Evidence map›Paper›PMID 31328282›Full record

ArticleJournal of child psychology and psychiatry, and allied disciplines2019

Predicting 3-month risk for adolescent suicide attempts among pediatric emergency department patients.

Cheryl A King, Jacqueline Grupp-Phelan, David Brent, J Michael Dean, Michael Webb, Jeffrey A Bridge, Anthony Spirito, Lauren S Chernick, E Melinda Mahabee-Gittens, Rakesh D Mistry and 8 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of child psychology and psychiatry, and allied disciplines, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05765864 (Influences on and Prevention of Self-harm Behaviour Among the Most At-risk Adolescents), which is not on this map. Cited by 54 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 4 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.

NCT05765864 recruitingnot on this mapstarted 2023, after this paper: background citation

Influences on and Prevention of Self-harm Behaviour Among the Most At-risk Adolescents

TypeobservationalSponsorUniversity of Ljubljana, Faculty of MedicineRan2023 to 2025Enrolled400ConditionsSelf-harm, Personality Disorder, Borderline, Epigenetic Disorder, Non-Suicidal Self InjuryArmsEnrollment questionnaire, General questionnaire1, General questionnaire2, General questionnaire3, Columbia Suicide Severity Rating Scale (CSSRS), The Brief Non-Suicidal Self-Injury Assessment Tool (B-NSSI-AT), Experiences in Close Relationships-Relationship Structures (ECR-RS), Trauma Symptom Checklist for Children (TSCC)
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  17. Suicide Prevention in Youth.Current psychiatry reports · 2025
    Review
  18. Suicidal thoughts and behaviors among gender-minority adolescents in the emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  19. Article
  20. Potential Harms of Responding to Youth Suicide Risk in Schools.Research on child and adolescent psychopathology · 2025
    Review
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

18 authors.

Cheryl A KingDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Jacqueline Grupp-PhelanDepartment of Emergency Medicine, University of California, San Francisco, San Francisco, CA, USA.
David BrentDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
J Michael DeanDepartment of Pediatrics, University of Utah, Salt Lake City, UT, USA.
Michael WebbDepartment of Pediatrics, University of Utah, Salt Lake City, UT, USA.
Jeffrey A BridgeDepartments of Pediatrics, Psychiatry and Behavioral Health, Ohio State University College of Medicine, Columbus, OH, USA.
Anthony SpiritoDepartment of Psychiatry and Human Behavior, Brown University, Providence, RI, USA.
Lauren S ChernickDepartment of Emergency Medicine, Columbia University, New York, NY, USA.
E Melinda Mahabee-GittensDepartment of Pediatrics, University of Cincinnati, Cincinnati, OH, USA.
Rakesh D MistryDepartments of Pediatrics and Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Margaret ReaMedical Center, University of California Davis School of Medicine, Sacramento, CA, USA.
Allison KellerDepartment of Pediatric Emergency Medicine, University of Utah, Salt Lake City, UT, USA.
Alexander RogersDepartments of Emergency Medicine and Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Rohit ShenoiDepartment of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Mary CwikDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Danielle R BusbyDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
T Charles CasperDepartment of Pediatrics, University of Utah, Salt Lake City, UT, USA.
Pediatric Emergency Care Applied Research Network

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

backgroundThe incidence of adolescent suicide is rising in the United States, yet we have limited information regarding short-term prediction of suicide attempts. Our aim was to identify predictors of suicide attempts within 3-months of an emergency department (ED) visit.

methodsAdolescents, ages 12-17, seeking health care at 13 pediatric EDs (Pediatric Emergency Care Applied Research Network) and one Indian Health Service Hospital in the United States were consecutively recruited. Among 10,664 approached patients, 6,448 (60%) were enrolled and completed a suicide risk survey. A subset of participants (n = 2,897) was assigned to a 3-month telephone follow-up, and 2,104 participants completed this follow-up (73% retention). Our primary outcome was a suicide attempt between the ED visit and 3-month follow-up.

resultsOne hundred four adolescents (4.9%) made a suicide attempt between enrollment and 3-month follow-up. A large number of baseline predictors of suicide attempt were identified in bivariate analyses. The final multivariable model for the full sample included the presence of suicidal ideation during the past week, lifetime severity of suicidal ideation, lifetime history of suicidal behavior, and school connectedness. For the subgroup of adolescents who did not report recent suicidal ideation at baseline, the final model included only lifetime severity of suicidal ideation and social connectedness. Among males, the final model included only lifetime severity of suicidal ideation and past week suicidal ideation. For females, the final model included past week suicidal ideation, lifetime severity of suicidal ideation, number of past-year nonsuicidal self-injury (NSSI) incidents, and social connectedness.

conclusionsResults indicate that the key risk factors for adolescent suicide attempts differ for subgroups of adolescents defined by sex and whether or not they report recent suicidal thoughts. Results also point to the importance of school and social connectedness as protective factors against suicide attempts.

Indexed as

Risk AssessmentAdolescentChildChild Health ServicesEmergency Service, HospitalFemaleFollow-Up StudiesHumansMalePrognosisSuicide, AttemptedTime Factorsadolescenceemergency departmentsocial connectednesssuicide attemptSuicide risk

Identifiers

PMID31328282
PMCPMC6742557

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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.