Evidence map›Paper›PMID 35248306›Full record

ArticleAcademic pediatrics2022

Implementing Suicide Risk Screening in a Pediatric Primary Care Setting: From Research to Practice.

Lisa M Horowitz, Jeffrey A Bridge, Mary V Tipton, Ted Abernathy, Annabelle M Mournet, Deborah J Snyder, Elizabeth C Lanzillo, Daniel Powell, Michael Schoenbaum, Khyati Brahmbhatt and 1 more

Open access · greenAbstract read
In one paragraph

Article in Academic pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
10.7field-weighted citation impact, top 1% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Chronicity of Suicidality: Youth Suicide Prevention in Primary Care.Journal of psychosocial nursing and mental health services · 2026
    Article
  7. Asking Preadolescents About Suicide Is Not Associated With Increased Suicidal Thoughts.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Pediatric Suicide Attempt Non-Disclosure: an Analysis of Discrepant Screening Results.Prevention science : the official journal of the Society for Prevention Research · 2025
    Article
  14. Characteristics Associated With Mental Health Treatment Prior to Suicide Among Youth in the United States.Journal of the American Academy of Child and Adolescent Psychiatry · 2025
    Article
  15. Mental pain and lifetime suicide attempts in early adolescence: a preliminary study.Child and adolescent psychiatry and mental health · 2025
    Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article
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

11 authors at 4 institutions in 2 countries.

Lisa M HorowitzOffice of the Clinical Director, National Institute of Mental Health, Bethesda (LM Horowitz, MV Tipton, AM Mournet, DJ Snyder, EC Lanzillo, D Powell, and M Pao), Md. Electronic address: horowitzl@mail.nih.gov.
Jeffrey A BridgeThe Abigail Wexner Research Institute at Nationwide Children's Hospital and The Ohio State University College of Medicine, Columbus (JA Bridge), Ohio.
Mary V TiptonOffice of the Clinical Director, National Institute of Mental Health, Bethesda (LM Horowitz, MV Tipton, AM Mournet, DJ Snyder, EC Lanzillo, D Powell, and M Pao), Md.
Ted AbernathyPediatric & Adolescent Health Partners, Richmond (T Abernathy), Va.
Annabelle M MournetOffice of the Clinical Director, National Institute of Mental Health, Bethesda (LM Horowitz, MV Tipton, AM Mournet, DJ Snyder, EC Lanzillo, D Powell, and M Pao), Md.
Deborah J SnyderOffice of the Clinical Director, National Institute of Mental Health, Bethesda (LM Horowitz, MV Tipton, AM Mournet, DJ Snyder, EC Lanzillo, D Powell, and M Pao), Md.
Elizabeth C LanzilloOffice of the Clinical Director, National Institute of Mental Health, Bethesda (LM Horowitz, MV Tipton, AM Mournet, DJ Snyder, EC Lanzillo, D Powell, and M Pao), Md.
Daniel PowellOffice of the Clinical Director, National Institute of Mental Health, Bethesda (LM Horowitz, MV Tipton, AM Mournet, DJ Snyder, EC Lanzillo, D Powell, and M Pao), Md.
Michael SchoenbaumDivision of Services and Intervention Research, National Institute of Mental Health (NIMH), Bethesda (M Schoenbaum), Md.
Khyati BrahmbhattUniversity of California, San Francisco, UCSF Benioff Children's Hospital, Department of Psychiatry and Behavioral Science, San Francisco (K Brahmbhatt), Calif.
Maryland PaoOffice of the Clinical Director, National Institute of Mental Health, Bethesda (LM Horowitz, MV Tipton, AM Mournet, DJ Snyder, EC Lanzillo, D Powell, and M Pao), Md.
National Institute of Mental Health · CZHealthPartners · USNationwide Children's Hospital · USUniversity of California, San Francisco · US

Funding

Psychiatry Consultation Liaison Service ResearchZIAMH002922 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI PAO, MARYLAND · 2009 to 2025
$11.5M
Intramural NIH HHS Z99 MH999999Intramural NIH HHS ZIA MH002922
6 · The paper itself

Abstract

objectiveTo describe the methodological development and feasibility of real-world implementation of suicide risk screening into a pediatric primary care setting.

methodsA suicide risk screening quality improvement project (QIP) was implemented by medical leadership from a suburban-based pediatric (ages 12-25 years) primary care practice in collaboration with a National Institute of Mental Health (NIMH) suicide prevention research team. A pilot phase to acclimate office staff to screening procedures preceded data collection. A convenience sample of 271 pediatric medical outpatients was screened for suicide risk. Patients, their parents, and medical staff reported their experiences and opinions of the screening procedures.

resultsThirty-one (11.4%) patients screened positive for suicide risk, with 1 patient endorsing imminent suicide risk (3% of positive screens; 0.4% of total sample). Over half of the patients who screened positive reported a past suicide attempt. Most patients, parents, and medical staff supported the implementation of suicide risk screening procedures into standard care. A mental health clinical pathway for suicide risk screening in outpatient settings was developed to provide outpatient medical settings with guidance for screening.

conclusionsScreening for suicide risk in pediatric primary care is feasible and acceptable to patients, their families, and medical staff. A clinical pathway used as guidance for pediatric health care providers to implement screening programs can aid with efficiently detecting and managing patients who are at risk for suicide.

Indexed as

Mass ScreeningSuicide PreventionAdolescentAdultChildDisease SusceptibilityHumansOutpatientsPrimary Health CareQuality ImprovementYoung Adultmental health clinical pathwaypediatric primary caresuicide risk screeningyouth

Identifiers

PMID35248306
PMCPMC8908796
OpenAlexW4214948380

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.