org/10.1016/j.ja...

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David Pagliaccio @dpagliaccio.bsky.social · Jul 28

Thank to @auerbachlab.bsky.social, Jackie Kirshenbaum, & @epikerrykeyes.bsky.social

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David Pagliaccio @dpagliaccio.bsky.social · Jul 28

Unfortunately, many kids will end up back in the ER w/i a few months for additional care (similar to older teens). Early suicide thoughts or behaviors are the biggest risk factor in these data. More nuanced data can help us better understand risk and ways to help these families.

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David Pagliaccio @dpagliaccio.bsky.social · Jul 28

Overall, we see that many children seek mental health care in the ER and suicide risk is commonly observed even in young children. These rates are increasing over time. EHR are powerful but do likely underestimate the issue with potential undercoding in ICD diagnoses.

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David Pagliaccio @dpagliaccio.bsky.social · Jul 28

18% of kids had multiple mental health ER visits. 10% had multiple suicide-related visits. Mostly often returns were w/i 3 months of discharge. ER return w/i 1 year was most common for kids with suicide risk, more mental health diagnoses, without private insurance, and for girls.

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David Pagliaccio @dpagliaccio.bsky.social · Jul 28

Injury due to suicide behavior was present but not highly common–this was almost exclusively ingestion (overdose) or object (e.g., cutting) injuries. Suicide risk in the ER shows temporal patterns, most common during the day (vs. night) and school days (vs. weekends and summers).

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David Pagliaccio @dpagliaccio.bsky.social · Jul 28

Mental health and suicide risk are on the rise in the ER, accounting for 5% of all ER visits in 2010 to 10% in 2020. This also comes with an increase in patient related costs year over year $$.
Increasing % of suicide risk / all mental health visits by year x state.

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David Pagliaccio @dpagliaccio.bsky.social · Jul 28

Our new paper is out in ‪@jamanetworkopen.com‬now
jamanetwork.com/journals/jam...
We used the amazing HCUP dataset to analyze >600K electronic health records from 8-12-year-olds in the emergency room for mental health or suicide risk. This covered a decade of data from 12 states in the US.

Childhood Suicide Risk in the Emergency Department

This cohort study examines electronic health records from children presenting to the emergency department (ED) for suicide thoughts and behaviors to identify risks of return ED visits.

jamanetwork.com

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David Pagliaccio @dpagliaccio.bsky.social · May 9

Come work with us!

Auerbach Lab at Columbia University @auerbachlab.bsky.social · May 8

We are hiring multiple research assistants to join our team focused on youth depression and suicide projects using real-time monitoring and neuroimaging. Come join our team. Please share! opportunities.columbia.edu/jobs/researc...

Research Assistant - Columbia University Medical Center, New York, United States

Job Type: Support Staff - Union Bargaining Unit: SSA Regular/Temporary: Regular End Date if Temporary: Hours Per Week: 35 Standard Work Schedule: Building: Salary Range: $59,845.49 - $59,845.49 The s...

opportunities.columbia.edu

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David Pagliaccio @dpagliaccio.bsky.social · Feb 25

library(tidyverse)
library(tidytext)
library(readtext)
library(openxlsx)

David Pagliaccio @dpagliaccio.bsky.social · Feb 25

nsf <- str_replace_all(readtext('NSF_keywords.docx')$text,"\n","|")
doc <- as_tibble(readtext("Grant.docx")$text)
df <- unnest_tokens(doc,"sentences",out,value)
df <- df %>% filter(str_detect(df$out,nsf))
df$replace <- str_match(df$out,nsf)
write.xlsx(df,"check.xlsx")

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David Pagliaccio @dpagliaccio.bsky.social · Feb 25

If you are working on grants and want to identify any of the flagged NSF keywords without a ton of cntl+F, I wrote a very short R script here
docs.google.com/document/d/1...

NSF keywords

activism activists advocacy advocate advocates barrier barriers biased Biased toward biases Biases towards bipoc black and latinx community diversity community equity cultural differences cultural her...

docs.google.com

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Reposted by David Pagliaccio

Pam Davis-Kean, PhD @umpamdk.bsky.social · Jan 23

What happened at NIH today www.science.org/content/arti...

Trump hits NIH with ‘devastating’ freezes on meetings, travel, communications, and hiring

Researchers facing

www.science.org

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Reposted by David Pagliaccio

Jane Liebschutz, MD MPH (she/her) @liebschutz.bsky.social · Jan 22

All NIH study sections canceled indefinitely. This will halt science and devastate research budgets in universities.

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Reposted by David Pagliaccio

Daniel P. Moriarity @dpmoriarity.bsky.social · Jan 4

"A study of federally funded research projects in the United States estimated that principal investigators spend on average about 45% of their time on administrative activities related to applying for and managing projects rather than conducting active research"

www.pnas.org/doi/10.1073/...

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David Pagliaccio @dpagliaccio.bsky.social · Dec 7

Who is going to be at @acnporg.bsky.social this year! #neuroskyence #psychology 🌈

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David Pagliaccio @dpagliaccio.bsky.social · Dec 3

Reminder! We have a new Climate Survey for #LGBTQIA+ Academics in #Psychology and #Neuroskyence! This is a quick survey from @network_alba and will really help us out :)
tinyurl.com/LGBTNeuro #queerinstem

Climate Survey - LGBTQIA+ in Neuroscience | Climate Survey - LGBTQIA+ in Neuroscience

Climate Survey - LGBTQIA+ in Neuroscience

tinyurl.com

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Reposted by David Pagliaccio

Osiris Rankin @osirisrankin.bsky.social · Nov 25

I created a feed for people who are interested in suicidology, or research on suicide, self harm, and related topics. It also tends to pick up other public reports, like newspaper articles, and job postings, which feels like more of a feature than a bug.

bsky.app/profile/did:...
#suicideresearch

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