Evidence map›Paper›PMID 31152463›Full record

Trial reportSuicide & life-threatening behavior2020

Adolescents' Engagement with Crisis Hotline Risk-management Services: A Report from the Emergency Department Screen for Teen Suicide Risk (ED-STARS) Study.

Danielle R Busby, Cheryl A King, David Brent, Jaqueline Grupp-Phelan, Madelyn Gould, Kent Page, Theron Charles Casper, Pediatric Emergency Care Applied Research Network (PECARN)

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Suicide & life-threatening behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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.

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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Crisis Phone Services.Child and adolescent psychiatric clinics of North America · 2026
    Review
  3. Safety Planning for Youth in the Emergency Department Who Have Suicide Risk.Journal of the American College of Emergency Physicians open · 2025
    Article
  4. Article
  5. 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

8 authors.

Danielle R BusbyDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Cheryl A KingDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
David BrentUniversity of Pittsburgh School of Medicine, Pittsburgh, PA.
Jaqueline Grupp-PhelanDepartment of Emergency Medicine, University of California San Francisco, San Francisco, CA, USA.
Madelyn GouldDepartment of Psychiatry, Columbia University, New York, NY, USA.
Kent PageSchool of Medicine, University of Utah, Salt Lake City, UT, USA.
Theron Charles CasperSchool of Medicine, University of Utah, Salt Lake City, UT, USA.
Pediatric Emergency Care Applied Research Network (PECARN)

Funding

Emergency Department Screen for Teens at Risk for Suicide (ED-STARS)U01MH104311 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BRENT, DAVID A., GRUPP-PHELAN, JACQUELINE M. · 2014 to 2016
$10.6M
DEVELOPMENT AND GENETICS OF NEURAL TUBE DEFECTSU01HD028845 · NICHD · UNIVERSITY OF UTAH · PI SCHOENWOLF, GARY C · 1992 to 1996
–
Maternal and Child Health Bureau H3MC26201Maternal and Child Health Bureau U03MC00001Maternal and Child Health Bureau U03MC00003Maternal and Child Health Bureau U03MC00006Maternal and Child Health Bureau U03MC00007Maternal and Child Health Bureau U03MC00008Maternal and Child Health Bureau U03MC22684Maternal and Child Health Bureau U03MC22685Maternal and Child Health Bureau U03MC28845NIMH NIH HHS U01 MH104311
6 · The paper itself

Abstract

objectiveThis study examines the feasibility of a risk-management protocol for adolescent research participants at risk for suicide that relies on engagement with telephone crisis counselors. The study also examines whether engagement is moderated by adolescent demographics and clinical characteristics.

methodParticipants were 234 adolescents (83% female; 63% White) ages 12-18 (M = 15.3 years) drawn from the national study, Emergency Department Screen for Teens at Risk for Suicide (ED-STARS) Study One sample of adolescents randomized for 3-month telephone follow-up (n = 2,850). This study's sample was comprised of adolescents who completed the follow-up (69% retention), met study risk criteria, and were transferred to a crisis hotline for risk management. Engagement with a counselor was assessed by successful call connection, call duration, and information sharing.

resultsNinety-four percent of calls resulted in a successful call transfer, and the majority of youth (84%) shared information with counselor about one or more coping strategies. Average call length was 12.6 min (SD = 9.9). Engagement did not vary by gender, race, age, ethnicity, or clinical characteristics.

conclusionsAdolescents' engagement with telephone risk-management services was strong, suggesting that this strategy can address safety. Further, findings suggest telephone risk-management services effectively engage youth across demographic and clinical subgroups.

Indexed as

Crisis InterventionHotlinesSuicide PreventionAdaptation, PsychologicalAdolescentAdolescent BehaviorEmergency Service, HospitalFemaleHumansMaleRisk ManagementSuicide

Identifiers

PMID31152463
PMCPMC8788931

What OpenQuestion holds

Textmetadata
LicenceTDM
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.