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Suicide-Risk Identification Across Developmental and Behavioral Pediatric Practices: A DBPNet Study.

Kate E Wallis¹, Sarah N Wozniak-Kelly², Jaclyn Cacia³

¹PolicyLab (KE Wallis, SN Wozniak-Kelly, and KK Wu), The Children's Hospital of Philadelphia, Philadelphia, Pa; Division of Developmental and Behavioral Pediatrics (KE Wallis and J Cacia), Children's Hospital of Philadelphia, Philadelphia, Pa; Center for Autism Research (KE Wallis and SN Wozniak-Kelly), Children's Hospital of Philadelphia, Philadelphia, Pa; Perelman School of Medicine (KE Wallis), University of Pennsylvania, Philadelphia, Pa.

Academic Pediatrics

|February 12, 2025

Summary

Suicide screening for children with intellectual and developmental disabilities (IDD) varies widely in pediatric settings. Standardizing procedures and addressing system-level barriers are crucial for effective identification and response to suicide risk.

Keywords:

autism depression intellectual and developmental disabilities screening suicide

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Published on: November 21, 2013

Area of Science:

Pediatric Health
Developmental Pediatrics
Behavioral Health

Background:

Universal suicide screening is recommended for children and adolescents.
Children with intellectual and developmental disabilities (IDD) are a vulnerable population requiring tailored screening approaches.
Existing practices for suicide screening in pediatric developmental and behavioral health settings show significant variation.

Purpose of the Study:

To identify variations in universal suicide screening practices for children and adolescents with IDD.
To explore facilitators and barriers to implementing universal suicide screening in these settings.

Main Methods:

Utilized the Developmental Behavioral Pediatrics Research Network (DBPNet).
Collected data through surveys from 34 respondents and semi-structured interviews with 21 representatives across various clinics (developmental-behavioral pediatrics, psychology, psychiatry).
Employed descriptive statistics for surveys and thematic analysis for interviews.

Main Results:

Only 44.1% of practices reported universal suicide screening, with significant procedural variations.
Facilitators included standardized procedures, staff training, and dedicated response personnel.
Barriers encompass patient, family, provider, and system-level factors, including inadequate mental health systems and lack of IDD-specific support.

Conclusions:

Despite regulatory requirements and expertise, suicide screening implementation and positive screen management for youth with IDD are inconsistent.
Opportunities exist to standardize procedures to improve suicide risk identification and response for this population.