ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2018
Suicide Screening in Primary Care: Use of an Electronic Screener to Assess Suicidality and Improve Provider Follow-Up for Adolescents.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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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
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Role of machine learning algorithms in suicide risk prediction: a systematic review-meta analysis of clinical studies.BMC medical informatics and decision making · 2024Pooled it
- Barriers to and Facilitators of Implementing Suicide Risk Screening in Pediatric Primary Care: A Qualitative Study.Academic pediatrics · 2026Article
- Beliefs about and approaches to youth suicide risk screening and triage in primary care: a qualitative analysis.BMC primary care · 2025Article
- A scoping review of suicide prevention interventions for Latinx adults: strategies, gaps, and future directions.Frontiers in public health · 2025Article
- Suicide Risk Screening for Head and Neck Cancer Patients: An Implementation Study.Applied clinical informatics · 2024Article
- Using formative research to inform a mental health intervention for adolescents living in Indian slums: the ARTEMIS study.Child and adolescent psychiatry and mental health · 2024Article
- Veteran Perspectives on Population-Based Suicide Risk Screening in VHA Primary Care: Mixed-Methods Study.Journal of general internal medicine · 2023Article
- Adolescent Relationship Abuse Prevention in Pediatric Primary Care: Provider, Adolescent, and Parent Perspectives.Academic pediatrics · 2023Article
- Health Diagnoses and Service Utilization in the Year Before Youth and Young Adult Suicide.Psychiatric services (Washington, D.C.) · 2023Article
- Information and communication technology-based interventions for suicide prevention implemented in clinical settings: a scoping review.BMC health services research · 2023Article
- Perceived Facilitators of and Barriers to Implementation of a Decision Support Tool for Adolescent Depression and Suicidality Screening: Focus Group and Interview Study.JMIR mental health · 2021Article
- Identifying Adolescent Suicide Risk via Depression Screening in Pediatric Primary Care: An Electronic Health Record Review.Psychiatric services (Washington, D.C.) · 2021Article
- Article
- Implementing nudges for suicide prevention in real-world environments: project INSPIRE study protocol.Pilot and feasibility studies · 2020Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
purposeThe purpose of this study was to assess the feasibility of using an existing computer decision support system to screen adolescent patients for suicidality and provide follow-up guidance to clinicians in a primary care setting. Predictors of patient endorsement of suicidality and provider documentation of follow-up were examined.
methodsA prospective cohort study was conducted to examine the implementation of a CDSS that screened adolescent patients for suicidality and provided follow-up recommendations to providers. The intervention was implemented for patients aged 12-20 years in two primary care clinics in Indianapolis, Indiana.
resultsThe sample included 2,134 adolescent patients (51% female; 60% black; mean age = 14.6 years [standard deviation = 2.1]). Just over 6% of patients screened positive for suicidality. A positive endorsement of suicidality was more common among patients who were female, depressed, and seen by an adolescent-medicine board-certified provider as opposed to general pediatric provider. Providers documented follow-up action for 83% of patients who screened positive for suicidality. Documentation of follow-up action was correlated with clinic site and Hispanic race. The majority of patients who endorsed suicidality (71%) were deemed not actively suicidal after assessment by their provider.
conclusionsIncorporating adolescent suicide screening and provider follow-up guidance into an existing computer decision support system in primary care is feasible and well utilized by providers. Female gender and depressive symptoms are consistently associated with suicidality among adolescents, although not all suicidal adolescents are depressed. Universal use of a multi-item suicide screener that assesses recency might more effectively identify suicidal adolescents.
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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.