ArticlePrevention science : the official journal of the Society for Prevention Research2017
Identification of At-Risk Youth by Suicide Screening in a Pediatric Emergency Department.
Article in Prevention science : the official journal of the Society for Prevention Research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 121 citations in OpenAlex.
- Suicide Screening Tools for Pediatric Emergency Department Patients: A Systematic Review.Frontiers in psychiatry · 2022Pooled it
- Predicting future self-harm or suicide in adolescents: a systematic review of risk assessment scales/tools.BMJ open · 2019Pooled it
- Outcomes Following a Mental Health Care Intervention for Children in the Emergency Department: A Nonrandomized Clinical Trial.JAMA network open · 2025Trial
- Electronic Screening for Adolescent Risk Behaviors in the Emergency Department: A Randomized Controlled Trial.The western journal of emergency medicine · 2022Trial
- Risk Alert System to Facilitate Universal Suicide Risk Screening in Emergency Care: Protocol for a Prediction Model and Software Development Study Using a Co-Design Approach.JMIR research protocols · 2026Article
- Hospital-Based Pediatric Suicide Risk Screening Outcomes Vary by Demographic and Clinical Characteristics.JAACAP open · 2026Article
- "It's Just So Important to Make Them Feel Seen": Teen and Caregiver Perspectives of Lethal Means Safety Planning for the Emergency Department.Annals of emergency medicine · 2026Article
- Suicide Risk Among Youth Who Choose "No Response" on Emergency Department Suicide Risk Screenings.Suicide & life-threatening behavior · 2026Article
- Combining Machine Learning Models and Screening to Enhance Suicide Risk Identification for American Indian Patients: Retrospective Cohort Study.Journal of medical Internet research · 2026Observational
- Psychometric properties of suicide risk assessments in young Black populations internationally: a scoping review.Social psychiatry and psychiatric epidemiology · 2026Review
- Healthcare Cost Associated with an Acute Mental Healthcare Bundle in Pediatric Emergency Departments.PharmacoEconomics - open · 2026Article
- Article
- Measurement Choices for Youth Suicidality.Child psychiatry and human development · 2025Review
- Exploring the Perspectives of Pediatric Health Care Providers, Youth Patients, and Caregivers on Machine Learning Suicide Risk Classification: Mixed Methods Study.Journal of medical Internet research · 2025Article
- Childhood Suicide Risk in the Emergency Department.JAMA network open · 2025Article
- Article
- Suicide Risk Screening in Children and Adolescents with Autism Spectrum Disorder Presenting to the Emergency Department.Joint Commission journal on quality and patient safety · 2025Article
- Evidence-Based Youth Suicide Prevention and Intervention in Pediatric Primary Care Settings.Pediatric clinics of North America · 2024Review
- Comparing the Acceptability and Quality of Intervention Modalities for Suicidality in the Emergency Department: Randomized Feasibility Trial.JMIR mental health · 2023Article
- The Cost of Universal Suicide Risk Screening for Adolescents in Emergency Departments.International journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
The pediatric emergency department (ED) is a critical location for the identification of children and adolescents at risk for suicide. Screening instruments that can be easily incorporated into clinical practice in EDs to identify and intervene with patients at increased suicide risk is a promising suicide prevention strategy and patient safety objective. This study is a retrospective review of the implementation of a brief suicide screen for pediatric psychiatric ED patients as standard of care. The Ask Suicide Screening Questions (ASQ) was implemented in an urban pediatric ED for patients with psychiatric presenting complaints. Nursing compliance rates, identification of at-risk patients, and sensitivity for repeated ED visits were evaluated using medical records from 970 patients. The ASQ was implemented with a compliance rate of 79 %. Fifty-three percent of the patients who screened positive (237/448) did not present to the ED with suicide-related complaints. These identified patients were more likely to be male, African American, and have externalizing behavior diagnoses. The ASQ demonstrated a sensitivity of 93 % and specificity of 43 % to predict return ED visits with suicide-related presenting complaints within 6 months of the index visit. Brief suicide screening instruments can be incorporated into standard of care in pediatric ED settings. Such screens can identify patients who do not directly report suicide-related presenting complaints at triage and who may be at particular risk for future suicidal behavior. Results have the potential to inform suicide prevention strategies in pediatric EDs.
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Registered trials
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.