The Critical Importance of Follow-up Care After Pediatric ER Mental Health Visits

As a parent, you always want the best for your child. Taking your child to the emergency room for mental health concerns can feel overwhelming and scary, especially in determining what happens after the crisis has passed. Understanding the importance of follow-up care after a pediatric ER mental health visit is essential to ensure your child stays safe and healthy. In this article, we'll dive deeper into why follow-up care is crucial, what to look out for, and what steps you can take as a parent.

First, it's important to recognize the signs of suicidal intentions, which are prevalent in children struggling with mental health issues. These may include sudden and intense mood swings, worsening apathy or withdrawal, reckless behavior, trouble sleeping or eating, and ideations of harming oneself. If you notice any of these symptoms, it's essential to seek help immediately and take your child to the ER if necessary. The 988 Suicide & Crisis Lifeline is a great resource available 24/7.

When visiting the ER, your child's immediate mental health concerns will be addressed, but it's common to leave with little guidance on how to proceed from there. This is why follow-up care is critical. A recent CNN article reports that children discharged from the ER after a mental health crisis are twice as likely to return to the ER within 30 days as those who received outpatient follow-up care. 

What steps can you take as a parent to ensure your child receives the necessary care after the initial crisis is addressed in the emergency room? Here are some actions you can take:

Talk to your child's healthcare provider about the next steps 

They can provide valuable guidance and determine the most suitable level of care for your child, considering their current mental health state. This may involve connecting them with a qualified mental health professional who can offer specialized counseling and support. Additionally, they might suggest participation in support groups or therapy sessions designed specifically for their unique needs. In some cases, medication management may also be recommended as part of a comprehensive treatment plan. Rest assured that their well-being will be carefully assessed, and appropriate measures will be taken to support their mental health journey.

Schedule regular visits with your child's mental health professional 

You can seek the support of various professionals, such as a therapist, psychiatrist, or psychologist, to address your child's mental health concerns. These experts will conduct comprehensive sessions to assess your child's mental well-being and provide the necessary guidance and tools to help them effectively cope with feelings of depression, anxiety, or any other related issues they may be facing. By working closely with these professionals, you can ensure your child receives the appropriate support and care to navigate their emotional challenges and promote their overall well-being.

Explore alternative methods of treatment 

In addition to traditional therapy and medication, a variety of holistic or alternative treatments may benefit your child's well-being and overall development. These include practices like yoga, which can help improve mindfulness. Meditation promotes relaxation and reduces stress, while art therapy encourages self-expression and creativity. Music therapy can stimulate cognitive and emotional growth; animal-assisted therapy provides comfort and companionship. There are many alternative treatment methods that may be helpful additions to your child's treatment plan.

Incorporate exercise and enough sleep

Adding exercise into their routine can enhance physical fitness and boost mood. Engaging in activities like walking, jogging, biking, and swimming helps reduce stress levels and promotes overall well-being. Moreover, ensuring adequate sleep is crucial for a child's mental health. Establishing regular bedtimes and wake times is essential in cultivating healthy sleeping habits in children.

Encourage your child to unwind before bedtime to facilitate falling asleep and maintaining a restful night's sleep. It is recommended to turn off all electronic devices, including televisions, computers, and cell phones, at least sixty minutes before bedtime to facilitate a good night's rest.

Work with your child to develop a safety plan

This may include a comprehensive list of emergency contacts, such as trusted friends, family members, or mental health professionals who can provide immediate assistance. Strategies for managing stress can involve techniques like deep breathing exercises, mindfulness practices, or engaging in activities that promote relaxation. It's important to emphasize the importance of reaching out for help, whether talking to a counselor, therapist, or helpline, as they can offer guidance and support during difficult times. When your child has easy access to these tools and resources, they'll feel empowered, more in control, and better prepared to navigate future crises.

Prioritize self-care for your child

Practicing stress-reducing activities together, such as exercise or mindfulness, can help reduce the recurrence of mental health emergencies. By dedicating a specific time each day for your child to prioritize their overall well-being, including their mental health, you can create a positive impact on their mental health journey. Taking this intentional approach to foster their emotional resilience and providing them with the necessary tools and support can make all the difference in their long-term well-being and overall quality of life.

Check-in with your child about their mental health regularly

Encouraging your child to express and process their emotions, providing a safe space for them to share without fear of judgment, and offering unwavering support can profoundly impact their overall well-being. By actively engaging in conversations that delve into their feelings, such as asking open-ended questions like "How are you feeling today?" or "Are you still experiencing challenges with [specific issue]?", you can ensure that they receive the necessary care and assistance they require.

This consistent and compassionate approach fosters a sense of trust, allowing them to navigate through difficulties and maintain optimal emotional health. It might be helpful to also learn how to talk to your child about suicide.

Learn the warning signs of suicide

It's crucial for parents and caregivers to be equipped with the knowledge of warning signs of suicide. Understanding these signs can enable timely intervention and potentially save lives. 

The following are some signs that might indicate a person is considering suicide:

Ensure your child receives the help they need

As a parent, it's essential to prioritize follow-up care when your child has received mental health care in the ER. By understanding the signs of suicidal tendencies, taking steps to receive the appropriate level of care, developing a safety plan, and prioritizing self-care, you can help ensure that your child stays healthy and safe. Remember, mental health care is not a one-time event but a continuing journey, and with proper care, your child can thrive.

Visit our complete list of Suicide Prevention & Education Resources for additional information.

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About Gabriel's Light

In 2019, Carol and Brendan Deely founded Gabriel’s Light in honor of their son who died by suicide at age 12. In honor of Gabe and all those lost to suicide, they share their journey with the hope that others may learn and grow from their tragedy. Focusing on three pillars of cyber safety, suicide prevention, and kindness campaigns, through outreach, programs, partnerships, and funding, they raise awareness and inspire youth, parents, and educators to take action and help forward their mission.