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This summary is machine-generated.

About one-third of pediatricians use standardized suicide risk screening. Knowledge of American Academy of Pediatrics (AAP) guidelines increases screening, highlighting the need for wider guideline dissemination, especially in subspecialties.

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Area of Science:

  • Pediatric Medicine
  • Public Health
  • Mental Health Screening

Background:

  • Pediatricians play a crucial role in identifying and managing mental health issues in children and adolescents.
  • Suicide is a significant public health concern among young people, necessitating effective screening protocols.
  • Standardized suicide risk screening tools are essential for consistent and accurate identification of at-risk youth.

Purpose of the Study:

  • To assess the current practices of general and subspecialty pediatricians regarding standardized suicide risk screening.
  • To examine the variation in screening practices across different pediatric subspecialties.
  • To determine if awareness of American Academy of Pediatrics (AAP) recommendations influences the adoption of standardized screening.

Main Methods:

  • Analysis of survey data from the 2023 American Board of Pediatrics Maintenance of Certification program.
  • Survey items focused on the use of standardized suicide risk screening tools, specific tools, universal screening adoption, and knowledge of AAP recommendations.
  • Adjusted logistic regression models were employed to analyze associations between clinician characteristics, knowledge of recommendations, and screening practices.

Main Results:

  • 36.7% of 5003 analyzed pediatricians reported using standardized suicide risk screening.
  • Emergency medicine physicians were more likely to screen than general pediatricians (AOR=2.83).
  • Pediatricians knowledgeable about AAP recommendations were more likely to screen (AOR=1.53); 73.1% of those screening used a universal approach for ages 12+.

Conclusions:

  • Standardized suicide risk screening is utilized by approximately one-third of pediatricians, with considerable variation among subspecialties.
  • Awareness of AAP recommendations is linked to increased screening, suggesting guideline dissemination can improve implementation.
  • Enhanced dissemination of AAP guidelines may improve early identification and intervention rates, particularly in subspecialty settings.