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Suicidal ideation (SI) affects 7% of adolescents. Integrated care, risk assessments, safety plans, and caregiver involvement significantly decrease SI frequency in primary care settings.

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Area of Science:

  • Adolescent health
  • Mental health screening
  • Primary care interventions

Background:

  • Suicidal ideation (SI) is a significant concern in adolescent populations.
  • Primary care settings are increasingly involved in identifying and managing adolescent mental health issues.

Purpose of the Study:

  • To determine the prevalence of SI in adolescents.
  • To characterize interventions for SI provided by primary care providers (PCPs) and behavioral health clinicians (BHCs).
  • To identify factors associated with reduced SI frequency.

Main Methods:

  • Retrospective mixed-method study of 2107 adolescents.
  • Utilized clinical informatics and electronic medical record analysis.
  • Examined PHQ-9A scores and intervention codes.

Main Results:

  • 7% of adolescents reported SI.
  • 40 distinct interventions were identified (17 by PCPs, 23 by BHCs).
  • Key factors for decreased SI included PCP referrals to integrated behavioral health and family navigators, and BHC actions like risk assessment, safety planning, and caregiver involvement.

Conclusions:

  • Screening for SI in primary care is supported.
  • Multidisciplinary and family-centered approaches are crucial for addressing adolescent SI.
  • Specific interventions show promise in reducing SI frequency.