Utilizing suicide risk screening as a prevention technique in pediatric medical settings (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)

Suicide risk screening for youth in medical settings, especially in primary care, is supported and encouraged by The Joint Commission, the American Academy of Pediatrics, and the National Action Alliance for Suicide Prevention. Implementing suicide risk screening and assessment with evidence-based tools can enhance feasibility of screening programs without overburdening busy systems of care. This […]

Suicide and suicidal behaviors among minoritized youth

Suicide is among the leading causes of death for American Indian/Alaskan Native, Asian American/Pacific Islanders, black, Hispanic, and multiracial youth. Although recent data suggest increasing trends in  suicide and suicidal behaviors among minoritized populations, limited research is available to understand these trends. Emerging data regarding suicidal ideation, attempts, and suicide deaths suggest increasing  trends among […]

Assessing suicide risk in a pediatric outpatient behavioral health system: A quality improvement report

Introduction: Standardized suicide risk assessment improves the detection of individuals at risk of suicide. We conducted a quality improvement initiative in a system of outpatient behavioral health practices affiliated with a free-standing children’s hospital to implement standardized suicide risk assessment for new patients. Methods: Clinicians received education in suicide risk assessment and were trained to […]

Pediatric suicides reported to U.S. poison centers

Introduction As the pediatric mental health crisis worsens, the rate of adolescent suicide-related cases is increasing, including adolescent cases of self-poisoning. Methods Data from the National Poison Data System was analyzed for trends in rates and frequencies of all pediatric suspected suicides between 2015 and 2020. Results There were 514,350 pediatric suspected suicides analyzed, with […]

Suicide risk screening in pediatric outpatient neurodevelopmental disabilities clinics

Objective: The purpose of this study was to describe the implementation of universal suicide risk screening in pediatric neurodevelopmental disabilities (NDD) medical clinics, analyze demographic and clinical characteristics of eligible patients, describe outcomes of positive screenings, and describe factors that influenced participation in screenings. Methods: A suicide risk screening protocol was developed and implemented for […]

Childhood adversity, suicidality, and non-suicidal self-injury among children and adolescents admitted to emergency departments

Purpose: This population-based study explored the associations between childhood adversity and admission to emergency departments (EDs) with non-suicidal self-injury (NSSI) and with a suicide attempt. Methods: A nationally representative cross-sectional sample of 5-17-year-olds admitted to EDs (N = 143,113,677) from 2006 to 2015 was utilized to assess the associations between childhood adversities, NSSIs, and suicide attempts. Results: ED […]

Adapting safety check as a universal suicide prevention strategy in pediatric primary care

Objective: The presence of unlocked firearms in the home is associated with increased risk of suicide and unintentional injury in youth. We adapted an evidence-based program for promoting safe firearm storage, Safety Check, to enhance its acceptability as a universal suicide prevention strategy in pediatric primary care. Methods: We applied ADAPT-ITT, an established adaptation framework, to guide […]