Suicide screening

Suicide Microchapters

Home

Patient Information

Overview

Classification

Epidemiology and Demographics

Risk Factors

Screening

Physical Examination

Laboratory Findings

Psychiatric evaluation

Treatment

Medical Therapy

Psychotherapy

Pharmacotherapy

Prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief:  Iqra Qamar M.D.[2]

## Overview

[edit | edit source]

The United States Preventive Services Task Force (USPSTF) have declared that there is insufficient evidence to determine the benefits of screening for suicide risk in the general population of United States adolescents having no prioe history of mental disorders or previous suicide attempts.

## Screening

[edit | edit source]

The United States Preventive Services Task Force (USPSTF) have declared that there is insufficient evidence to determine the benefits of screening for suicide risk in the general population of United States adolescents having no prioe history of mental disorders or previous suicide attempts.[1]

Primary care

* Direct questioning: Screening adolescents for suicidal ideation by directly asking about it in the context of screening for depression (Practice guidelines from the American Academy of Pediatrics)
* Patient Health Questionnaire (PHQ-9): A self-report screening tool, such as the nine-item Patient Health Questionnaire (PHQ-9) modified for teens, which screens for depression and as such, includes one item that asks about suicidal ideation[2][3]
* Screening for depression

Emergency department

* The Ask Suicide-Screening Questions is a four-item instrument that clinicians can administer to screen for risk of suicide in patients who present to pediatric emergency departments with psychiatric or general medical complaints. [4]
* It includes following four items:

*     * In the past few weeks, have you wished you were dead?
* In the past few weeks, have you felt that you or your family would be better off if you were dead?
* In the past week, have you been having thoughts about killing yourself?
* Have you ever tried to kill yourself?

* A positive response to atleast one of the above mentioned 4 questions trigger a more extensive evaluation of the patient’s risk for suicide.

## References

[edit | edit source]

1. ↑ Shain B (July 2016). "Suicide and Suicide Attempts in Adolescents". Pediatrics. 138 (1). doi:10.1542/peds.2016-1420. PMID 27354459.
2. ↑ O'Connor E, Gaynes BN, Burda BU, Soh C, Whitlock EP (May 2013). "Screening for and treatment of suicide risk relevant to primary care: a systematic review for the U.S. Preventive Services Task Force". Ann. Intern. Med. 158 (10): 741–54. doi:10.7326/0003-4819-158-10-201305210-00642. PMID 23609101.
3. ↑ LeFevre ML (May 2014). "Screening for suicide risk in adolescents, adults, and older adults in primary care: U.S. Preventive Services Task Force recommendation statement". Ann. Intern. Med. 160 (10): 719–26. doi:10.7326/M14-0589. PMID 24842417.
4. ↑ Horowitz LM, Bridge JA, Teach SJ, Ballard E, Klima J, Rosenstein DL, Wharff EA, Ginnis K, Cannon E, Joshi P, Pao M (December 2012). "Ask Suicide-Screening Questions (ASQ): a brief instrument for the pediatric emergency department". Arch Pediatr Adolesc Med. 166 (12): 1170–6. doi:10.1001/archpediatrics.2012.1276. PMID 23027429.

Template:WH Template:WS