Identification of At-Risk Youth by Suicide Screening in a Pediatric Emergency Department
Open accessAbstract
The pediatric emergency department (ED) is a critical location for the identification of children and adolescents at risk for suicide. Screening instruments that can be easily incorporated into clinical practice in EDs to identify and intervene with patients at increased suicide risk is a promising suicide prevention strategy and patient safety objective. This study is a retrospective review of the implementation of a brief suicide screen for pediatric psychiatric ED patients as standard of care. The Ask Suicide Screening Questions (ASQ) was implemented in an urban pediatric ED for patients with psychiatric presenting complaints. Nursing compliance rates, identification of at-risk patients, and sensitivity for repeated ED visits were evaluated using medical records from 970 patients. The ASQ was implemented with a compliance rate of 79 %. Fifty-three percent of the patients who screened positive (237/448) did not present to the ED with suicide-related complaints. These identified patients were more likely to be male, African American, and have externalizing behavior diagnoses. The ASQ demonstrated a sensitivity of 93 % and specificity of 43 % to predict return ED visits with suicide-related presenting complaints within 6 months of the index visit. Brief suicide screening instruments can be incorporated into standard of care in pediatric ED settings. Such screens can identify patients who do not directly report suicide-related presenting complaints at triage and who may be at particular risk for future suicidal behavior. Results have the potential to inform suicide prevention strategies in pediatric EDs.
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?
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 [41]
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
Completed Suicide After a Suicide Attempt: A 37-Year Follow-Up Study
Suominen, K. H., Isometsä, E. T., Suokas, J. T., Haukka, J. K., Achté, K., & Lönnqvist, J. K. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.3.562 · Cited by 636 · see citing works
Ask Suicide-Screening Questions (ASQ): A Brief Instrument for the Pediatric Emergency Department
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., et al. (2012) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpediatrics.2012.1276 · Cited by 593 · see citing works
Self-citationCultural considerations in adolescent suicide prevention and psychosocial treatment.
Goldston, D. B., Molock, S. D., Whitbeck, L. B., Murakami, J. L., Zayas, L. H., & Hall, G. C. N. (2008) · American Psychologist · doi:10.1037/0003-066x.63.1.14 · Cited by 523 · see citing works
A randomized controlled trial of postcrisis suicide prevention.
Motto, J. A., & Bostrom, A. G. (2001) · Psychiatric Services · doi:10.1176/appi.ps.52.6.828 · Cited by 517 · see citing works
Candidate endophenotypes for genetic studies of suicidal behavior
Mann, J. J., Arango, V. A., Avenevoli, S., Brent, D. A., Champagne, F. A., Clayton, P., Currier, D., Dougherty, D. M., Haghighi, F., Hodge, S. E., et al. (2009) · Biological Psychiatry · doi:10.1016/j.biopsych.2008.11.021 · Cited by 398 · see citing works
161 An evaluation of CDC’s web-based injury statistics query and reporting system (WISQARS)
Ballesteros, M., Thigpen, S. E., Faul, M., Kresnow, M.-J., & Middlebrooks, J. (2016) · doi:10.1136/injuryprev-2016-042156.161 · Cited by 305 · see citing works
Suicide Trends Among Elementary School–Aged Children in the United States From 1993 to 2012
Bridge, J. A., Asti, L., Horowitz, L. M., Greenhouse, J. B., Fontanella, C. A., Sheftall, A. H., Kelleher, K. J., & Campo, J. V. (2015) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2015.0465 · Cited by 303 · see citing works
Self-citationAdolescents Who Use the Emergency Department as Their Usual Source of Care
Wilson, K. M., & Klein, J. D. (2000) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.154.4.361 · Cited by 281 · see citing works
Trends in US emergency department visits for attempted suicide and self-inflicted injury, 1993-2008.
Ting, S. A., Sullivan, A. F., Boudreaux, E. D., Miller, I., & Camargo, C. A. (2012) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2012.03.020 · Cited by 252 · see citing works
Adolescent suicide, gender, and culture: A rate and risk factor analysis
Langhinrichsen‐Rohling, J., Friend, J., & Powell, A. E. (2009) · Aggression and Violent Behavior · doi:10.1016/j.avb.2009.06.010 · Cited by 232 · 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-citationWhat Do We Know About Suicidality in Autism Spectrum Disorders? A Systematic Review
Segers, M., & Rawana, J. (2014) · Autism Research · doi:10.1002/aur.1375 · Cited by 168 · see citing works
Relationship Between Religious Coping and Suicidal Behaviors Among African American Adolescents
Molock, S., Puri, R., Matlin, S. L., & Barksdale, C. (2006) · The Journal of Black Psychology · doi:10.1177/0095798406290466 · Cited by 163 · see citing works
Detecting 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-citationAsarnow, J. R., Berk, M., Hughes, J. L., & Anderson, N. L. (2015) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2014.940624 · Cited by 147 · see citing works
Detecting and treating suicide ideation in all settings.
(2016) · PubMed · Cited by 143 · see citing works
Mahajan, P., Alpern, E. R., Grupp-Phelan, J., Chamberlain, J., Dong, L., Holubkov, R., Jacobs, E., Stanley, R. M., Tunik, M. G., Sonnett, M., et al. (2009) · Pediatric Emergency Care · doi:10.1097/pec.0b013e3181bec82f · Cited by 141 · see citing works
Emergency departments are underutilized sites for suicide prevention
Larkin, G. L., & Beautrais, A. L. (2010) · Crisis · doi:10.1027/0227-5910/a000001 · Cited by 133 · cited 4× · see citing works
“Investigation of the ASQ as a universal screening instrument for all pediatric ED patients may be a promising line of inquiry (Larkin and Beautrais 2010), given that children and adolescents who present to EDs with somatic concerns such as headaches and stomachaches as well as other medical concerns may manifest laten…”
BackgroundInfluentialAdolescent 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
Mental Health Utilization in a Pediatric Emergency Department
Sheridan, D. C., Spiro, D. M., Fu, R., Johnson, K., Sheridan, J. S., Oue, A. A., Wang, W., Nes, R. V., & Hansen, M. L. (2015) · Pediatric Emergency Care · doi:10.1097/pec.0000000000000343 · Cited by 116 · see citing works
Outpatient Care of Young People After Emergency Treatment of Deliberate Self-Harm
Bridge, J. A., Marcus, S. C., & Olfson, M. (2011) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2011.11.002 · Cited by 90 · see citing works
Referral and Resource Use Patterns for Psychiatric-Related Visits to Pediatric Emergency Departments
Grupp‐Phelan, J., Mahajan, P., Foltin, G. L., Jacobs, E., Tunik, M. G., Sonnett, M., Miller, S., & Dayan, P. (2009) · Pediatric Emergency Care · doi:10.1097/pec.0b013e31819e3523 · Cited by 90 · see citing works
King, C. A., Jiang, Q., Czyz, E. K., & Kerr, D. (2013) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-013-9794-0 · Cited by 86 · see citing works
Suicide Risk in Youth with Intellectual Disabilities
Ludi, E. K., Ballard, E. D., Greenbaum, R., Pao, M., Bridge, J. A., Reynolds, W. M., & Horowitz, L. M. (2012) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0b013e3182599295 · Cited by 84 · see citing works
Self-citationDeliberate self‐harm: emergency department nurses’ attitudes, triage and care intentions
McCann, T. V., Clark, E., McConnachie, S., & Harvey, I. (2007) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2006.01555.x · Cited by 76 · see citing works
King, C. A., Gipson, P. Y., Horwitz, A. G., & Opperman, K. J. (2015) · Psychiatric Services · doi:10.1176/appi.ps.201300347 · Cited by 73 · see citing works
Suicide Risk Screening and Assessment
Boudreaux, E. D., & Horowitz, L. M. (2014) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.06.005 · Cited by 67 · see citing works
Self-citationPena, J. B., Matthieu, M. M., Zayas, L. H., Masyn, K. E., & Caine, E. D. (2010) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-010-0322-z · Cited by 62 · see citing works
Identifying 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
Suicide in children and young adolescents: A 25-year database on suicides from Northern Finland
Lahti, A., Harju, A., Hakko, H. H., Riala, K., & Räsänen, P. K. (2014) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2014.07.020 · Cited by 50 · see citing works
(2010) · PubMed · Cited by 35 · 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
Trauma and mental health in US inner-city populations
Breslau, N. (2009) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2009.07.001 · Cited by 27 · see citing works
Physician Management of Pediatric Mental Health Patients in the Emergency Department
Cappelli, M., Glennie, J. E., Cloutier, P., Kennedy, A., Vloet, M., Newton, A. S., Zemek, R. L., & Gray, C. (2012) · Pediatric Emergency Care · doi:10.1097/pec.0b013e31826764fd · Cited by 21 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Turecki, G., Brent, D. A., Gunnell, D., O’Connor, R. C., Oquendo, M. A., Pirkis, J., & Stanley, B. H. (2019) · Nature Reviews Disease Primers · doi:10.1038/s41572-019-0121-0 · Cited by 1,074 · see citing works
Trends in Psychiatric Emergency Department Visits Among Youth and Young Adults in the US
Kalb, L. G., Stapp, E. K., Ballard, E. D., Holingue, C., Keefer, A., & Riley, A. (2019) · Pediatrics · doi:10.1542/peds.2018-2192 · Cited by 285 · 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
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
Self-citationEmerging Trends in Adolescent Suicide Prevention Research
King, C., Arango, A., & Foster, C. E. (2017) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2017.08.037 · Cited by 61 · see citing works
(2019) · PubMed · Cited by 72 · see citing works
Validation and Feasibility of the ASQ Among Pediatric Medical and Surgical Inpatients
Horowitz, L. M., Wharff, E. A., Mournet, A. M., Ross, A. M., McBee‐Strayer, S. M., He, J., Lanzillo, E. C., White, E. M., Bergdoll, E. E., Powell, D. S., et al. (2020) · Hospital Pediatrics · doi:10.1542/hpeds.2020-0087 · Cited by 64 · see citing works
Self-citationSuicide in the pediatric population: screening, risk assessment and treatment
Cwik, M. F., O’Keefe, V. M., & Haroz, E. E. (2020) · International Review of Psychiatry · doi:10.1080/09540261.2019.1693351 · Cited by 54 · see citing works
Self-citationThe Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies
Saidinejad, M., Duffy, S. J., Wallin, D., Hoffmann, J. A., Joseph, M. M., Uhlenbrock, J. S., Brown, K., Waseem, M., Snow, S. K., Andrew, M., et al. (2023) · PEDIATRICS · doi:10.1542/peds.2023-063256 · Cited by 52 · see citing works
Brent, D. A., Horowitz, L. M., Grupp‐Phelan, J., Bridge, J. A., Gibbons, R. D., Chernick, L. S., Rea, M. M., Cwik, M. F., Shenoi, R., Fein, J. A., et al. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2022.55986 · Cited by 61 · see citing works
Self-citationHarris, I. M., Beese, S. E., & Moore, D. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-029311 · Cited by 48 · see citing works
Haroz, E. E., Kitchen, C., Nestadt, P. S., Wilcox, H. C., DeVylder, J., & Kharrazi, H. H. K. (2021) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12800 · Cited by 47 · see citing works
Self-citationSuicide Risk Screening in Pediatric Outpatient Neurodevelopmental Disabilities Clinics
Rybczynski, S., Ryan, T. C., Wilcox, H. C., Eck, K. V., Cwik, M., Vasa, R. A., Findling, R. L., Slifer, K., Kleiner, D., & Lipkin, P. H. (2021) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0000000000001026 · Cited by 41 · 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
Screening and Assessing Suicide Risk in Medical Settings: Feasible Strategies for Early Detection
Horowitz, L. M., Ryan, P. C., Wei, A. X., Boudreaux, E. D., Ackerman, J. P., & Bridge, J. A. (2023) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.20220086 · Cited by 38 · see citing works
Self-citationAdolescent Admissions to Emergency Departments for Self-Injurious Thoughts and Behaviors
Zanus, C., Battistutta, S., Aliverti, R., Montico, M., Cremaschi, S., Ronfani, L., Monasta, L., & Carrozzi, M. (2017) · PLoS ONE · doi:10.1371/journal.pone.0170979 · Cited by 29 · see citing works
Health Diagnoses and Service Utilization in the Year Before Youth and Young Adult Suicide
Braciszewski, J. M., Lanier, A., Yeh, H.-H. H., Sala‐Hamrick, K., Simon, G. E., Rossom, R. C., Lynch, F. L., Waring, S. C., Lu, C. Y., Owen‐Smith, A. A., et al. (2022) · Psychiatric Services · doi:10.1176/appi.ps.20220145 · Cited by 33 · see citing works
Saving Lives: Recognizing and Intervening with Youth at Risk for Suicide
Arango, A., Gipson, P. Y., Votta, J. G., & King, C. A. (2021) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-081219-103740 · Cited by 28 · see citing works
Health Services Use by Children in the Welfare System Who Died by Suicide
Ruch, D. A., Steelesmith, D. L., Warner, L. A., Bridge, J. A., Campo, J. V., & Fontanella, C. A. (2021) · PEDIATRICS · doi:10.1542/peds.2020-011585 · Cited by 32 · see citing works
Cwik, M. F., Jay, S. Y., Ryan, T. C., DeVylder, J., Edwards, S. M., Wilson, M. E., Virden, J. M., Goldstein, M. A., & Wilcox, H. C. (2021) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2020.11.025 · Cited by 27 · see citing works
Self-citationMoss, A. C., Roberts, A. J. C., Yi‐Frazier, J. P., Read, K. L., Taplin, C. E., Weaver, K. W., Pihoker, C., Hirsch, I. B., & Malik, F. S. (2022) · Diabetes Care · doi:10.2337/dc21-1553 · Cited by 20 · see citing works
Confidential Screening for Sex Trafficking Among Minors in a Pediatric Emergency Department
Hurst, I. A., Abdoo, D. C., Harpin, S. B., Leonard, J. E., & Adelgais, K. (2021) · PEDIATRICS · doi:10.1542/peds.2020-013235 · Cited by 22 · see citing works
Collaborative Care in the Identification and Management of Psychosis in Adolescents and Young Adults
Hua, L. L., Alderman, E. M., Chung, R. J., Grubb, L. K., Lee, J. B., Powers, M. E., Upadhya, K. K., & Wallace, S. B. (2021) · PEDIATRICS · doi:10.1542/peds.2021-051486 · Cited by 22 · see citing works
Goldman-Mellor, S. J., Phillips, D., Brown, P., Gruenewald, P. J., Cerdá, M., & Wiebe, D. J. (2019) · Psychiatric Services · doi:10.1176/appi.ps.201900153 · Cited by 21 · see citing works
DeVylder, J., Ryan, T. C., Cwik, M. F., Jay, S. Y., Wilson, M. E., Goldstein, M. A., & Wilcox, H. C. (2019) · Psychiatric Services · doi:10.1176/appi.ps.201900290 · Cited by 22 · see citing works
Self-citationHackfeld, M. (2020) · Journal of Child and Adolescent Psychiatric Nursing · doi:10.1111/jcap.12276 · Cited by 21 · see citing works
Injury Prevention Opportunities in the Pediatric Emergency Department
Attridge, M. M., Holmstrom, S. E., & Sheehan, K. (2020) · Clinical Pediatric Emergency Medicine · doi:10.1016/j.cpem.2020.100761 · Cited by 19 · see citing works
Hormonal contraceptives and the risk of suicide: a systematic review and meta-analysis
Pérez-López, F. R., Pérez‐Roncero, G. R., López-Baena, M. T., Santabárbara, J., & Chedraui, P. A. (2020) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2020.04.053 · Cited by 21 · see citing works
Suicide Screening Tools for Pediatric Emergency Department Patients: A Systematic Review
Scudder, A. M., Rosin, R., Nelson, B. B., Boudreaux, E. D., & Larkin, C. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.916731 · Cited by 18 · see citing works
Bommersbach, T. J., Olfson, M., & Rhee, T. G. (2025) · American Journal of Psychiatry · doi:10.1176/appi.ajp.20240706 · Cited by 19 · see citing works
Haroz, E. E., Goklish, N. A., Walsh, C. G., Cwik, M. F., O’Keefe, V. M., Larzelere, F., Garcia, M., Minjarez, T., & Barlow, A. (2023) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2022.5068 · Cited by 16 · see citing works
Self-citationLeCloux, M., Weimer, M., Culp, S., Bjorkgren, K., Service, S. K., & Campo, J. V. (2020) · Psychosomatics · doi:10.1016/j.psym.2020.05.002 · Cited by 17 · see citing works
Freedman, S. B., Thull‐Freedman, J. D., Lightbody, T. K., Prisnie, K., Wright, B. J., Coulombe, A., Anderson, L. M., Stang, A. S., Mikrogianakis, A., VanRiper, L., et al. (2020) · BMJ Open Quality · doi:10.1136/bmjoq-2020-001106 · Cited by 16 · see citing works
LeCloux, M., Aguinaldo, L. D., Lanzillo, E. C., & Horowitz, L. M. (2020) · The Journal of Rural Health · doi:10.1111/jrh.12508 · Cited by 17 · see citing works
Self-citationCrandal, B. R., Aguinaldo, L. D., Carter, C., Billman, G. F., Sanderson, K., & Kuelbs, C. L. (2021) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2021.10.031 · Cited by 16 · see citing works
Suicide Evaluation in the Pediatric Emergency Setting
Ambrose, A. J. H., & Prager, L. M. (2018) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2018.03.003 · Cited by 16 · see citing works
Problem gambling during Covid-19
Frisone, F., Alibrandi, A., & Settineri, S. (2020) · Mediterranean Journal of Clinical Psychology · doi:10.6092/2282-1619/mjcp-2457 · Cited by 15 · 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-citationMaina, R., Bukusi, D. E., & Kumar, M. (2019) · Annals of General Psychiatry · doi:10.1186/s12991-019-0240-8 · Cited by 13 · see citing works
Les soins médicaux de jeunes hommes et de jeunes femmes qui décèdent par suicide
Rhodes, A. E., Boyle, M. H., Bridge, J. A., Sinyor, M., Katz, L. Y., Bennett, K., Newton, A. S., Links, P. S., Tonmyr, L., Skinner, R., et al. (2018) · The Canadian Journal of Psychiatry · doi:10.1177/0706743717741060 · Cited by 12 · see citing works
Edgcomb, J. B., Tseng, C., Pan, M., Klomhaus, A. M., & Zima, B. T. (2023) · JMIR Mental Health · doi:10.2196/47084 · Cited by 24 · see citing works
Evidence-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
Chartier, G., Lam, F., Bergmans, Y., Lofchy, J., Bolton, J. M., Klonsky, E. D., Zaheer, J., & Kealy, D. (2023) · Journal of Psychiatric Practice · doi:10.1097/pra.0000000000000725 · Cited by 10 · see citing works
Childhood Suicide Risk in the Emergency Department
Pagliaccio, D., Kirshenbaum, J. S., Keyes, K. M., & Auerbach, R. P. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2025.22591 · Cited by 10 · see citing works
Shin, H. D., Cassidy, C. E., Weeks, L. E., Campbell, L. A., Drake, E. K., Wong, H. W. L., Donnelly, L., Dorey, R., Kang, H., & Curran, J. (2021) · JBI Evidence Synthesis · doi:10.11124/jbies-21-00149 · Cited by 8 · see citing works
Reliability and Validity of the Korean Version of the Ask Suicide-Screening Questions (ASQ)
Kim, H.-J., Kim, S., Son, Y., Youn, I., & Lee, K. (2023) · Journal of Korean Medical Science · doi:10.3346/jkms.2023.38.e41 · Cited by 9 · see citing works
Suicide Screening in a Large Pediatric Emergency Department
Rufino, K. A., Kerr, T., Beyene, H., Hill, R. M., Saxena, J., Kurian, S., Saxena, K., & Williams, L. (2021) · Pediatric Emergency Care · doi:10.1097/pec.0000000000002530 · Cited by 9 · see citing works
Western Journal of Emergency Medicine
Lam, J. (2022) · Western Journal of Emergency Medicine · doi:10.5811/westjem.2022.8.59370 · Cited by 9 · see citing works
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
Foster, C. E., Smith, T., Magness, C. S., Arango, A., Czyz, E. K., Finkelstein, S. D., Hong, V., Kettley, J., & King, C. A. (2024) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2024.2344475 · Cited by 9 · see citing works
Tabares, Á. S. G. (2023) · psicología desde el caribe · doi:10.14482/psdc.38.3.362.28 · Cited by 7 · see citing works
Pettit, N., Al-Hader, A. A., & Thompson, C. A. (2021) · Current Problems in Cancer Case Reports · doi:10.1016/j.cpccr.2021.100059 · Cited by 8 · see citing works
O'Connor, K. A., Bagnell, A. L., Rosychuk, R. J., Chen, A. A., Lingley‐Pottie, P., Radomski, A. D., Ohinmaa, A. E., Joyce, A. S., McGrath, P. J., & Newton, A. S. (2022) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2022.102637 · Cited by 8 · see citing works
Smith, T., Magness, C. S., Arango, A., Finkelstein, S. D., Kahsay, E., Czyz, E. K., Hong, V., Kettley, J., Smith, P. K., & Foster, C. E. (2023) · Archives of Suicide Research · doi:10.1080/13811118.2023.2166439 · Cited by 7 · see citing works
Torales, J. C., Barrios, I., Tullo-Gómez, J. E., Melgarejo, O. J., Gómez, N., Riego, V., Navarro, R. E., García, Ó., Figueredo, P., Almirón‐Santacruz, J., et al. (2023) · International Journal of Social Psychiatry · doi:10.1177/00207640231169656 · Cited by 7 · see citing works
Vasa, R. A., Kalari, V. K., Kitchen, C., Kharrazi, H. H. K., Campo, J. V., & Wilcox, H. C. (2024) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/j.jcjq.2024.11.002 · Cited by 6 · see citing works
Self-citationLarkin, C., Tulu, B., Djamasbi, S., Garner, R. C., Varzgani, F., Siddique, M., Pietro, J., & Boudreaux, E. D. (2023) · JMIR Mental Health · doi:10.2196/49783 · Cited by 6 · see citing works
Powell, D. S., Lanzillo, E. C., Jay, S. Y., Tanenbaum, M. T., Bridge, J. A., Wharff, E. A., Ballard, E. D., Pao, M., & Horowitz, L. M. (2020) · Pediatric Emergency Care · doi:10.1097/pec.0000000000002234 · Cited by 6 · see citing works
Self-citationArango, A., Czyz, E. K., Magness, C. S., Hong, V., Smith, T., Kettley, J., & Foster, C. E. (2023) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12966 · Cited by 6 · see citing works
Wilson, R. J., Jennings, A. E., Redaniel, M. T., Samarakoon, K. B., Dawson, S., Lyttle, M. D., Savović, J., & Schofield, B. (2024) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2024.04.018 · Cited by 5 · see citing works
Outcomes Following a Mental Health Care Intervention for Children in the Emergency Department
Newton, A. S., Thull‐Freedman, J. D., Xie, J., Lightbody, T. K., Woods, J., Stang, A. S., Winston, K., Larson, J., Wright, B. J., Stubbs, M., et al. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.61972 · Cited by 5 · see citing works
Improving Universal Suicide Risk Screening Rates at a Children’s Hospital
Lund, A., Denicolo, K., Tomko, S., Jones, R. C., Stephen, R. J., Olsen, M. H., Sarmiento, J., Jones, S., DiVenere, E., Sullivan, N., et al. (2025) · PEDIATRICS · doi:10.1542/peds.2024-065901 · Cited by 6 · see citing works
The Cost of Universal Suicide Risk Screening for Adolescents in Emergency Departments
Grazier, K. L., Grupp‐Phelan, J., Brent, D. A., Horwitz, A. G., McGuire, T. C., Casper, T. C., Webb, M. W., & King, C. A. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20196843 · Cited by 5 · see citing works
Muela, A., Bryan, C. J., García‐Ormaza, J., & Salaberría, K. (2024) · The Spanish Journal of Psychology · doi:10.1017/sjp.2024.30 · Cited by 5 · see citing works
Soffer, S. L., Lewis, J., Lawrence, O. S., Marroquin, Y., Doupnik, S. K., & Benton, T. D. (2022) · Pediatric Quality and Safety · doi:10.1097/pq9.0000000000000571 · Cited by 5 · see citing works
Pediatric hospital screening for suicide risk in adolescents referred for maltreatment
Azzopardi, C., Greenblatt, A., Korczak, D. J., & Smith, T. D. (2020) · Children and Youth Services Review · doi:10.1016/j.childyouth.2020.105500 · Cited by 5 · see citing works
Don’t Ask, Won’t Tell: Suicide Screening in the Pediatric Perioperative Setting
Mancinelli-Hough, K., Breda, K. L., Karl, C. A., & Wentland, B. A. (2022) · Comprehensive Child and Adolescent Nursing · doi:10.1080/24694193.2022.2060376 · Cited by 4 · see citing works
Assessment of Selective and Universal Screening for Suicide Risk in a Pediatric Emergency Department
DeVylder, J., Ryan, T. C., Cwik, M. F., Wilson, M. E., Jay, S. Y., Nestadt, P. S., Goldstein, M. A., & Wilcox, H. C. (2023) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.23021007 · Cited by 4 · see citing works
Self-citationSuicide as a Public Health Burden
Wilcox, H. C., Clarke, D. E., Grzenda, A. L., Smith, S. G., & Eaton, W. W. (2019) · doi:10.1093/oso/9780190916602.003.0009 · Cited by 4 · see citing works
Self-citationAssessing the Healthcare Utilization of Youth Who Died by Suicide: A Case-Control Study
Kohlbeck, S. A., Armanious, M. N. B., & Pickett, M. L. (2021) · Archives of Suicide Research · doi:10.1080/13811118.2021.1967238 · Cited by 4 · see citing works
Advocacy Opportunities for Pediatricians and Emergency Physicians to Prevent Youth Suicide
Hoffmann, J. A., & Grupp‐Phelan, J. (2020) · Clinical Pediatric Emergency Medicine · doi:10.1016/j.cpem.2020.100776 · Cited by 4 · see citing works
Dayal, R. R., Yang, P. L., Sisson, L. N., Bajaj, M. A., Archuleta, S., Yao, S., Park, D. H., Fujii-Rios, H., & Haroz, E. E. (2025) · Journal of Medical Internet Research · doi:10.2196/57602 · Cited by 5 · see citing works
Cervantes, P. E., Richards-Rachlin, S., Seag, D. E. M., Conlon, G. R., Donnelly, L., Lee, M. S., Shalev, R. A., Tay, E. T., Knapp, K., Wiener, E., et al. (2025) · Journal of Developmental and Physical Disabilities · doi:10.1007/s10882-025-10006-y · Cited by 3 · see citing works
Estrategias terapéuticas ante adolescentes suicidas
Rajamohan, S., Sharkey, P. L., & Heavey, E. J. (2019) · Nursing (Ed española) · doi:10.1016/j.nursi.2019.05.007 · Cited by 3 · see citing works
Cantrell, A. J., Sworn, K., Chambers, D., Booth, A., Buck, E. T., & Weich, S. (2024) · Health and Social Care Delivery Research · doi:10.3310/vkty5822 · Cited by 4 · see citing works
Burnside, A. N., Lorenz, D. J., Harries, M., Janssen, A. C., & Hoffmann, J. A. (2024) · Academic Pediatrics · doi:10.1016/j.acap.2024.08.162 · Cited by 3 · see citing works
Mental Health Issues in Children
Cashman, M. A., & Pasic, J. (2021) · Springer eBooks · doi:10.1007/978-3-030-52520-0_31 · Cited by 3 · see citing works
Lee, W.-C., Lai, J.-Y., Pan, C.-H., Su, S.-S., Yang, T.-W., Tsai, S.-Y., Chen, C., & Kuo, C. (2021) · Psychological Medicine · doi:10.1017/s0033291721004864 · Cited by 1 · see citing works
Emergency Department Adolescent Suicidality
Sheridan, D. C., & Lin, A. (2022) · Pediatric Emergency Care · doi:10.1097/pec.0000000000002629 · Cited by 2 · see citing works
ASQ – скрининг суицидального риска у детей и подростков
Семёнова, Н. В. (2021) · Суицидология · doi:10.32878/suiciderus.21-12-02(43)-51-58 · Cited by 2 · see citing works
Thomas-Smith, S. E., Klein, E. J., Strelitz, B., Jensen, J., Parker, E. O., Richardson, L. P., McCarty, C. A., & Shafii, T. (2022) · Western Journal of Emergency Medicine · doi:10.5811/westjem.2022.7.55755 · Cited by 2 · see citing works
Prevalence of Suicide by Self-immolation Among Children in Southern Iran
Shahriarirad, R., Ranjbar, K., Erfani, A., Modarresi, M.-S., Koranishiraz, A., Kamali, M., Zardosht, M., & Mohammadi, A. A. (2023) · Journal of Burn Care & Research · doi:10.1093/jbcr/irad023 · Cited by 2 · see citing works
Suicide Prevention in Pediatric Health Care Settings
Esposito, J. M., Davis, M., & Boyd, R. C. (2023) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2023.06.008 · Cited by 2 · see citing works
Christensen, M. (2024) · Journal of Teaching in Social Work · doi:10.1080/08841233.2024.2374233 · Cited by 2 · see citing works
Detecting Suicide Risk Among Pediatric Patients: Screening, Clinical Pathways, and Care
Horowitz, L. M., Lowry, N. J., Shi, T., Merai, R., Pao, M., & Bridge, J. A. (2025) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-081423-021101 · Cited by 3 · see citing works
Self-citationChild Sexual Abuse and Suicide
Hornor, G., & Tucker, S. (2022) · Journal of Forensic Nursing · doi:10.1097/jfn.0000000000000394 · Cited by 3 · see citing works
Raza, F., Yeh, H.-W., Goggin, K., Connelly, M. V., & Sullivant, S. A. (2023) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2022.11.245 · Cited by 1 · see citing works
Adaptasi Alat Ukur Revised - Suicide Ideation Scale (R-SIS)
Artissy, M. N., & pratama, A. G. (2022) · Jurnal Psikologi Malahayati · doi:10.33024/jpm.v4i1.5959 · Cited by 2 · see citing works
Hommer, R. E. (2019) · Biological Psychiatry · doi:10.1016/j.biopsych.2019.03.964 · Cited by 2 · see citing works
Adaptation Study of the Ask Suicide-Screening Questions for Turkish Adolescents
Uygun, S. D., Uytun, M. Ç., Ünlü, H. K., Ayıdağa, E. A., Büyükceran, Ö. Ç., Vatansever, G., Günay, F., & Kılıç, B. G. (2022) · Nöro Psikiyatri Arşivi · doi:10.29399/npa.28242 · Cited by 1 · see citing works
Christensen, M., Culp, S., Campo, J. V., Bridge, J. A., & Horowitz, L. M. (2025) · The Journal of Rural Health · doi:10.1111/jrh.70064 · Cited by 1 · see citing works
Self-citationTherapeutic approaches for suicidal adolescents
Rajamohan, S., Sharkey, P. L., & Heavey, E. J. (2018) · Nursing · doi:10.1097/01.nurse.0000544211.85664.4c · Cited by 1 · see citing works
Providing mental health resources for pediatric patients with low-risk suicidality
Cohen, J. S., Fujii-Rios, H., Benett, S., Spencer, J. C., & Kane, A. E. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.07.079 · Cited by 1 · see citing works
Clinical Profiles Associated With Deliberate Self-Harm in Preadolescent Children
Thompson, A., Campo, J. V., Hughes, J. L., Bridge, J. A., Ruch, D. A., & Fontanella, C. A. (2024) · JAACAP Open · doi:10.1016/j.jaacop.2024.06.004 · Cited by 1 · see citing works
Foundational skills in the assessment and management of suicide risk in neuropsychological practice
Calamia, M. R., Tucker, R. P., & Hill, R. M. (2024) · The Clinical Neuropsychologist · doi:10.1080/13854046.2024.2435543 · Cited by 1 · see citing works
Žaludek, A., David, J., & Marx, D. (2020) · Pediatrie pro praxi · doi:10.36290/ped.2020.065 · Cited by 1 · see citing works
Zero Suicide: Promising, Practical, Possible
Gary, A. (2019) · 45th Biennial Convention (16-20 November 2019)
Repetitive Skin Focused Disorders May Express a Functional Connectome
Reisz, C. (2019) · Social Behavior Research and Practice - Open Journal · doi:10.17140/sbrpoj-4-114
The Osteopathic Approach to Treating Depression in Children and Adolescents
Chinsky, O.-I. R., & Thomas Chan, D. (2021) · Osteopathic Family Physician · doi:10.33181/13033
- Authors
- Ballard, E. D., Cwik, M., Van Eck, K., Goldstein, M., Alfes, C., Wilson, M. E., Virden, J. M., Horowitz, L. M., & Wilcox, H. C.
- Affiliations
- National Institutes of Health (US)
- Johns Hopkins University (US)
- Corresponding author
- Ballard, Elizabeth D.
- Venue
- Prevention Science
- Published
- 2016-09-27
- Volume
- 18
- Issue
- 2
- Pages
- 174-182
- ISSN
- 1389-4986 (ISSN-L)
- 1573-6695
- PMC
- PMC5247314
- OpenAlex
- W2524022793
- Cited by
- 123
- References
- 34
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 17 · 2023: 20 · 2022: 16 · 2021: 19 · 2020: 14 · 2019: 13 · 2018: 3 · 2017: 3
- FWCI
- 8.47
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Prevention Science (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Substance Abuse and Mental Health Services Administration (U79SM061751)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Keywords
- suicide risk screening, pediatric emergency department, at-risk youth, suicide prevention, Ask Suicide-Screening Questions, nursing compliance, screening sensitivity and specificity, psychiatric patients, externalizing disorders, African American adolescents, suicide risk identification
- MeSH terms
- Suicide Prevention, Adolescent, Emergency Service, Hospital, Female, Hospitals, Pediatric, Humans, Male, Retrospective Studies, 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
