ArticlePediatrics2025
Improving Universal Suicide Risk Screening Rates at a Children's Hospital.
Article in Pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The trial behind it
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Who cites it
4 citing papers in PubMed.
- "It's Just So Important to Make Them Feel Seen": Teen and Caregiver Perspectives of Lethal Means Safety Planning for the Emergency Department.Annals of emergency medicine · 2026Article
- Suicide Risk Among Youth Who Choose "No Response" on Emergency Department Suicide Risk Screenings.Suicide & life-threatening behavior · 2026Article
- Retrospective Evaluation of the Implementation of Universal Suicide Risk Screening for Youth in the Perioperative and Procedural Areas of a Health System.Paediatric anaesthesia · 2026Article
- Safety Planning for Youth in the Emergency Department Who Have Suicide Risk.Journal of the American College of Emergency Physicians open · 2025Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
BACKGROUND AND
objectivesSuicide is a leading cause of death among US youth. In hospital settings, screening for suicide risk enables assessment, brief interventions, and linkage to treatment. Our objective was to increase compliance with universal suicide risk screening for patients aged 10 years or older during acute care visits (to the emergency department [ED] and/or inpatient medical units) of a children's hospital from 27% to greater than or equal to 60% over 13 months.
methodsUsing quality improvement methodology, a multidisciplinary team implemented interventions to increase compliance with universal suicide risk screening for patients aged 10 years or older at an academic children's hospital from June 2022 to June 2023, followed by a 7-month sustainment period. Interventions included a clinical care guideline and clinical decision support tools embedded in the electronic health record (EHR). We measured compliance with administration of Ask Suicide-Screening Questions (ASQ) during eligible visits, overall and stratified by care area, and positivity rates.
resultsDuring the intervention and sustainment periods, there were 18 435 and 10 257 acute care visits by patients aged 10 years or older, respectively. Screening compliance rates increased from 27% to 80% overall, from 17% to 80% in the ED, and from 55% to 76% in inpatient medical units. Of acute care visits with screening performed during the sustainment period, 8.6% had positive ASQ screening (6.9% nonimminent risk and 1.7% imminent risk).
conclusionsImplementing a clinical care guideline, accompanied by EHR-integrated clinical decision support, increased compliance with suicide risk screening at a children's hospital. Screening positivity rates reflect mental health needs among children receiving acute care.
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