Screening for Suicide Risk Among Youths With a Psychotic Disorder in a Pediatric Emergency Department

DeVylder, Jordan; Ryan, Taylor C.; Cwik, Mary; Jay, Samantha Y.; Wilson, Mary Ellen; Goldstein, Mitchell; Wilcox, Holly C.

doi:10.1176/appi.ps.201900290

Cited by 14 publications

(13 citation statements)

References 8 publications

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“…In contrast, in studies with patients with only medical/surgical complaints or studies that included a breakdown of solely non-psychiatric presentations, the positivity rates ranged from 3% ( 48 ) to 10% ( 36 ). A few papers explored the ASQ's effectiveness in screening younger populations, as young as 8 years old ( 6 , 14 , 20 , 22 , 27 ). Those who screen positive on the ASQ tend to be more often female ( 6 , 14 , 20 , 22 , 29 , 42 , 47 ), older ( 14 , 20 , 22 , 29 , 42 ); and, in “all comer” samples, to present with a psychiatric/suicide-related complaint ( 6 , 22 , 43 ).…”

Section: Resultsmentioning

confidence: 99%

“…A few papers explored the ASQ's effectiveness in screening younger populations, as young as 8 years old ( 6 , 14 , 20 , 22 , 27 ). Those who screen positive on the ASQ tend to be more often female ( 6 , 14 , 20 , 22 , 29 , 42 , 47 ), older ( 14 , 20 , 22 , 29 , 42 ); and, in “all comer” samples, to present with a psychiatric/suicide-related complaint ( 6 , 22 , 43 ). Being Black/African- American was protective in some studies ( 14 , 42 ) and a risk factor in others ( 20 , 22 , 29 ).…”

Section: Resultsmentioning

confidence: 99%

“…Those who screen positive on the ASQ tend to be more often female ( 6 , 14 , 20 , 22 , 29 , 42 , 47 ), older ( 14 , 20 , 22 , 29 , 42 ); and, in “all comer” samples, to present with a psychiatric/suicide-related complaint ( 6 , 22 , 43 ). Being Black/African- American was protective in some studies ( 14 , 42 ) and a risk factor in others ( 20 , 22 , 29 ). Those with a positive ASQ result were more likely to be admitted ( 6 , 14 , 22 , 48 ) and more likely to re-present with to the ED ( 6 ), especially with a suicide-related complaint ( 14 , 20 , 27 ).…”

Section: Resultsmentioning

confidence: 99%

“…Those who screen positive on the ASQ tend to be more often female (6,14,20,22,29,42,47), older (14,20,22,29,42); and, in "all comer" samples, to present with a psychiatric/suicide-related complaint (6,22,43). Being Black/African-American was protective in some studies (14,42) and a risk factor in others (20,22,29).…”

Section: Ask Suicide-screening Questions (Asq)mentioning

confidence: 97%

“…Those with a positive ASQ result were more likely to be admitted (6,14,22,48) and more likely to re-present with to the ED (6), especially with a suicide-related complaint (14,20,27). In studies that examined criterion validity, the ASQ had acceptable sensitivity (60-93%) and specificity (43-92%) in predicting future attempts (6,14,20,27,41).…”

Section: Ask Suicide-screening Questions (Asq)mentioning

confidence: 99%

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Suicide Screening Tools for Pediatric Emergency Department Patients: A Systematic Review

Scudder

Rosin²,

Nelson³

et al. 2022

Front. Psychiatry

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BackgroundAccording to the Centers for Disease Control and Prevention, suicidality and suicidal behavior among youth continues to increase significantly each year. Many of those who die by suicide interact with health services in the year before death. This systematic review sought to identify and describe empirically tested screening tools for suicidality in youth presenting to Emergency Departments (ED).Objective(1) To identify and compare existing tools used to screen for suicidality in children and adolescents who present to the ED and (2) to ascertain the prevalence of suicidality in pediatric populations found with these tools.MethodsWe searched Ovid Medline, CINAHL, Scopus, and Cochrane databases for primary research studies that identified and evaluated screening tools for suicide risk in pediatric ED patients. A total of 7,597 publications published before August 25, 2021 met search criteria and were screened by two independent reviewers based on our inclusion and exclusion criteria, with any conflicts resolved via consensus meetings or an independent reviewer. A total of 110 papers were selected for full text review, of which 67 were excluded upon further inspection. Covidence was used to extract and synthesize results.Results43 articles were eligible for inclusion. Most studies (n = 33) took place in general pediatric EDs; the quality was generally high. Patients ranged from 4-24 years old, with most screening tested in patients 12 years and older. The most researched tools were the Ask-Suicide Screening Questions (ASQ) (n = 15), Columbia-Suicide Severity Rating Scale (C-SSRS) (n = 12), Suicidal Ideation Questionnaire (SIQ) (n = 11), and the Risk of Suicide Questionnaire (RSQ) (n = 7). Where screening was applied to all patients, about one-fifth of pediatric ED patients screened positive; where suicide screening was applied to psychiatric patients only, over half screened positive. Positive screens were more likely to be female and older than negative screens and they were more likely to be assessed and admitted.ConclusionSeveral validated screening tools exist for the purpose of screening pediatric populations in EDs for suicidality. Such tools may help to support early detection and appropriate intervention for youth at risk of suicide.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=276328, identifier: 276328

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