• Dana E M Seag, Paige E Cervantes, Argelinda Baroni, Ruth Gerson, Katrina Knapp, Ee Tein Tay, Ethan Wiener, and Sarah McCue Horwitz.
• From the Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine.
• Pediatr Emerg Care. 2022 Feb 1; 38 (2): e1009e1013e1009-e1013.

ObjectiveGiven the increasing rates of youth suicide, it is important to understand the barriers to suicide screening in emergency departments. This review describes the current literature, identifies gaps in existing research, and suggests recommendations for future research.MethodsA search of PubMed, MEDLINE, CINAHL, PsycInfo, and Web of Science was conducted. Data extraction included study/sample characteristics and barrier information categorized based on the Exploration, Preparation, Implementation, Sustainment model.ResultsAll studies focused on inner context barriers of implementation and usually examined individuals' attitudes toward screening. No study looked at administrative, policy, or financing issues.ConclusionsThe lack of prospective, systematic studies on barriers and the focus on individual adopter attitudes reveal a significant gap in understanding the challenges to implementation of universal youth suicide risk screening in emergency departments.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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