ArticlePsychiatric services (Washington, D.C.)2021
Identifying Adolescent Suicide Risk via Depression Screening in Pediatric Primary Care: An Electronic Health Record Review.
Article in Psychiatric services (Washington, D.C.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 33 citations in OpenAlex.
- Adolescent suicide assessment and management in primary care.BMC pediatrics · 2022Trial
- Development and validation of a machine learning-based screening tool for early detection of adolescent suicide risk.Journal of child psychology and psychiatry, and allied disciplines · 2026Article
- Team-Effectiveness Barriers and Solutions to Depression Screening within a Pediatric Hospital Network: A Qualitative Study.Evidence-based practice in child and adolescent mental health · 2026Article
- Ensemble transformer with post-hoc explanations for depression emotion and severity detection.iScience · 2026Article
- Beliefs about and approaches to youth suicide risk screening and triage in primary care: a qualitative analysis.BMC primary care · 2025Article
- Article
- Prediction of Adolescent Suicide Attempt by Integrating Clinical, Neurocognitive and Geocoded Neighborhood Environment Data.Schizophrenia bulletin · 2025Article
- Unveiling Adolescent Suicidality: Holistic Analysis of Protective and Risk Factors Using Multiple Machine Learning Algorithms.Journal of youth and adolescence · 2024Article
- Suicide Risk Screening for Head and Neck Cancer Patients: An Implementation Study.Applied clinical informatics · 2024Article
- The relationship between family communication and family resilience in Chinese parents of depressed adolescents: a serial multiple mediation of social support and psychological resilience.BMC psychology · 2024Article
- "It's so scary, and you're so alone with it": Clinicians' perspectives on suicide risk management in integrated primary care.PLOS mental health · 2024Article
- Cumulative Health Vulnerabilities Among Adolescents by Age and Neighborhood Opportunity.Pediatrics · 2023Article
- Youth Mental Health Screening and Linkage to Care.Psychiatric services (Washington, D.C.) · 2023Article
- Information and communication technology-based interventions for suicide prevention implemented in clinical settings: a scoping review.BMC health services research · 2023Article
- Diagnoses and Treatment After Depression Screening in Primary Care Among Youth.American journal of preventive medicine · 2022Article
- Adolescent depression screening in primary care: Who is screened and who is at risk?Journal of affective disorders · 2022Article
- Opportunities for Early Identification: Implementing Universal Depression Screening with a Pathway to Suicide Risk Screening in a Pediatric Health Care System.The Journal of pediatrics · 2022Article
- Sexual Minority Status and Age of Onset of Adolescent Suicide Ideation and Behavior.Pediatrics · 2021Article
- Screening for Depression, Anxiety, and Suicidality: Insights From Electronic Health Record Data in an Academic Medical Center.Journal of primary care & community healthArticle
- Review
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveThe authors evaluated suicide risk rates detected via a depression screener administered within a large pediatric primary care system and examined 1-year follow-up care after adolescents' endorsement of suicide risk.
methodsRetrospective electronic health record data were extracted to examine both suicide risk rates from items endorsed on the Patient Health Questionnaire-Modified for Teens (PHQ-9-M) and primary care providers' (PCPs') follow-up suicide risk assessments on the day of depression screening among adolescents ages 12-18 years during the period of September 1, 2014, to August 31, 2016. Manual chart review was conducted, and charts were coded for several follow-up care actions (e.g., referral to behavioral health providers and provision of crisis line information) in the year after suicidality endorsement.
resultsIn a sample of 12,690 adolescents, 5.1% endorsed thoughts of death or self-harm, 3.6% reported a lifetime suicide attempt, and 2.4% endorsed serious suicidal ideation within the past month. Manual chart review of a stratified random subsample of 150 of the 643 adolescents who endorsed a lifetime suicide attempt, serious ideation in the past month, or both illustrated the types of follow-up care they received. The PCPs adhered to the system's suicide assessment questions with high fidelity. Follow-up care from PCPs and other providers during the year after suicide risk endorsement was more variable.
conclusionsFindings demonstrate the feasibility of incorporating suicide assessment procedures into depression screening in pediatric primary care and highlight avenues for maximizing preventive care for adolescents at increased risk for suicide.
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Registered trials
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