Evidence map›Paper›PMID 25746114›Full record

ArticleJournal of child and adolescent psychopharmacology2015

Identifying adolescents at highly elevated risk for suicidal behavior in the emergency department.

Cheryl A King, Johnny Berona, Ewa Czyz, Adam G Horwitz, Polly Y Gipson

Open access · greenAbstract read
In one paragraph

Article in Journal of child and adolescent psychopharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
7.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Suicide Prevention in Youth.Current psychiatry reports · 2025
    Review
  7. Article
  8. Evaluating Machine Learning for Predicting Youth Suicidal Behavior Up to 1 Year After Contact With Mental-Health Specialty Care.Clinical psychological science : a journal of the Association for Psychological Science · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Suicide Risk Screening in Healthcare Settings: Identifying Males and Females at Risk.Journal of clinical psychology in medical settings · 2017
    Review
  19. Identification of At-Risk Youth by Suicide Screening in a Pediatric Emergency Department.Prevention science : the official journal of the Society for Prevention Research · 2017
    Article
  20. Transitions in Suicide Risk from Early Adolescence to Early Adulthood.Archives of suicide research : official journal of the International Academy for Suicide Research
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Cheryl A King1 Department of Psychiatry, University of Michigan Depression Center , Ann Arbor, Michigan.
Johnny Berona
Ewa Czyz
Adam G Horwitz
Polly Y Gipson
University of Michigan–Ann Arbor · US

Funding

MidCareer Investigator Award: Health Behavior Interventions for Suicidal YouthK24MH077705 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KING, CHERYL A. · 2007 to 2011
$788k
Adolescent Emergency Patients: Suicide Risk Detection and Treatment FacilitationR34MH079123 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KING, CHERYL A. · 2007 to 2009
$616k
NIMH NIH HHS 1 R34 MH079123NIMH NIH HHS K24 MH077705NIMH NIH HHS K24 MH77705
6 · The paper itself

Abstract

objectiveThe feasibility and concurrent validity of adolescent suicide risk screening in medical emergency departments (EDs) has been documented. The objectives of this short-term prospective study of adolescents who screened positive for suicide risk in the ED were: 1) to examine adolescents' rate of suicidal behavior during the 2 months following their ED visits and compare it with reported rates for psychiatric samples; and 2) to identify possible predictors of acute risk for suicidal behavior in this at-risk sample.

methodParticipants were 81 adolescents, ages 14-19 years, seeking services for psychiatric and nonpsychiatric chief complaints, who screened positive for suicide risk because of recent suicidal ideation, a suicide attempt, and/or depression plus alcohol or substance misuse. A comprehensive assessment of suicidal behavior, using the Columbia-Suicide Severity Rating Scale, was conducted at baseline and 2 month follow-up.

resultsSix adolescents (7.4%) reported a suicide attempt and 15 (18.5%) engaged in some type of suicidal behavior (actual, aborted, or interrupted suicide attempt; preparatory behavior) during the 2 months following their ED visit. These rates suggest that this screen identified a high-risk sample. Furthermore, adolescents who screened positive for suicidal ideation and/or attempt plus depression and alcohol/substance misuse were most likely to engage in future suicidal behavior (38.9%).

conclusionsIn this study, use of a higher screen threshold (multiple suicide risk factors) showed promise for identifying highly elevated acute risk for suicidal behavior.

Indexed as

Emergency Service, HospitalSuicidal IdeationAdolescentAdolescent BehaviorFemaleFollow-Up StudiesHumansMaleProspective StudiesRisk FactorsSelf-Injurious BehaviorSuicide, AttemptedYoung Adult

Identifiers

PMID25746114
PMCPMC4367522
OpenAlexW1966897908

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.