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Universal Suicide Risk Screening in Pediatric Neurologic, Developmental, and Behavioral Clinics.

Suzanne Rybczynski1, Allison Gornik2, Benjamin Joffe Schindel3

  • 1Kennedy Krieger Institute (S Rybczynski, A Gornik, BJ Schindel, M Ngur, T Matte-Ramsdell, C Lopez-Arvizu, PH Lipkin, and TA Zabel), Baltimore, Md; Department of Pediatrics (S Rybczynski and PH Lipkin), Johns Hopkins University School of Medicine, Baltimore, Md; East Tennessee Children's Hospital (S Rybczynski), Knoxville, Tenn; Department of Pediatrics (S Rybczynski), University of Tennessee Health Science Center, College of Medicine, Knoxville, Tenn.

Academic Pediatrics
|December 19, 2024
PubMed
Summary
This summary is machine-generated.

Suicide risk screening in children with neurologic, developmental, and behavioral disorders (NDBDs) identified elevated risk in 10.3% of youth. Universal suicide screening is recommended across pediatric settings.

Keywords:
neurodevelopmentalpediatricsuicidesuicide risk screeninguniversal screening

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Area of Science:

  • Pediatric Medicine
  • Child Psychiatry
  • Public Health

Background:

  • Youth suicide rates have risen significantly over the past three decades.
  • Screening for suicide risk is increasingly recommended in pediatric care.
  • Specialty care facilities for neurologic, developmental, and behavioral disorders (NDBDs) serve a vulnerable population.

Purpose of the Study:

  • To evaluate the implementation and outcomes of suicide risk screenings in children within outpatient specialty care settings.
  • To determine the prevalence of elevated suicide risk among children with NDBDs.
  • To identify factors associated with screening completion and positive results.

Main Methods:

  • A cross-sectional, retrospective study using data from the Ask Suicide-Screening Questions (ASQ) tool.
  • Screening data collected from children aged 8-17 during initial outpatient visits at medical, behavioral health, and autism specialty clinics.
  • Analysis of screening completion rates, reasons for decline, and rates of positive screening for suicide risk.

Main Results:

  • Over 15,000 children were offered screening; 10,970 underwent screening, with 29.1% declining.
  • The overall rate of positive suicide risk screening was 10.3%, with higher rates in behavioral health (12.2%) and autism (12.7%) clinics.
  • Positive screenings were more common in older, female, self-reporting youth, and in behavioral/autism specialty clinics.

Conclusions:

  • Suicide risk was identified across all pediatric programs serving children with NDBDs.
  • The findings support the implementation of universal suicide risk screening for all children and youth in pediatric settings.
  • Routine screening effectively identifies youth at risk for suicide, regardless of the specialty clinic type.