Evidence map›Paper›PMID 30384966›Full record

ReviewPsychosomatics

Suicide Risk Screening in Pediatric Hospitals: Clinical Pathways to Address a Global Health Crisis.

Khyati Brahmbhatt, Brian P Kurtz, Khalid I Afzal, Lisa L Giles, Elizabeth D Kowal, Kyle P Johnson, Elizabeth Lanzillo, Maryland Pao, Sigita Plioplys, Lisa M Horowitz and 1 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Psychosomatics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06018285 (Stepped Approach to Reducing Risk of Suicide in Primary Care), which is not on this map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT06018285 narecruitingnot on this map

Stepped Approach to Reducing Risk of Suicide in Primary Care

TypeinterventionalSponsorCynthia FontanellaRan2023 to 2027Enrolled2,572ConditionsSuicidal Ideation, Suicide, Attempted, Suicide PreventionArmsStepped Approach to Reducing Risk of Suicide in Primary Care
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Asking Preadolescents About Suicide Is Not Associated With Increased Suicidal Thoughts.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
    Article
  6. Article
  7. Article
  8. Measurement Choices for Youth Suicidality.Child psychiatry and human development · 2025
    Review
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  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
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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

11 authors.

Khyati BrahmbhattUniversity of California, San Francisco, Department of Psychiatry and Langley Porter Psychiatric Institute, UCSF Weill Institute for Neurosciences, San Francisco, CA. Electronic address: Khyati.brahmbhatt@ucsf.edu.
Brian P KurtzUniversity of Cincinnati, Department of Psychiatry and Behavioral Neuroscience, Cincinnati Children's Hospital Medical Center, Cincinnati OH. Electronic address: Brian.Kurtz@cchmc.org.
Khalid I AfzalThe University of Chicago, Department of Psychiatry and Behavioral Neuroscience, Chicago, IL. Electronic address: Khalid.Afzal@uchospitals.edu.
Lisa L GilesUniversity of Utah School of Medicine, Departments of Pediatrics and Psychiatry, Salt Lake City, UT. Electronic address: lisa.giles@hsc.utah.edu.
Elizabeth D KowalMichigan State University CHM, Section of Pediatric Behavioral Health, Grand Rapids, MI. Electronic address: Elizabeth.kowal@helendevoschildrens.org.
Kyle P JohnsonOregon Health & Science University (OHSU), Department of Psychiatry, Portland, OR. Electronic address: johnsoky@ohsu.edu.
Elizabeth LanzilloNational Institute of Mental Health, NIH, Office of the Clinical Director, Bethesda, MD. Electronic address: elizabeth.lanzillo@nih.gov.
Maryland PaoNational Institute of Mental Health, NIH, Office of the Clinical Director, Bethesda, MD. Electronic address: paom@mail.nih.gov.
Sigita PlioplysNorthwestern University Feinberg School of Medicine, Department of Psychiatry and Behavioral Sciences, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL. Electronic address: splioply@luriechildrens.org.
Lisa M HorowitzNational Institute of Mental Health, NIH, Office of the Clinical Director, Bethesda, MD. Electronic address: horowitzl@mail.nih.gov.
PaCC Workgroup

Funding

Psychiatry Consultation Liaison Service ResearchZIAMH002922 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI PAO, MARYLAND · 2009 to 2025
$11.5M
Treatment of Medical Conditions among Individuals with Autism Spectrum DisordersZIAMH002914 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI SWEDO, SUSAN · 2009 to 2016
$3.8M
Intramural NIH HHS Z99 MH999999Intramural NIH HHS ZIA MH002914NIMH NIH HHS ZIA MH002922
6 · The paper itself

Abstract

backgroundYouth suicide is on the rise worldwide. Most suicide decedents received healthcare services in the year before killing themselves. Standardized workflows for suicide risk screening in pediatric hospitals using validated tools can help with timely and appropriate intervention, while attending to The Joint Commission Sentinel Event Alert 56.

objectiveHere we describe the first attempt to generate clinical pathways for patients presenting to pediatric emergency departments (EDs) and inpatient medical settings.

methodsThe workgroup reviewed available evidence and generated a series of steps to be taken to feasibly screen medical patients presenting to hospitals. When evidence was limited, expert consensus was used. A standardized, iterative approach was utilized to create clinical pathways. Stakeholders reviewed initial drafts. Feedback was incorporated into the final pathway.

resultsClinical pathways were created for suicide risk screening in pediatric EDs and inpatient medical/surgical units. The pathway outlines a 3-tiered screening process utilizing the Ask Suicide-Screening Questions for initial screening, followed by a brief suicide safety assessment to determine if a full suicide risk assessment is warranted. This essential step helps conserve resources and decide upon appropriate interventions for each patient who screens positive. Detailed implementation guidelines along with scripts for provider training are included.

conclusionYouth suicide is a significant public health problem. Clinical pathways can empower hospital systems by providing a guide for feasible and effective suicide risk-screening implementation by using validated tools to identify patients at risk and apply appropriate interventions for those who screen positive. Outcomes assessment is essential to inform future iterations.

Indexed as

Hospitals, PediatricSuicide PreventionAdolescentCritical PathwaysEmergency Service, HospitalGlobal HealthHospitalizationHumansMass ScreeningPsychiatryReferral and ConsultationRisk AssessmentWorkflowclinical pathwayconsultation-liaison psychiatrypediatricsscreeningsuicide risk

Identifiers

PMID30384966
PMCPMC7898193

What OpenQuestion holds

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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.