Detecting suicide risk in a pediatric emergency department: development of a brief screening tool

Pediatrics
L M HorowitzP D Cleary

Abstract

To develop a brief screening tool that will allow emergency department (ED) staff to rapidly and accurately detect suicide risk in child and adolescent patients. Cross-sectional survey. Participants. One hundred forty-four children and adolescents, mean age of 13.6 years, presenting to an urban university teaching hospital pediatric ED for primarily psychiatric reasons. Data Collection. As part of a quality improvement initiative, we developed a 14-item screening survey (the Risk of Suicide Questionnaire [RSQ]) that was administered by a triage nurse to all pediatric mental health patients on admission to the ED. All patients were subsequently administered the 30-item Suicide Ideation Questionnaire (SIQ) by a mental health clinician, which served as the criterion standard assessment of suicidality. Other information collected included demographic and clinical characteristics. Sensitivity, specificity, positive predictive value, negative predictive value (NPV), and area under the receiver operating characteristic curve for responses to individual and combinations of RSQ items, relative to determinations of suicidality by the criterion standard SIQ. Four of the items from the RSQ had a predictive c statistic of 0.87, a sensitivit...Continue Reading

Citations

Jun 28, 2011·Child Psychiatry and Human Development·Paula J FiteTeresa M Preddy
Jul 22, 2005·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Maurizio PompiliRoberto Tatarelli
Aug 26, 2011·The American Journal of Nursing·Alexis M SchmidFrances J Damian
Jun 7, 2012·Journal of Developmental and Behavioral Pediatrics : JDBP·Erica LudiLisa Horowitz
Jul 17, 2007·Current Opinion in Pediatrics·Matthew B WintersteenJoel A Fein
Jul 21, 2009·Current Opinion in Pediatrics·Lisa M HorowitzMaryland Pao
Jan 23, 2010·Pediatric Emergency Care·Peter F CronholmJoel A Fein
Jun 30, 2011·Pediatric Emergency Care·Sarah McCue HorwitzKarl Wilkens
Dec 24, 2011·Pediatric Emergency Care·Elizabeth D BallardLisa Horowitz
Mar 7, 2013·Pediatric Emergency Care·Muhammad WaseemJaney Peterson
Dec 6, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·L HorowitzJ Bergstein
Jun 4, 2004·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Leanne L Van AmstelKim Blake
Mar 2, 2012·Journal of Graduate Medical Education·Steven Schlozman, Eugene Beresin
Apr 29, 2014·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·C StheneurM Speranza
Aug 26, 2014·American Journal of Preventive Medicine·Lisa M HorowitzEdwin D Boudreaux
Nov 14, 2014·Child and Adolescent Psychiatry and Mental Health·Krystel TossonePatricia Seifert
Oct 7, 2009·Journal of Youth and Adolescence·Leilani GreeningAaron Luebbe
Aug 3, 2013·Clinical Pediatric Emergency Medicine·Ian H StanleyLisa M Horowitz
Sep 15, 2012·The Journal of Emergency Medicine·Muhammad WaseemFernando Jara
Jun 16, 2012·The Journal of Emergency Medicine·Leslie S Zun
Apr 10, 2009·Pediatric Annals·Megan E Pailler, Joel A Fein
Jan 30, 2007·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·M Kay JankowskiGeorge L Wolford
Jan 8, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Gregory Luke LarkinDavid P Milzman
Oct 23, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Cheryl A KingRebecca M Cunningham
Jan 26, 2007·Suicide & Life-threatening Behavior·Juan B Peña, Eric D Caine
Sep 9, 2010·Suicide & Life-threatening Behavior·Leilani GreeningPaula J Fite
Oct 2, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Diana SunGrant H Skrepnek
Oct 29, 2003·Child and Adolescent Psychiatric Clinics of North America·Lynelle E Thomas
Aug 22, 2008·Crisis·Ana SfoggiaRodrigo Grassi-Oliveira
Feb 7, 2015·Social Psychiatry and Psychiatric Epidemiology·Pádraig CotterDanuta Wasserman
Feb 11, 2015·Journal of Affective Disorders·Orla O'DonnellMitch Waterman
Oct 25, 2012·The Journal of Pediatrics·Courtenay R MatsuStephanie Nishimura
Feb 26, 2015·International Journal of Environmental Research and Public Health·Emma Hamilton, Bonnie Klimes-Dougan

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Cheryl A KingRebecca M Cunningham
Suicide & Life-threatening Behavior
Juan B Peña, Eric D Caine
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Emily Gale ScottNorman C Christopher
© 2021 Meta ULC. All rights reserved