• Hospital pediatrics · Apr 2019

    The Importance of Screening Preteens for Suicide Risk in the Emergency Department.

    • Elizabeth C Lanzillo, Lisa M Horowitz, Elizabeth A Wharff, Arielle H Sheftall, Maryland Pao, and Jeffrey A Bridge.
    • Office of the Clinical Director, National Institute of Mental Health, Bethesda, Maryland.
    • Hosp Pediatr. 2019 Apr 1; 9 (4): 305-307.

    ObjectivesTo describe the prevalence of screening positive for suicide risk in a sample of 10- to 12-year-olds presenting to the emergency department (ED).MethodsPatients presenting to the ED were administered a battery of measures, including the Ask Suicide-Screening Questions and the criterion-standard Suicidal Ideation Questionnaire. Answering affirmatively to any of the 4 Ask Suicide-Screening Questions and/or scoring above the Suicidal Ideation Questionnaire cutoff score was considered a positive screen result for suicide risk.ResultsThe sample included 79 preteen patients. The overall positive screen result rate was 29.1% (23 of 79). More than half (54.1%) of patients presenting with psychiatric chief complaints screened positive for suicide risk, and 7.1% of preteens presenting with chief medical complaints screened positive. Of preteens, 17.7% (14 of 79) reported previous suicidal behavior.ConclusionsPreteens think about suicide and engage in suicidal behavior at rates that warrant further study. Notably, 7% of preteens presenting with chief medical complaints screened positive, highlighting the importance of screening all preteen patients as young as 10 years old for suicide risk in the ED.Copyright © 2019 by the American Academy of Pediatrics.

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