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Reevaluating Suicide Risk Screening in Preadolescents: Beyond Safety Toward Strategic Integration
Zhenzhuang Zou1, Jiaying Liu2, Li Fu2
1Shenzhen Futian District Maternity & Child Healthcare Hospital, Shenzhen, Guangdong, China; The Fifth Affiliated Hospital of Zunyi Medical University, Zhuhai, Guangdong, China.
Abstract:
We read with great interest the recent article by Hennefield et al., titled "Asking Preadolescents About Suicide Is Not Associated With Increased Suicidal Thoughts."1 The study's nuanced design and rigorous analysis provide reassuring evidence that repeated suicide-risk screening-whether monthly in lower-risk or weekly in higher-risk 8- to 12-year-olds-does not appear to induce suicidal ideation in this vulnerable population. This finding helps to dismantle long-standing hesitation in pediatric practice regarding the potential iatrogenic effects of introducing suicide-related language during mental health screening. However, the implications of this research stretch beyond the issue of safety, inviting broader discussion on how such screenings might be strategically deployed within real-world pediatric care systems.
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