Evaluating adolescent substance use and suicide in the pediatric emergency department

Objectives This study evaluates the relationship between substance use and impairment and current suicidal thoughts or behaviors in adolescent patients screened in a pediatric emergency department (ED). Methods Data were collected between June 2013 and February 2018 from adolescent patients who presented to a single, urban, pediatric ED. Adolescents completed a computerized, self-administered assessment that evaluates depression, […]

Suicide risk screening in pediatric hospitals: Clinical pathways to address a global health crisis

Background: Youth suicide is on the rise worldwide. Most suicide decedents received healthcare services in the year before killing themselves. Standardized workflows for suicide risk screening in pediatric hospitals using validated tools can help with timely and appropriate intervention, while attending to The Joint Commission Sentinel Event Alert 56. Objective: Here we describe the first attempt to […]

Suicide ideation and attempts in a pediatric emergency department before and during COVID-19

Objectives. Recent studies have identified elevated rates of mental health concerns during the COVID-19 pandemic. This study sought to evaluate whether youth reported greater frequency of suicide-related behaviors during the 2020 COVID-19 pandemic, as compared with data from 2019. We hypothesized that rates of suicide-related behaviors would be elevated between the months of March and […]

Advocacy opportunities for pediatricians and emergency physicians to prevent youth suicide

Suicide is the second leading cause of death among youth aged 10-19 years in the United States. Pediatricians and emergency physicians have the opportunity to contribute to youth suicide prevention in their daily practice. Moreover, clinicians can advocate for local practice improvements and national policies to achieve a broader population-based impact on youth suicide reduction. […]

Constant observation of pediatric patients at risk for self-harm and suicide: An evidence-based practice inquiry

Suicide is a leading cause of death for pediatric patients in the United States. The utilization of protective observation strategies, namely constant observation, is a regulatory recommendation as part of a comprehensive suicide prevention plan for hospitalized behavioral health patients. Constant observation is the increased level of observation and supervision with continuous one-to-one monitoring techniques, […]

Successful suicide screening in the pediatric department: Youth, parent, researcher, and clinician perspectives

The purpose of this study was to include youth, parents, researchers, and clinicians in the identification of feasible and acceptable strategies for teen suicide screening in the pediatric emergency department (ED). Concept mapping methodology was used to elicit stakeholder responses. Regarding the most important result of suicide screening for teens in the pediatric ED, suicide […]

Effect of a motivational interviewing-based intervention on initiation of mental health treatment and mental health after an emergency department visits among suicidal adolescents: A randomized clinical trial

OBJECTIVE To examine whether a motivational interviewing–based intervention increases linkage of adolescents to outpatient mental health services and reduces depression symptoms and suicidal ideation in adolescents seeking emergency care for non–mental health–related concerns who screen positive for suicide risk. DESIGN, SETTING, AND PARTICIPANTS In this randomized clinical trial, adolescents aged 12 to 17 years who […]

Assessment of selective and universal screening for suicide risk in a pediatric emergency department

Objective  To test the association between results of the Ask Suicide-Screening Questions (ASQ) instrument in a pediatric emergency department (ED), implemented through selective and universal screening approaches, and subsequent suicide-related outcomes. Design, Setting, and Participants  In this retrospective cohort study at an urban pediatric ED in the United States, the ASQ was administered to youths aged 8 […]