Evidence map›Paper›PMID 37835113›Full record

ArticleInternational journal of environmental research and public health2023

The Cost of Universal Suicide Risk Screening for Adolescents in Emergency Departments.

Kyle L Grazier, Jacqueline Grupp-Phelan, David Brent, Adam Horwitz, Taylor C McGuire, T Charles Casper, Michael W Webb, Cheryl A King

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Suicide Prevention in Youth.Current psychiatry reports · 2025
    Review
  2. Article
  3. Management of youth with suicidal ideation: Challenges and best practices for emergency departments.Journal of the American College of Emergency Physicians open · 2024
    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

8 authors at 5 institutions in 1 country.

Kyle L GrazierDepartment of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA.
Jacqueline Grupp-PhelanDepartment of Emergency Medicine, School of Medicine, University of California at San Francisco, San Francisco, CA 94143, USA.
David BrentDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
Adam HorwitzDepartment of Psychiatry, School of Medicine, University of Michigan, Ann Arbor, MI 48109, USA.ORCID 0000-0002-6087-7950
Taylor C McGuireDepartment of Psychology, Harvard University, Cambridge, MA 02138, USA.ORCID 0000-0002-2020-5746
T Charles CasperDepartment of Pediatrics, School of Medicine, University of Utah, Salt Lake City, UT 84132, USA.
Michael W WebbDepartment of Pediatrics, School of Medicine, University of Utah, Salt Lake City, UT 84132, USA.
Cheryl A KingDepartment of Psychiatry, School of Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
University of Michigan · USUniversity of Utah · USHarvard University · USUniversity of California, San Francisco · USUniversity of Pittsburgh · US

Funding

Emergency Department Screen for Teens at Risk for Suicide (ED-STARS)U01MH104311 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BRENT, DAVID A., GRUPP-PHELAN, JACQUELINE M. · 2014 to 2016
$10.6M
Institutional Career Development CoreKL2TR002241 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ELLINGROD, VICKI L · 2017 to 2021
$6.9M
NCATS NIH HHS KL2 TR002241NIMH NIH HHS U01 MH104311NIMH NIH HHS U01 MH104311.
6 · The paper itself

Abstract

Suicide is the second leading cause of death among adolescents. As nearly 20% of adolescents visit emergency departments (EDs) each year, EDs have an opportunity to identify previously unrecognized suicide risk. A novel Computerized Adaptive Screen for Suicidal Youth (CASSY) was shown in a multisite study to be predictive for suicide attempts within 3 months. This study uses site-specific data to estimate the cost of CASSY implementation with adolescents in general EDs. When used universally with all adolescents who are present and able to participate in the screening, the average cost was USD 5.77 per adolescent. For adolescents presenting with non-behavioral complaints, the average cost was USD 2.60 per adolescent. Costs were driven primarily by time and personnel required for the further evaluation of suicide risk for those screening positive. Thus, universal screening using the CASSY, at very low costs relative to the cost of an ED visit, can facilitate services needed for at-risk adolescents.

Indexed as

Suicide, AttemptedSuicide PreventionAdolescentEmergency Service, HospitalHumansMass ScreeningSuicidal Ideationadolescentcost analysisemergency departmentscreeningsuicideuniversal screening

Identifiers

PMID37835113
PMCPMC10573004
OpenAlexW4387137346

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.