Screening for Suicide Risk Among Youths With a Psychotic Disorder in a Pediatric Emergency Department

被引:16
作者
DeVylder, Jordan E. [1 ]
Ryan, Taylor C. [2 ]
Cwik, Mary [3 ,4 ]
Jay, Samantha Y. [6 ]
Wilson, Mary Ellen [5 ]
Goldstein, Mitchell [5 ]
Wilcox, Holly C. [2 ,4 ]
机构
[1] Fordham Univ, Grad Sch Social Serv, New York, NY 10023 USA
[2] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Mental Hlth, Baltimore, MD 21205 USA
[3] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Baltimore, MD USA
[4] Johns Hopkins Sch Med, Dept Psychiat & Behav Sci, Baltimore, MD USA
[5] Johns Hopkins Sch Med, Dept Pediat, Baltimore, MD USA
[6] Univ Maryland Baltimore Cty, Dept Psychol, Baltimore, MD 21228 USA
关键词
D O I
10.1176/appi.ps.201900290
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
National Patient Safety Goal 15.01.01 requires all Joint Commission-accredited organizations to screen patients treated for behavioral health conditions for suicide risk. However, little is known about the ability of screening tools to identify suicide risk among youths with psychotic disorders. As part of this quality improvement initiative, youths in a pediatric emergency department with psychotic disorder diagnoses (N=87) were screened with the Ask Suicide-Screening Questions. Almost half (48%, N=42) screened positive. Most positive screens (62%, N=26) were not detected through treatment as usual, suggesting that systematic screening improves the detection of suicide risk among youths with psychotic disorders.
引用
收藏
页码:205 / 208
页数:4
相关论文
共 11 条
[1]   Identification of At-Risk Youth by Suicide Screening in a Pediatric Emergency Department [J].
Ballard, Elizabeth D. ;
Cwik, Mary ;
Van Eck, Kathryn ;
Goldstein, Mitchell ;
Alfes, Clarissa ;
Wilson, Mary Ellen ;
Virden, Jane M. ;
Horowitz, Lisa M. ;
Wilcox, Holly C. .
PREVENTION SCIENCE, 2017, 18 (02) :174-182
[2]  
Bertolote Jose Manoel, 2002, World Psychiatry, V1, P181
[3]   Assessment of Selective and Universal Screening for Suicide Risk in a Pediatric Emergency Department [J].
DeVylder, Jordan E. ;
Ryan, Taylor C. ;
Cwik, Mary ;
Wilson, Mary Ellen ;
Jay, Samantha ;
Nestadt, Paul S. ;
Goldstein, Mitchell ;
Wilcox, Holly C. .
JAMA NETWORK OPEN, 2019, 2 (10) :E1914070
[4]   Suicide attempts among formerly hospitalized adolescents: A prospective naturalistic study of risk during the first 5 years after discharge [J].
Goldston, DB ;
Daniel, SS ;
Reboussin, DM ;
Reboussin, BA ;
Frazier, PH ;
Kelley, AE .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1999, 38 (06) :660-671
[5]   Ask Suicide-Screening Questions (ASQ) A Brief Instrument for the Pediatric Emergency Department [J].
Horowitz, Lisa M. ;
Bridge, Jeffrey A. ;
Teach, Stephen J. ;
Ballard, Elizabeth ;
Klima, Jennifer ;
Rosenstein, Donald L. ;
Wharff, Elizabeth A. ;
Ginnis, Katherine ;
Cannon, Elizabeth ;
Joshi, Paramjit ;
Pao, Maryland .
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 2012, 166 (12) :1170-1176
[6]   Age of onset of mental disorders:: a review of recent literature [J].
Kessler, Ronald C. ;
Amminger, G. Paul ;
Aguilar-Gaxiola, Sergio ;
Alonso, Jordi ;
Lee, Sing ;
Uestuen, T. Bedirhan .
CURRENT OPINION IN PSYCHIATRY, 2007, 20 (04) :359-364
[7]   Emergency Departments Are Underutilized Sites for Suicide Prevention [J].
Larkin, Gregory Luke ;
Beautrais, Annette L. .
CRISIS-THE JOURNAL OF CRISIS INTERVENTION AND SUICIDE PREVENTION, 2010, 31 (01) :1-6
[8]  
National Patient Safety Goal for Suicide Prevention, 2018, R3 REP ISS 18
[9]  
Ochoa S, SCHIZOPHR RES TREATM
[10]   Trends in Suicide Among Youth Aged 10 to 19 Years in the United States, 1975 to 2016 [J].
Ruch, Donna A. ;
Sheftall, Arielle H. ;
Schlagbaum, Paige ;
Rausch, Joseph ;
Campo, John V. ;
Bridge, Jeffrey A. .
JAMA NETWORK OPEN, 2019, 2 (05)