Evidence map›Paper›PMID 32826283›Full record

ArticleHospital pediatrics2020

Validation and Feasibility of the ASQ Among Pediatric Medical and Surgical Inpatients.

Lisa M Horowitz, Elizabeth A Wharff, Annabelle M Mournet, Abigail M Ross, Sandra McBee-Strayer, Jian-Ping He, Elizabeth C Lanzillo, Erina White, Emory Bergdoll, Daniel S Powell and 4 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Hospital pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06558409 (Safer Still), which is not on this map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
2.8field-weighted citation impact, top 6% 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.

NCT06558409 narecruitingnot on this mapstarted 2024, after this paper: background citation

Safer Still (EP3)- An Interactive Intervention Adjunct to Traditional Care for Adolescents Who Are Discharged From Psychiatric Hospitals and Living in Households Where Firearms Are Stored Unsafely.

TypeinterventionalSponsorJeff BridgeRan2024 to 2027Enrolled80ConditionsSuicide PreventionArms" Safer Still " Interactive Intervention, Enhanced Usual Care (EUC):
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 57 citations in OpenAlex.

  1. Universal Suicide Screening in the Hospital Setting: Risk and Implications.The journal of behavioral health services & research · 2026
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  9. Pediatric Suicide Attempt Non-Disclosure: an Analysis of Discrepant Screening Results.Prevention science : the official journal of the Society for Prevention Research · 2025
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  11. Mental pain and lifetime suicide attempts in early adolescence: a preliminary study.Child and adolescent psychiatry and mental health · 2025
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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

14 authors at 5 institutions in 2 countries.

Lisa M HorowitzOffice of the Clinical Director and horowitzl@mail.nih.gov.
Elizabeth A WharffBoston Children's Hospital, Boston, Massachusetts.
Annabelle M MournetOffice of the Clinical Director and.
Abigail M RossBoston Children's Hospital, Boston, Massachusetts.
Sandra McBee-StrayerThe Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Jian-Ping HeGenetic Epidemiology Research Branch, National Institute of Mental Health, Bethesda, Maryland; horowitzl@mail.nih.gov.
Elizabeth C LanzilloOffice of the Clinical Director and.
Erina WhiteBoston Children's Hospital, Boston, Massachusetts.
Emory BergdollThe Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Daniel S PowellOffice of the Clinical Director and.
Martine SolagesChildren's National Hospital, Washington, District of Columbia; and.
Kathleen R MerikangasGenetic Epidemiology Research Branch, National Institute of Mental Health, Bethesda, Maryland.
Maryland PaoOffice of the Clinical Director and.
Jeffrey A BridgeThe Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Office of the Director · USBoston Children's Museum · USNationwide Children's Hospital · USNational Institute of Mental Health · USChildren's National · US

Funding

Psychiatry Consultation Liaison Service ResearchZIAMH002922 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI PAO, MARYLAND · 2009 to 2025
$11.5M
Intramural NIH HHS ZIA MH002922
6 · The paper itself

Abstract

objectivesTo validate the use of a brief suicide risk screening tool, the Ask Suicide-Screening Questions (ASQ) instrument, in pediatric inpatient medical and surgical settings.

methodsPediatric patients (10-21 years) hospitalized on inpatient medical and surgical units were recruited through convenience sampling for participation in a cross-sectional instrument validation study. The Suicidal Ideation Questionnaire was used as a standard criterion to validate the ASQ. Patient opinions about screening and parent consent to enroll in a suicide risk screening study were assessed to determine the feasibility of administering the ASQ in this venue.

resultsA total of 600 pediatric medical inpatients were screened. Compared with the gold standard, the ASQ had strong psychometric properties, with a sensitivity of 96.67% (95% confidence interval [CI]: 82.78 to 99.92), a specificity of 91.05% (95% CI: 88.40 to 93.27), a negative predictive value of 99.81% (95% CI: 98.93 to 99.99), and an area under curve of 0.94 (95% CI: 0.90 to 0.97). Only 3 participants (0.5%) had acute positive screen results on the ASQ, endorsing current suicidal ideation, whereas 77 participants (12.8%) screened nonacute positive, and 48 participants (8.0%) reported a past suicide attempt.

conclusionsThe brief 4-item ASQ is a valid tool to detect elevated suicide risk in pediatric medical and surgical inpatients. Our findings also reveal that screening is feasible in terms of detection of suicidal thoughts and behaviors and is acceptable to parents and patients.

Indexed as

InpatientsMass ScreeningChildCross-Sectional StudiesFeasibility StudiesHumansRisk AssessmentSuicidal IdeationSurveys and Questionnaires

Identifiers

PMID32826283
PMCPMC7446546
OpenAlexW3081243869

What OpenQuestion holds

Textmetadata
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.