• Katrina A Rufino, Tarra Kerr, Hayate Beyene, Ryan M Hill, Johanna Saxena, Sherin Kurian, Kirti Saxena, and Laurel Williams.
• Texas Children's Hospital.
• Pediatr Emerg Care. 2022 Mar 1; 38 (3): e1127e1132e1127-e1132.

ObjectiveThis study examined the feasibility of screening all patients entering the ED using the Columbia-Suicide Severity Rating Scale as well as examining the rates of suicide ideation and attempts endorsed by adolescents who present at the ED.MethodsThis study used a sample of 12,113 patients between the ages of 11 and 19 years.ResultsResults revealed that 13.5% of the participants endorsed passive suicide ideation in the month leading up to their ED visit and 11.3% of the participants reported active ideation in the prior month. Results also revealed that patients whose chief complaints were coded as psychiatric or medical trauma were more likely to endorse either active or passive suicidal ideation than other presenting problems. Patients with a psychiatric or medical trauma chief complaint were also more likely to report lifetime suicidal behavior and suicidal behavior 3 months before the ED visit.ConclusionsIn addition to findings, implications, feasibility, and lessons learned are discussed for other institutions or departments considering implementation of a widespread screening.Highlights:• Suicide screenings were implemented in a large pediatric emergency department.• One in 5 endorsed suicidal ideation or behavior regardless of presenting problem.• Feasibility and lessons learned are discussed for others hoping to implement a widespread screening.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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