Evidence map›Paper›PMID 34106741›Full record

SynthesisPsychiatric services (Washington, D.C.)2022

Universal Suicide Risk Screening for Youths in the Emergency Department: A Systematic Review.

Paige E Cervantes, Dana E M Seag, Argelinda Baroni, Ruth Gerson, Katrina Knapp, Ee Tein Tay, Ethan Wiener, Sarah McCue Horwitz

Abstract readSystematic Review
In one paragraph

Synthesis in Psychiatric services (Washington, D.C.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Characteristics of Adolescents With Elevated Suicide Risk Presenting to the ED With Physical Health Complaints.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  5. Article
  6. Safety Planning for Youth in the Emergency Department Who Have Suicide Risk.Journal of the American College of Emergency Physicians open · 2025
    Article
  7. Article
  8. Article
  9. 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
  10. Article
  11. Article
  12. Article
  13. Article
  14. National estimates of emergency department visits for medication-related self-harm: United States, 2016-2019.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2022
    Article
  15. Review
  16. 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

8 authors.

Paige E CervantesDepartment of Child and Adolescent Psychiatry (Cervantes, Seag, Baroni, Gerson, Horwitz) and Ronald O. Perelman Department of Emergency Medicine (Knapp, Tay, Wiener), New York University Grossman School of Medicine, New York City; Child and Adolescent Psychiatry (Baroni, Gerson) and Pediatrics Emergency Medicine (Knapp, Tay, Wiener), Bellevue Hospital Center, New York City.ORCID 0000-0002-8615-0063
Dana E M SeagDepartment of Child and Adolescent Psychiatry (Cervantes, Seag, Baroni, Gerson, Horwitz) and Ronald O. Perelman Department of Emergency Medicine (Knapp, Tay, Wiener), New York University Grossman School of Medicine, New York City; Child and Adolescent Psychiatry (Baroni, Gerson) and Pediatrics Emergency Medicine (Knapp, Tay, Wiener), Bellevue Hospital Center, New York City.ORCID 0000-0001-7145-9626
Argelinda BaroniDepartment of Child and Adolescent Psychiatry (Cervantes, Seag, Baroni, Gerson, Horwitz) and Ronald O. Perelman Department of Emergency Medicine (Knapp, Tay, Wiener), New York University Grossman School of Medicine, New York City; Child and Adolescent Psychiatry (Baroni, Gerson) and Pediatrics Emergency Medicine (Knapp, Tay, Wiener), Bellevue Hospital Center, New York City.
Ruth GersonDepartment of Child and Adolescent Psychiatry (Cervantes, Seag, Baroni, Gerson, Horwitz) and Ronald O. Perelman Department of Emergency Medicine (Knapp, Tay, Wiener), New York University Grossman School of Medicine, New York City; Child and Adolescent Psychiatry (Baroni, Gerson) and Pediatrics Emergency Medicine (Knapp, Tay, Wiener), Bellevue Hospital Center, New York City.
Katrina KnappDepartment of Child and Adolescent Psychiatry (Cervantes, Seag, Baroni, Gerson, Horwitz) and Ronald O. Perelman Department of Emergency Medicine (Knapp, Tay, Wiener), New York University Grossman School of Medicine, New York City; Child and Adolescent Psychiatry (Baroni, Gerson) and Pediatrics Emergency Medicine (Knapp, Tay, Wiener), Bellevue Hospital Center, New York City.
Ee Tein TayDepartment of Child and Adolescent Psychiatry (Cervantes, Seag, Baroni, Gerson, Horwitz) and Ronald O. Perelman Department of Emergency Medicine (Knapp, Tay, Wiener), New York University Grossman School of Medicine, New York City; Child and Adolescent Psychiatry (Baroni, Gerson) and Pediatrics Emergency Medicine (Knapp, Tay, Wiener), Bellevue Hospital Center, New York City.
Ethan WienerDepartment of Child and Adolescent Psychiatry (Cervantes, Seag, Baroni, Gerson, Horwitz) and Ronald O. Perelman Department of Emergency Medicine (Knapp, Tay, Wiener), New York University Grossman School of Medicine, New York City; Child and Adolescent Psychiatry (Baroni, Gerson) and Pediatrics Emergency Medicine (Knapp, Tay, Wiener), Bellevue Hospital Center, New York City.
Sarah McCue HorwitzDepartment of Child and Adolescent Psychiatry (Cervantes, Seag, Baroni, Gerson, Horwitz) and Ronald O. Perelman Department of Emergency Medicine (Knapp, Tay, Wiener), New York University Grossman School of Medicine, New York City; Child and Adolescent Psychiatry (Baroni, Gerson) and Pediatrics Emergency Medicine (Knapp, Tay, Wiener), Bellevue Hospital Center, New York City.ORCID 0000-0003-0166-598X

Funding

National Survey of State Policy Decision-making and SimulationP50MH113662 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI HORWITZ, SARAH MCCUE · 2019 to 2022
$6.9M
NIMH NIH HHS P50 MH113662
6 · The paper itself

Abstract

objectivesTo address escalating youth suicide rates, universal suicide risk screening has been recommended in pediatric care settings. The emergency department (ED) is a particularly important setting for screening. However, EDs often fail to identify and treat mental health symptoms among youths, and data on implementation of suicide risk screening in EDs are limited. A systematic review was conducted to describe the current literature on universal suicide risk screening in EDs, identify important gaps in available studies, and develop recommendations for strategies to improve youth screening efforts.

methodsA systematic literature search of PubMed, MEDLINE, CINAHL, PsycINFO, and Web of Science was conducted. Studies focused on universal suicide risk screening of youths served in U.S. EDs that presented screening results were coded, analyzed, and evaluated for reporting quality. Eleven studies were included.

resultsAll screening efforts occurred in teaching or children's hospitals, and research staff administered suicide screens in eight studies. Thus scant information was available on universal screening in pediatric community ED settings. Large variation was noted across studies in participation rates (17%-86%) and in positive screen rates (4.1%-50.8%), although positive screen rates were influenced by type of presenting concern (psychiatric versus nonpsychiatric). Only three studies concurrently examined barriers to screening, providing little direction for effective implementation. STROBE guidelines were used to rate reporting quality, which ranged from 51.9% to 87.1%, with three studies having ratings over 80%.

conclusionsResearch is needed to better inform practice guidelines and clinical pathways and to establish sustainable screening programs for youths presenting for care in EDs.

Indexed as

Suicide PreventionAdolescentChildCritical PathwaysEmergency Service, HospitalHospitals, PediatricHumansMass ScreeningEmergency psychiatrySuicide-adolescent

Identifiers

PMID34106741
PMCPMC8655012

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.