Validation of the ask suicide-screening questions (ASQ) with youth in outpatient specialty and primary care clinics
Open accessAbstract
Objective Validate the Ask Suicide-Screening Questions (ASQ) with youth in outpatient specialty and primary care clinics.Method This is a cross sectional instrument validation study assessing the validity of the ASQ with respect to the standard criterion, Suicidal Ideation Questionnaire (SIQ/SIQ Jr.). The sample included 515 English speaking youth ages 10-21 years old from outpatient specialty and primary care clinics. ASQ sensitivity, specificity, positive and negative predictive values (PPV/NPV), positive and negative likelihood ratios, c statistic and respective receiver operating characteristic curves were assessed.Results A total of 335 outpatient specialty and 180 primary care clinic participants completed the study. In outpatient specialty clinics, the ASQ showed a sensitivity of 100.0% (95% CI: 80.5-100.0%), specificity of 91.2% (95% CI: 87.5-94.1%), and NPV of 100.0% (95% CI: 98.7-100.0). In the primary care clinic, the ASQ showed a sensitivity of 100.0% (95% CI: 59.0-100.0%), specificity of 87.9% (95% CI: 82.0-92.3%), and NPV of 100.0% (95% CI: 97.7-100.0). Forty-five (13.4%) outpatient specialty clinic participants and 28 (15.6%) primary care clinic participants screened positive for suicide risk on the ASQ.Conclusions The ASQ is a valid screening tool for identifying youth at elevated suicide risk in outpatient clinical settings.
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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 [39]
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- Authors
- Aguinaldo, L. D., Sullivant, S., Lanzillo, E. C., Ross, A., He, J.-P., Bradley-Ewing, A., Bridge, J. A., Horowitz, L. M., & Wharff, E. A.
- Affiliations
- University of California San Diego (US)
- National Institute of Mental Health (US)
- Fordham University (US)
- Nationwide Children's Hospital (US)
- Boston Children's Hospital (US)
- Corresponding author
- Aguinaldo, Laika D.
- Venue
- General Hospital Psychiatry
- Publisher
- Elsevier BV
- Published
- 2021-01
- Volume
- 68
- Pages
- 52-58
- ISSN
- 0163-8343 (ISSN-L)
- PMC
- PMC7855604
- OpenAlex
- W3098920508
- Cited by
- 131
- References
- 32
- Citations by year
- 2026: 18 · 2025: 24 · 2024: 35 · 2023: 25 · 2022: 17 · 2021: 11 · 2020: 1
- FWCI
- 5.40
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- General Hospital Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health
- National Institute on Alcohol Abuse and Alcoholism
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Education › Health Education and Validation
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- Ask Suicide-Screening Questions, suicide risk screening, youth suicide risk, suicidal ideation, screening tool validation, sensitivity and specificity, primary care, adolescents and young adults
- MeSH terms
- Adolescent, Adult, Child, Cross-Sectional Studies, Humans, Mass Screening, Outpatients, Primary Health Care, Surveys and Questionnaires, Suicide, Young Adult
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