Ask Suicide-Screening Questions (ASQ): A Brief Instrument for the Pediatric Emergency Department
Open accessAbstract
OBJECTIVE: To develop a brief screening instrument to assess the risk for suicide in pediatric emergency department patients. DESIGN: A prospective, cross-sectional instrument-development study evaluated 17 candidate screening questions assessing suicide risk in young patients. The Suicidal Ideation Questionnaire served as the criterion standard. SETTING: Three urban, pediatric emergency departments associated with tertiary care teaching hospitals. PARTICIPANTS: A convenience sample of 524 patients aged 10 to 21 years who presented with either medical/surgical or psychiatric chief concerns to the emergency department between September 10, 2008, and January 5, 2011. MAIN EXPOSURES: Participants answered 17 candidate questions followed by the Suicidal Ideation Questionnaire. MAIN OUTCOME MEASURES: Sensitivity, specificity, predictive values, likelihood ratios, and area under the receiver operating characteristic curves of the best-fitting combinations of screening questions for detecting elevated risk for suicide. RESULTS: A total of 524 patients were screened (344 medical/surgical and 180 psychiatric). Fourteen of the medical/surgical patients (4%) and 84 of the psychiatric patients (47%) were at elevated suicide risk on the Suicidal Ideation Questionnaire. Of the 17 candidate questions, the best-fitting model comprised 4 questions assessing current thoughts of being better off dead, current wish to die, current suicidal ideation, and past suicide attempt. This model had a sensitivity of 96.9% (95% CI, 91.3-99.4), specificity of 87.6% (95% CI, 84.0-90.5), and negative predictive values of 99.7% (95% CI, 98.2-99.9) for medical/surgical patients and 96.9% (95% CI, 89.3-99.6) for psychiatric patients. CONCLUSIONS: A 4-question screening instrument, the Ask Suicide-Screening Questions (ASQ), with high sensitivity and negative predictive value, can identify the risk for suicide in patients presenting to pediatric emergency departments.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The ASQ is a 4-item suicide-specific tool that is easy to administer, validated in adults and adolescents, and highly sensitive in the pediatric emergency department.
“Suicide-specific instruments include the 4-item Ask Suicidal-Screening Questions (ASQ); it is easy to administer, validated among adults and adolescents, and has high sensitivity in the pediatric ED population [67].”
From Adolescent Suicide—Understanding Unique Risks and Opportunities for Trauma Centers to Recognize, Intervene, and Prevent a Leading Cause of Death (2022) · cites this paper as [67]
The Results—Conclusions section describes the ASQ as a brief four-question tool for rapidly assessing suicide risk in pediatric EDs and reports high sensitivity. The Methods—Study Settings and Sample section limits participants to ages 10–21; the Results—Comment limitations also state that the ASQ was not administered to a validation cohort. Thus, this paper does not establish validation among adults generally. Page numbers are unavailable in our copy. (LLM, conf=0.90)
Experimental — accuracy not yet measuredThe ASQ has high sensitivity and negative predictive value in determining suicide risk.
“The ASQ,19 a 4/5-item measure with high sensitivity and negative predictive value in determining suicide risk, was adapted to repeatedly assess preadolescents’ experiences of suicidal thoughts over the prior week.”
From Asking Preadolescents About Suicide Is Not Associated With Increased Suicidal Thoughts (2026) · cites this paper as [19]
Studies show the ASQ has high sensitivity, specificity, and negative predictive validity, and can detect patients at risk for suicide that depression screening alone fails to identify.
“Studies show the ASQ has high sensitivity, specificity, and negative predictive validity, and that it can detect patients at risk for suicide that depression screening alone fails to identify.40-42”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [40]
A yes response or nonresponse to any ASQ initial question yields a positive suicide risk screen and prompts a fifth question to assess acuity.
“A “yes” response or nonresponse to any of these questions results in a positive screening result for suicide risk, and prompts a fifth question to assess acuity.40”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [40]
The ASQ consists of four initial questions assessing suicide ideation and suicidal behavior to identify patients who may need further risk assessment.
“The ASQ is comprised of 4 initial questions that assess suicide ideation and suicidal behavior to identify patients who may need further risk assessment.”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [40]
The ASQ is an evidence-based screening tool developed specifically for youth in medical settings.
“One such evidence-based screening tool developed specifically for youth in medical settings is the Ask Suicide-Screening Questions (ASQ).39,40”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [40]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The meaning and use of the area under a receiver operating characteristic (ROC) curve.
Hanley, J. A., & McNeil, B. J. (1982) · Radiology · doi:10.1148/radiology.143.1.7063747 · Cited by 21,856 · see citing works
Statistical Methods for Rates and Proportions
Fleiss, J. L., Levin, B., & Paik, M. C. (2003) · Wiley Series in Probability and Statistics · doi:10.1002/0471445428 · Cited by 18,646 · see citing works
Statistical Methods for Rates and Proportions.
Everitt, B. S., & Fleiss, J. L. (1981) · Biometrics · doi:10.2307/2530193 · Cited by 9,034 · see citing works
Hanley, J. A., & McNeil, B. J. (1983) · Radiology · doi:10.1148/radiology.148.3.6878708 · Cited by 7,016 · see citing works
(2006) · PubMed · Cited by 3,378 · see citing works
Web-based Injury Statistics Query and Reporting System (WISQARS)
:unav (2009) · Harvard Dataverse · doi:10.7910/dvn/n8emxe · Cited by 1,803 · see citing works
Youth Risk Behavior Surveillance - United States, 2009
Eaton, D. K., Kann, L. K., Kinchen, S., Shanklin, S. L., Flint, K. H., Hawkins, J., Harris, W. A., Lowry, R., McManus, T., Chyen, D., et al. (2010) · PsycEXTRA Dataset · doi:10.1037/e661322010-001 · Cited by 1,753 · see citing works
Contact With Mental Health and Primary Care Providers Before Suicide: A Review of the Evidence
Luoma, J. B., Martin, C. E., & Pearson, J. L. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.6.909 · Cited by 1,576 · see citing works
Youth Suicide Risk and Preventive Interventions: A Review of the Past 10 Years
Gould, M. S., Greenberg, T., Velting, D. M., & Shaffer, D. (2003) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000046821.95464.cf · Cited by 1,264 · see citing works
Youth risk behavior surveillance - United States, 2009.
Eaton, D. K., Kann, L. K., Kinchen, S., Shanklin, S. L., Ross, J. G., Hawkins, J., Harris, W. A., Lowry, R., McManus, T., Chyen, D., et al. (2010) · PubMed · Cited by 631 · see citing works
National Strategy for Suicide Prevention: Goals and Objectives for Action
Service., U. S. P. H. (2001) · PsycEXTRA Dataset · doi:10.1037/e415652005-001 · Cited by 463 · see citing works
National Strategy for Suicide Prevention: Goals and Objectives for Action
Satcher, D. S. (2003) · Cited by 392 · see citing works
Attendance at the accident and emergency department in the year before suicide: retrospective study.
Gairin, I., House, A., & Owens, D. (2003) · British Journal of Psychiatry · doi:10.1192/bjp.183.1.28 · Cited by 263 · cited 1× · see citing works
“In fact, most individuals who die by suicide have visited a health care provider in the year before their death, most within the prior 3 months.(7,8) Whereas medical visits afford clinicians an opportunity to identify and refer patients at risk for suicide,(9) individuals often present solely with somatic concerns and…”
Implementation and Refinement of the Emergency Severity Index
Wuerz, R. C., Travers, D. A., Gilboy, N., Eitel, D. R., Rosenau, A. M., & Yazhari, R. (2001) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2001.tb01283.x · Cited by 258 · see citing works
Pediatric and Adolescent Mental Health Emergencies in the Emergency Medical Services System
Dolan, M. A., Fein, J. A., & the Committee on Pediatric Emergency Medicine (2011) · Pediatrics · doi:10.1542/peds.2011-0522 · Cited by 235 · see citing works
Suicidal Ideation Questionnaire
Davis, J. M. (1992) · Journal of Psychoeducational Assessment · doi:10.1177/073428299201000311 · Cited by 193 · see citing works
Suicide screening in schools, primary care and emergency departments
Horowitz, L. M., Ballard, E. D., & Pao, M. (2009) · Current Opinion in Pediatrics · doi:10.1097/mop.0b013e3283307a89 · Cited by 181 · see citing works
Self-citationDetecting Suicide Risk in a Pediatric Emergency Department: Development of a Brief Screening Tool
Horowitz, L. M., Wang, P. S., Koocher, G. P., Burr, B. H., Smith, M. F., Klavon, S. L., & Cleary, P. D. (2001) · PEDIATRICS · doi:10.1542/peds.107.5.1133 · Cited by 148 · see citing works
Self-citationStandardized Screening for Suicidal Adolescents in Primary Care
Wintersteen, M. (2010) · Pediatrics · doi:10.1542/peds.2009-2458 · Cited by 128 · see citing works
Adolescent Suicide Risk Screening in the Emergency Department
King, C. A., O’Mara, R. M., Hayward, C. N., & Cunningham, R. M. (2009) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2009.00500.x · Cited by 121 · see citing works
Tishler, C. L., Reiss, N. S., & Rhodes, A. R. (2007) · Academic Emergency Medicine · doi:10.1197/j.aem.2007.05.014 · Cited by 120 · see citing works
Mental Health and Emergency Medicine: A Research Agenda
Larkin, G. L., Beautrais, A. L., Spirito, A., Kirrane, B. M., Lippmann, M. J., & Milzman, D. P. (2009) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2009.00545.x · Cited by 113 · see citing works
Horowitz, L. M., Ballard, E. D., Teach, S. J., Bosk, A., Rosenstein, D. L., Joshi, P. T., Dalton, M. E., & Pao, M. (2010) · Pediatric Emergency Care · doi:10.1097/pec.0b013e3181fa8568 · Cited by 90 · see citing works
Self-citationEmergency Treatment of Deliberate Self-harm
Olfson, M. (2011) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2011.108 · Cited by 89 · see citing works
Normal Children at Risk for Suicidal Behavior: A Two-Year Follow-up Study
Pfeffer, C. R., Lipkins, R., Plutchik, R., & Mizruchi, M. S. (1988) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-198801000-00006 · Cited by 84 · see citing works
Keane, E., Dick, R. W., Bechtold, D. W., & Manson, S. M. (1996) · Research on Child and Adolescent Psychopathology · doi:10.1007/bf01664737 · Cited by 84 · see citing works
Habis, A., Tall, L., Smith, J., & Guenther, E. (2007) · Pediatric Emergency Care · doi:10.1097/01.pec.0000278401.37697.79 · Cited by 72 · see citing works
Mental Health Problems in Children and Caregivers in the Emergency Department Setting
Grupp‐Phelan, J., Wade, T. J., Pickup, T., Ho, M. L., Lucas, C. P., Brewer, D. E., & Kelleher, K. J. (2007) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0b013e31802d0bb2 · Cited by 47 · see citing works
The recognition of diagnosable psychiatric disorders in suicide cases' last medical contacts.
Pan, Y.-J., Lee, M., Chiang, H.-C., & Liao, S.-C. (2009) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2008.12.010 · Cited by 41 · see citing works
Public Health in the Emergency Department: Overcoming Barriers to Implementation and Dissemination
McKay, M. P., Vaca, F. E., Field, C. A., & Rhodes, K. V. (2009) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2009.00547.x · Cited by 41 · see citing works
Suicide and Self-poisoning in Pediatrics
McIntire, M. S., Angle, C. R., & Schlicht, M. L. (1977) · Advances in Pediatrics · doi:10.1016/s0065-3101(22)00738-1 · Cited by 37 · see citing works
Suicide Risk Screening in an Emergency Department
Folse, V. N., & Hahn, R. L. (2009) · Clinical Nursing Research · doi:10.1177/1054773809335296 · Cited by 35 · see citing works
(2010) · PubMed · Cited by 35 · see citing works
Robles-García, R., Agraz, F. P., Guirado, M. A., Salcedo, E. M., & Muñoz, L. H. (2005) · PubMed · Cited by 12 · see citing works
Teach, S. J., Pao, M., Dalton, M. E., Ballard, E. D., Bosk, A., Joshi, P. T., Horowitz, L. M., & Rosenstein, D. L. (2021) · Carolina Digital Repository (University of North Carolina at Chapel Hill) · doi:10.17615/azxe-vd50 · Cited by 1 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Suicide and Suicide Risk in Adolescents
Hua, L. L., Lee, J., Rahmandar, M. H., Sigel, E. J., COMMITTEE ON ADOLESCENCE, & COUNCIL ON INJURY, V. (2024) · Pediatrics · doi:10.1542/peds.2023-064800 · Cited by 205 · see citing works
Suicide Risk Screening in Pediatric Hospitals: Clinical Pathways to Address a Global Health Crisis
Brahmbhatt, K., Kurtz, B. P., Afzal, K. I., Giles, L. L., Kowal, E. D., Johnson, K. P., Lanzillo, E., Pao, M., Plioplys, S., & Horowitz, L. M. (2019) · Psychosomatics · doi:10.1016/j.psym.2018.09.003 · Cited by 146 · see citing works
Self-citationSuicide in young people: screening, risk assessment, and intervention
Hughes, J. L., Horowitz, L. M., Ackerman, J. P., Adrian, M. C., Campo, J. V., & Bridge, J. A. (2023) · BMJ · doi:10.1136/bmj-2022-070630 · Cited by 135 · see citing works
Self-citationAguinaldo, L. D., Sullivant, S., Lanzillo, E. C., Ross, A., He, J.-P., Bradley-Ewing, A., Bridge, J. A., Horowitz, L. M., & Wharff, E. A. (2021) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2020.11.006 · Cited by 131 · see citing works
Identification of At-Risk Youth by Suicide Screening in a Pediatric Emergency Department
Ballard, E. D., Cwik, M., Van Eck, K., Goldstein, M., Alfes, C., Wilson, M. E., Virden, J. M., Horowitz, L. M., & Wilcox, H. C. (2017) · Prevention Science · doi:10.1007/s11121-016-0717-5 · Cited by 123 · see citing works
Self-citationAn Integrated Public Health Approach to Interpersonal Violence and Suicide Prevention and Response
Decker, M. R., Wilcox, H. C., Holliday, C. N., & Webster, D. W. (2018) · Public Health Reports® · doi:10.1177/0033354918800019 · Cited by 115 · see citing works
Horowitz, L. M., Snyder, D. J., Boudreaux, E. D., He, J.-P., Harrington, C. J., Cai, J., Claassen, C. A., Salhany, J. E., Dao, T., Chaves, J. F., et al. (2020) · Psychosomatics · doi:10.1016/j.psym.2020.04.008 · Cited by 110 · see citing works
Self-citationAssessment of selective and universal screening for suicide risk in a pediatric emergency department
DeVylder, J. E., Ryan, T. C., Cwik, M., Wilson, M. E., Jay, S., Nestadt, P. S., Goldstein, M., & Wilcox, H. C. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.14070 · Cited by 109 · see citing works
King, C. A., Grupp‐Phelan, J., Brent, D., Dean, J. M., Webb, M., Bridge, J. A., Spirito, A., Chernick, L. S., Mahabee‐Gittens, E. M., Mistry, R. D., et al. (2019) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13087 · Cited by 101 · see citing works
Self-citationAsarnow, J. R., & Mehlum, L. (2019) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13130 · Cited by 100 · see citing works
Reducing Suicide Risk: Challenges and Opportunities in the Emergency Department
Betz, M. E., Wintersteen, M., Boudreaux, E. D., Brown, G., Capoccia, L., Currier, G., Goldstein, J., King, C., Manton, A., Stanley, B., et al. (2016) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2016.05.030 · Cited by 88 · see citing works
Depression and suicide-risk screening results in pediatric primary care
Kemper, A. R., Hostutler, C. A., Beck, K., Fontanella, C. A., & Bridge, J. A. (2021) · Pediatrics · doi:10.1542/peds.2021-049999 · Cited by 81 · see citing works
Self-citationScreening pediatric medical patients for suicide risk: Is depression screening enough?
Horowitz, L. M., Mournet, A. M., Lanzillo, E., He, J.-P., Powell, D. S., Ross, A. M., Wharff, E. A., Bridge, J. A., & Pao, M. (2021) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2021.01.028 · Cited by 78 · see citing works
Self-citationKing, C. A., Brent, D., Grupp-Phelan, J., Shenoi, R., Page, K., Mahabee-Gittens, E. M., Chernick, L. S., Melzer-Lange, M., Rea, M., McGuire, T. C., et al. (2020) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2019.10.015 · Cited by 73 · see citing works
Prospective Development and Validation of the Computerized Adaptive Screen for Suicidal Youth
King, C. A., Brent, D., Grupp-Phelan, J., Casper, T. C., Dean, J. M., Chernick, L. S., Fein, J. A., Mahabee-Gittens, E. M., Patel, S. J., Mistry, R. D., et al. (2021) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2020.4576 · Cited by 71 · see citing works
Hink, A. B., Killings, X., Bhatt, A., Ridings, L. E., & Andrews, A. L. (2022) · Current Trauma Reports · doi:10.1007/s40719-022-00223-7 · Cited by 67 · see citing works
Universal Pediatric Suicide Risk Screening in a Health Care System: 90,000 Patient Encounters
Roaten, K., Horowitz, L. M., Bridge, J. A., Goans, C. R. R., McKintosh, C., Genzel, R., Johnson, C., & North, C. S. (2021) · Journal of the Academy of Consultation-Liaison Psychiatry · doi:10.1016/j.jaclp.2020.12.002 · Cited by 67 · see citing works
Self-citationImplementing Suicide Risk Screening in a Pediatric Primary Care Setting: From Research to Practice
Horowitz, L. M., Bridge, J. A., Tipton, M. V., Abernathy, T., Mournet, A. M., Snyder, D. J., Lanzillo, E. C., Powell, D., Schoenbaum, M., Brahmbhatt, K., et al. (2022) · Academic Pediatrics · doi:10.1016/j.acap.2021.10.012 · Cited by 64 · see citing works
Self-citationChild Psychiatric Emergencies: Updates on Trends, Clinical Care, and Practice Challenges
Carubia, B., Becker, A., & Levine, B. H. (2016) · Current Psychiatry Reports · doi:10.1007/s11920-016-0670-9 · Cited by 59 · see citing works
Grupp-Phelan, J., Stevens, J., Boyd, S., Cohen, D. M., Ammerman, R. T., Liddy-Hicks, S., Heck, K., Marcus, S. C., Stone, L., Campo, J. V., et al. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.17941 · Cited by 57 · see citing works
Self-citationIdentifying adolescents at highly elevated risk for suicidal behavior in the emergency department
King, C. A., Berona, J., Czyz, E., Horwitz, A. G., & Gipson, P. Y. (2015) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2014.0049 · Cited by 54 · see citing works
Hamilton, J. L., Biernesser, C., Moreno, M. A., Porta, G., Hamilton, E., Johnson, K., Poling, K. D., Sakolsky, D., Brent, D. A., & Goldstein, T. G. (2021) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12801 · Cited by 39 · see citing works
Ross, A. M., White, E., Powell, D., Nelson, S., Horowitz, L., & Wharff, E. (2016) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2015.11.052 · Cited by 40 · see citing works
Self-citationSpottswood, M., Lim, C. T., Davydow, D., & Huang, H. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.892205 · Cited by 40 · see citing works
Clinical pathway for suicide risk screening in adult primary care settings: Special recommendations
Ayer, L., Horowitz, L. M., Colpe, L., Lowry, N. J., Ryan, P. C., Boudreaux, E., Little, V., Erban, S., Ramirez-Estrada, S., & Schoenbaum, M. (2022) · Journal of the Academy of Consultation-Liaison Psychiatry · doi:10.1016/j.jaclp.2022.05.003 · Cited by 37 · see citing works
Self-citationSuicide in African American Adolescents: Understanding Risk by Studying Resilience
Robinson, W. L., Whipple, C. R., Keenan, K., Flack, C. E., & Wingate, L. (2022) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-072220-021819 · Cited by 34 · see citing works
Pediatric Suicide Screening: A Review of the Evidence
Milliman, C. C., Dwyer, P. A., & Vessey, J. A. (2021) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2020.12.011 · Cited by 34 · see citing works
Radomski, A. D., Bagnell, A., Curtis, S., Hartling, L., & Newton, A. S. (2020) · JMIR Mental Health · doi:10.2196/15795 · Cited by 30 · see citing works
24-hour warning signs for adolescent suicide attempts
King, C. A., Gipson Allen, P. Y., Ahamed, S. I., Webb, M., Casper, T. C., Brent, D., Grupp-Phelan, J., Rogers, T. A., Arango, A., Al-Dajani, N., et al. (2024) · Psychological Medicine · doi:10.1017/s0033291723003112 · Cited by 22 · see citing works
Suicide risk screening tools for pediatric patients: a systematic review of test accuracy
Lowry, N. J., Goger, P., Hands Ruz, M., Ye, F., & Cha, C. B. (2024) · Pediatrics · doi:10.1542/peds.2023-064172 · Cited by 18 · see citing works
Managing risk and self-harm: Keeping young people safe
Westers, N. J., & Plener, P. L. (2020) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104519895064 · Cited by 16 · see citing works
Christensen LeCloux, M., Aguinaldo, L. D., Lanzillo, E. C., & Horowitz, L. M. (2022) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-022-09787-3 · Cited by 13 · see citing works
Self-citationEvidence-based youth suicide prevention and intervention in pediatric primary care settings.
Ruch, D. A., Hughes, J. L., Bridge, J. A., & Fontanella, C. A. (2024) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2024.07.017 · Cited by 10 · see citing works
Self-citationAsking Preadolescents About Suicide Is Not Associated With Increased Suicidal Thoughts
Hennefield, L., Luking, K. R., Tillman, R., Barch, D. M., Luby, J. L., & Thompson, R. J. (2026) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2025.03.025 · Cited by 8 · see citing works
“We modi fi ed the widely used Ask Suicide-Screening Questions (ASQ), 19 a measure with favorable psychometric properties 20 that has been used to assess youth suicide risk in pediatric practices, 21-23 inpatient care, 23,24 and emergency departments, 23,25 to query suicidal thoughts over the prior…”
Measurement choices for youth suicidality
Busby, D. R., Hughes, J. L., Walters, M., Ihediwa, A., Adeniran, M., Goodman, L., & Mayes, T. L. (2025) · Child Psychiatry & Human Development · doi:10.1007/s10578-023-01627-5 · Cited by 8 · see citing works
Ayer, L., Ohana, E., Ivanova, M. Y., Frering, H. E., Achenbach, T. M., & Althoff, R. R. (2024) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2023.11.012 · Cited by 6 · see citing works
- Authors
- Horowitz, L. M., Bridge, J. A., Teach, S. J., Ballard, E., Klima, J., Rosenstein, D. L., Wharff, E. A., Ginnis, K., Cannon, E., Joshi, P., & Pao, M.
- Affiliations
- National Institutes of Health (US)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Horowitz, Lisa M.
- ORCID
- Venue
- Archives of Pediatrics & Adolescent Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2012-12-01
- Volume
- 166
- Issue
- 12
- Pages
- 1170
- ISSN
- 1072-4710 (ISSN-L)
- PMC
- PMC6889955
- OpenAlex
- W1979187768
- Cited by
- 593
- References
- 35
- Citations by year
- 2026: 77 · 2025: 95 · 2024: 80 · 2023: 69 · 2022: 52 · 2021: 58 · 2020: 46 · 2019: 23 · 2018: 18 · 2017: 22 · 2016: 18 · 2015: 13 · 2014: 11 · 2013: 10 · 2012: 1
- FWCI
- 12.67
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Archives of Pediatrics and Adolescent Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Nationwide Children's Hospital
- Children's National Hospital
- National Institutes of Health (Z99 MH999999)
- Research Institute, Nationwide Children's Hospital
- National Institute of Mental Health (K01 MH-69948, K01MH069948, ZIAMH002922)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Social Sciences › Health › Gun Ownership and Violence Research
- Keywords
- suicide risk screening, suicidal ideation, screening tool development, desire for death, young adults, psychiatric patients, medical-surgical patients
- MeSH terms
- Adolescent, Child, Cross-Sectional Studies, Emergency Service, Hospital, Female, Humans, Male, Mass Screening, Pediatrics, Prospective Studies, Surveys and Questionnaires, Sensitivity and Specificity, Suicide, Suicide, Attempted, Logistic Models, Risk Assessment, Young Adult, Suicidal Ideation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
