Universal Pediatric Suicide Risk Screening in a Health Care System: 90,000 Patient Encounters
| Autor: | Carol S. North, Christian R.R. Goans, Jeffrey A. Bridge, Celeste Johnson, Lisa M. Horowitz, Russell Genzel, Kimberly Roaten, Chris McKintosh |
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| Rok vydání: | 2021 |
| Předmět: |
Suicide Prevention
medicine.medical_specialty Adolescent Pediatric health business.industry Primary care Emergency department Suicidal Ideation Psychiatry and Mental health Clinical Psychology Hospital system Suicidal behavior Family medicine Health care Retrospective analysis Humans Mass Screening Medicine Female Child business Suicide Risk Delivery of Health Care Retrospective Studies |
| Zdroj: | Journal of the Academy of Consultation-Liaison Psychiatry. 62:421-429 |
| ISSN: | 2667-2960 |
| DOI: | 10.1016/j.jaclp.2020.12.002 |
| Popis: | Background Suicidal behavior is increasing among US youths. Contact with the health care system is common in the months before suicide. Objective: To assess the characteristics of suicide risk among youths presenting for health care, universal screening results from a large hospital system were analyzed. Methods A retrospective analysis of the Ask Suicide-Screening Questions tool administered to patients aged 10–17 years in a hospital system including an emergency department, inpatient medical units, and primary care clinics was conducted. Demographic and clinical data from 3 years of encounters were analyzed. Results The sample consisted of 91,580 pediatric encounters, predominantly white Hispanic and women, with one third speaking Spanish. Across health care settings, 2.9% of encounters produced positive suicide risk screens, with the highest rate in the emergency department (8.5%). Acute positive screens, indicating imminent risk for suicidal behavior, accounted for 0.3% of all encounters. Approximately one-fourth (27.6%) of encounters for psychiatric presenting problems screened positive compared with 2.3% for nonpsychiatric encounters. Higher rates of positive screens were present among encounters for psychiatric presenting problems across all settings. Positive screens were less common among preteen (1.8%) than adolescent (3.1%) encounters (χ2 = 65.50, P Conclusions Universal screening detected suicide risk in approximately 3% of pediatric health care encounters. Screening identified risk in encounters among preteen and adolescent patients, with a higher prevalence of positive screens in encounters for youths presenting with psychiatric problems and for emergency department visits. Acute positive screens were rare, occurring in less than half of 1 percent of encounters. |
| Databáze: | OpenAIRE |
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