Universal Adolescent Suicide Screening in a Pediatric Urgent Care Center

The aim of this article is to describe the implementation of a 2-question suicide screening tool in a pediatric urgent care center to identify patients at risk of suicide. Adolescents presenting during a 12-month period completed the screening tool. Positive response to either question triggered fur...

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Bibliographic Details
Published in:Archives of suicide research 2018-01, Vol.22 (1), p.118-127
Main Authors: Patel, Aimy, Watts, Catherine, Shiddell, Sheri, Couch, Karla, Smith, Amber M., Moran, Michael J., Conners, Gregory P.
Format: Article
Language:English
Subjects:
Acute services
Adolescent
Adolescent Behavior - psychology
Adolescent Health
Adolescents
Ambulatory Care Facilities - statistics & numerical data
Child & adolescent psychiatry
Clinical assessment
Complaints
Female
Humans
Male
Mass Screening - methods
Medical screening
Mental disorders
Mental Health
Patients
pediatric urgent care
Pediatrics
Psychiatric Status Rating Scales
Referral and Consultation - statistics & numerical data
Risk Assessment - methods
Risk Factors
Severity
Social work
Suicidal Ideation
Suicide
Suicide - prevention & control
Suicide - psychology
suicide screening
Suicides & suicide attempts
Surveys and Questionnaires
Teenagers
Tests
Trauma centers
United Kingdom
youth
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Summary:The aim of this article is to describe the implementation of a 2-question suicide screening tool in a pediatric urgent care center to identify patients at risk of suicide. Adolescents presenting during a 12-month period completed the screening tool. Positive response to either question triggered further social work evaluation, including a Columbia-Suicide Severity Rating Scale (C-SSRS). Of 4,786 patients screened, 95 (2%) responded positively. Of these, 75 (79%) also had a positive C-SSRS. Only 7 (7%) had chief complaints related to mental health. A group of 78 patients (82%) were discharged with outpatient mental health referral, and 10 (10%) were admitted to a psychiatric facility. Universal adolescent suicide screening in an acute care setting did not significantly affect flow in our pediatric urgent care and was able to detect patients at risk of suicide, especially those with chief complaints unrelated to mental health.
ISSN:1381-1118
1543-6136
DOI:10.1080/13811118.2017.1304303