Cited by 131Suicide and Self-Harm StudiesHealth Education and ValidationAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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Validation of the ask suicide-screening questions (ASQ) with youth in outpatient specialty and primary care clinics

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Aguinaldo, Laika D., Sullivant, Shayla, Lanzillo, Elizabeth C., Ross, Abigail, He, Jian-Ping, Bradley-Ewing, Andrea, Bridge, Jeffrey A., Horowitz, Lisa M., Wharff, Elizabeth A.·2021·General Hospital Psychiatry

DOI 10.1016/j.genhosppsych.2020.11.006PMC PMC7855604

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Abstract

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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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.
ORCID: Aguinaldo, Laika D.
Sullivant, Shayla
Ross, Abigail
Bridge, Jeffrey A.
Horowitz, Lisa M.
Venue: General Hospital Psychiatry
Publisher: Elsevier BV
Published: 2021-01
Volume: 68
Pages: 52-58
ISSN: 0163-8343 (ISSN-L)
DOI: 10.1016/j.genhosppsych.2020.11.006
PMC: PMC7855604
OpenAlex: W3098920508
Cited by: 131
References: 32
Citations by year: 2026: 18 · 2025: 24 · 2024: 35 · 2023: 25 · 2022: 17 · 2021: 11
FWCI: 5.40
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
doi.org/10.15223/policy-017 (stm-asf)
doi.org/10.15223/policy-037 (stm-asf)
doi.org/10.15223/policy-012 (stm-asf)
doi.org/10.15223/policy-029 (stm-asf)
doi.org/10.15223/policy-004 (stm-asf)
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
Health Sciences › Nursing › Research and Theory › 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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Validation of the ask suicide-screening questions (ASQ) with youth in outpatient specialty and primary care clinics

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