Evidence map›Paper›PMID 34695448›Full record

ArticleThe Journal of pediatrics2022

Opportunities for Early Identification: Implementing Universal Depression Screening with a Pathway to Suicide Risk Screening in a Pediatric Health Care System.

Brent R Crandal, Laika D Aguinaldo, Chelsea Carter, Glenn F Billman, Kendall Sanderson, Cynthia Kuelbs

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 16% 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.

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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Brent R CrandalRady Children's Hospital, San Diego, San Diego, CA. Electronic address: bcrandal@rchsd.org.
Laika D AguinaldoDepartment of Psychiatry, University of San Diego, La Jolla, CA.
Chelsea CarterRady Children's Hospital, San Diego, San Diego, CA.
Glenn F BillmanRady Children's Hospital, San Diego, San Diego, CA.
Kendall SandersonRady Children's Hospital, San Diego, San Diego, CA.
Cynthia KuelbsRady Children's Hospital, San Diego, San Diego, CA; Department of Pediatrics, University of San Diego, La Jolla, CA.
Rady Children's Hospital-San Diego · USUniversity of San Diego · US

Funding

ABCD-USA Consortium: Research ProjectU01DA041089 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Joanna Jacobus, Susan F. Tapert · 2015 to 2026
$31.7M
NIDA NIH HHS U01 DA041089
6 · The paper itself

Abstract

objectivesTo describe the implementation process and assess results of a large-scale universal depression screening program with pathways to suicide risk screening in a pediatric integrated delivery network. STUDY

designThis retrospective study analyzes depression and suicide risk screening data for 95 613 patients ages 12-17 years.

resultsOf the 95 613 adolescent patients who were screened for depression, 2.4% (2266) screened positive for risk for moderate-severe depression (>10 Patient Health Questionnaire; 9-item version) and 4.1% (3942) endorsed elevated suicide risk (≥1 Columbia Suicide Severity Rating Scale). Overall, 51% of screened patients who present with a primary psychiatric concern screened positive for elevated risk of suicide (2132). Two percent of screened patients who presented with a primary medical concern screened positive for elevated risk of suicide. Nearly one-half (45.9%) of all elevated suicide risk screenings were from patients with a primary medical concern.

conclusionsA large-scale universal depression screening program with a pathway to identify elevated suicide risk was implemented in a pediatric health care system using the Patient Health Questionnaire and the Columbia Suicide Severity Rating Scale. This screening program identified youth with moderate-severe depression and elevated risk for suicide with and without presenting psychiatric concerns across service settings.

Indexed as

Mass ScreeningRisk AssessmentSuicide PreventionAdolescentAdolescent Health ServicesChildDepressionFemaleHumansMaleRetrospective StudiesSuicidal Ideationimplementationprevention

Identifiers

PMID34695448
PMCPMC8792242
OpenAlexW3208291744

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.