@article{ref1,
title="Universal pediatric suicide risk screening in a health care system: 90,000 patient encounters",
journal="Journal of the Academy of Consultation-Liaison Psychiatry",
year="2021",
author="Roaten, Kimberly and Horowitz, Lisa M. and Bridge, Jeffrey A. and Goans, Christian R. R. and McKintosh, Chris and Genzel, Russell and Johnson, Celeste and North, Carol S.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Background Suicidal behavior is increasing among US youths. Contact with the health care system is common in the months before suicide. <br><br>OBJECTIVE: To assess the characteristics of suicide risk among youths presenting for health care, universal screening results from a large hospital system were analyzed.   Methods A retrospective analysis of the Ask Suicide-Screening Questions tool administered to patients aged 10-17 years in a hospital system including an emergency department, inpatient medical units, and primary care clinics was conducted. Demographic and clinical data from 3 years of encounters were analyzed.   Results The sample consisted of 91,580 pediatric encounters, predominantly white Hispanic and women, with one-third speaking Spanish. Across health care settings, 2.9% of encounters produced positive suicide risk screens, with the highest rate in the emergency department (8.5%). Acute positive screens, indicating imminent risk for suicidal behavior, accounted for 0.3% of all encounters. Approximately one-fourth (27.6%) of encounters for psychiatric presenting problems screened positive compared with 2.3% for nonpsychiatric encounters. Higher rates of positive screens were present among encounters for psychiatric presenting problems across all settings. Positive screens were less common among preteen (1.8%) than adolescent (3.1%) encounters (χ2 = 65.50, P < 0.001).   Conclusions Universal screening detected suicide risk in approximately 3% of pediatric health care encounters. Screening identified risk in encounters among preteen and adolescent patients, with a higher prevalence of positive screens in encounters for youths presenting with psychiatric problems and for emergency department visits. Acute positive screens were rare, occurring in less than half of 1 percent of encounters.<p /> <p>Language: en</p>",
language="en",
issn="2667-2979",
doi="10.1016/j.jaclp.2020.12.002",
url="http://dx.doi.org/10.1016/j.jaclp.2020.12.002"
}