Evidence map›Paper›PMID 31830523›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2020

Five Profiles of Adolescents at Elevated Risk for Suicide Attempts: Differences in Mental Health Service Use.

Cheryl A King, David Brent, Jacqueline Grupp-Phelan, Rohit Shenoi, Kent Page, E Melinda Mahabee-Gittens, Lauren S Chernick, Marlene Melzer-Lange, Margaret Rea, Taylor C McGuire and 3 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05334381 (Navigating Mental Health Treatment for Black Youth With Suicidal Risk), which is not on this map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
9.1field-weighted citation impact, top 2% of its field
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.

NCT05334381 nacompletednot on this mapstarted 2023, after this paper: background citation

Navigating Mental Health Treatment for Black Youth With Suicidal Risk

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2023 to 2024Enrolled54ConditionsAdolescent Behavior, Suicidal IdeationArmsAdapted STAT-ED, Standard Enhanced Treatment As Usual
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
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  10. Article
  11. Suicide Prevention in Youth.Current psychiatry reports · 2025
    Review
  12. Article
  13. Article
  14. Profiles of Risk for Self-injurious Thoughts and Behaviors Among System-Impacted Girls of Color.Journal of the American Academy of Child and Adolescent Psychiatry · 2024
    Article
  15. Article
  16. Article
  17. Review
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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

13 authors at 10 institutions in 1 country.

Cheryl A KingUniversity of Michigan, Ann Arbor. Electronic address: kingca@umich.edu.
David BrentUniversity of Pittsburgh, Pennsylvania.
Jacqueline Grupp-PhelanUniversity of California San Francisco.
Rohit ShenoiBaylor College of Medicine, Houston, Texas.
Kent PageUniversity of Utah School of Medicine, Salt Lake City.
E Melinda Mahabee-GittensUniversity of Cincinnati, Ohio.
Lauren S ChernickColumbia University Medical Center, New York.
Marlene Melzer-LangeMedical College of Wisconsin, Milwaukee.
Margaret ReaUniversity of California, Davis.
Taylor C McGuireUniversity of Michigan, Ann Arbor.
Andrew LittlefieldTexas Tech University, Lubbock.
T Charles CasperUniversity of Utah School of Medicine, Salt Lake City.
Pediatric Emergency Care Applied Research Network (PECARN)
University of Michigan · USUniversity of Utah · USBaylor College of Medicine · USColumbia University Irving Medical Center · USMedical College of Wisconsin · USTexas Tech University · USUniversity of California, Davis · USUniversity of California, San Francisco · USUniversity of Cincinnati · USUniversity of Pittsburgh · US

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
An Intervention to Reduce Second Hand Smoke Exposure among Pediatric Emergency Patients. R01HD083354 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI MAHABEE-GITTENS, E. MELINDA · 2015 to 2019
$2.9M
NICHD NIH HHS R01 HD083354NIMH NIH HHS U01 MH104311
6 · The paper itself

Abstract

objectiveAdolescents at risk for suicide are highly heterogeneous in terms of psychiatric and social risk factors, yet there has been little systematic research on risk profiles, which would facilitate recognition and the matching of patients to services. Our primary study aims were to identify latent class profiles of adolescents with elevated suicide risk, and to examine the association of these profiles with mental health service use (MHSU).

methodParticipants were 1,609 adolescents from the Emergency Department Screen for Teens at Risk for Suicide (ED-STARS) cohort. Participants completed baseline surveys assessing demographics, MHSU, and suicide risk. Telephone follow-up interviews were conducted at 3 months to assess suicide attempts. Participants met pre-established baseline criteria for suicide risk.

resultsUsing latent class analysis, we derived 5 profiles of elevated suicide risk with differing patterns of eight risk factors: history of multiple suicide attempts, past-month suicidal ideation, depression, alcohol and drug misuse, impulsive-aggression, and sexual and physical abuse. In comparison to adolescents who did not meet baseline criteria for suicide risk, each profile was associated with increased risk of a suicide attempt within 3 months. The MHSU was lowest for adolescents fitting profiles with previous (but no recent) suicidal thoughts and behavior, and for adolescents from racial and ethnic minority groups.

conclusionAdolescents at elevated risk for suicide present to emergency departments with differing profiles of suicide risk. MHSU varies across these profiles and by race/ethnicity, indicating that targeted risk recognition and treatment linkage efforts may be necessary to reach some adolescents at risk.

Indexed as

Mental Health ServicesSuicide, AttemptedAdolescentEthnicityHumansMinority GroupsSuicidal Ideationadolescencelatent class profilesmental health service usesuicide risk

Identifiers

PMID31830523
PMCPMC7280071
OpenAlexW2995052947

What OpenQuestion holds

Textmetadata
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Read underepoch 390

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.