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Addressing Adolescent Suicidality in Pediatric Primary Care
Jessica Kenny1,2, Kimberly Kelsay1,2, Maya Bunik1,3
1Children's Hospital Colorado, Aurora, CO.
Journal of Developmental and Behavioral Pediatrics : JDBP
|October 5, 2023
Summary
Suicidal ideation (SI) affects 7% of adolescents. Integrated care, risk assessments, safety plans, and caregiver involvement significantly decrease SI frequency in primary care settings.
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.
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