title: Universal Adolescent Suicide Screening in a Pediatric Urgent Care Center.
abstract: The aim of this article is to describe the implementation of a 2-question suicide screening tool in a pediatric urgent care center to identify patients at risk of suicide. Adolescents presenting during a 12-month period completed the screening tool. Positive response to either question triggered further social work evaluation, including a Columbia-Suicide Severity Rating Scale (C-SSRS). Of 4,786 patients screened, 95 (2%) responded positively. Of these, 75 (79%) also had a positive C-SSRS. Only 7 (7%) had chief complaints related to mental health. A group of 78 patients (82%) were discharged with outpatient mental health referral, and 10 (10%) were admitted to a psychiatric facility. Universal adolescent suicide screening in an acute care setting did not significantly affect flow in our pediatric urgent care and was able to detect patients at risk of suicide, especially those with chief complaints unrelated to mental health.
authors.forename: Aimy
authors.initials: A
authors.lastname: Patel
authors.forename: Catherine
authors.initials: C
authors.lastname: Watts
authors.forename: Sheri
authors.initials: S
authors.lastname: Shiddell
authors.forename: Karla
authors.initials: K
authors.lastname: Couch
authors.forename: Amber M
authors.initials: AM
authors.lastname: Smith
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Moran
authors.forename: Gregory P
authors.initials: GP
authors.lastname: Conners
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000067697:Adolescent Health; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008603:Mental Health; D011569:Psychiatric Status Rating Scales; D012017:Referral and Consultation / Q000706:statistics & numerical data; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology; D011795:Surveys and Questionnaires; D006113:United Kingdom; D000092864:Suicide Prevention
keywords: adolescents; mental health; pediatric urgent care; suicide; suicide screening; youth