CINXE.COM

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class="path-node page-node-type-page bg- d-flex flex-column h-100"> <a href="#main-content" class="visually-hidden focusable skip-link"> Skip to main content </a> <div class="dialog-off-canvas-main-canvas d-flex flex-column h-100" data-off-canvas-main-canvas> <section class="row no-gutters d-none d-lg-block"> <div class=" "> <div> <div id="block-cvp-socialmediaheader" data-block-plugin-id="block_content:ac588368-d888-45ee-9305-2ef88c1b9d47" class="white-content color-right"> <div><div class="topheader"><div class="container"><div class="right"><a href="/blog"><span class="blog">Blog</span></a><a href="https://www.facebook.com/CIRPatCHOP/" target="_blank"><span> </span></a><a href="https://give2.chop.edu/give/242953/#!/donation/checkout" target="_blank"><span class="giftlink">Make a Gift</span></a></div></div></div><style type="text/css"> /*<![CDATA[*/ h4.pb-20 { padding-bottom: 0px; } .oneexpand .expandall { display: none!important; } blockquote.align-right p { font-size: 1.25rem; 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max-height: 150px; } header .search-area { padding-left: 0; padding-right: 0; margin-left: 20px; } .inner-banner.row { height: initial; min-height: 150px; background-size: cover; background-repeat: no-repeat; } .white-content.color-top.no-gutters { } .sidebar { padding: 0 15px !important; margin-top: 30px; }.path-publications-view .layout { width: 100%!important; margin: 0 auto; }.ckeditor-accordion-container dt .ckeditor-accordion-toggler span.customtoggle + span { padding-left: 45px !important; } } @media only screen and (max-width: 991px) { .click-btn img { width: 100%; max-height: 150px; } .inner-banner.row { height: initial; min-height: 150px!important; background-size: cover; background-repeat: no-repeat; }.content-img-caption .align-right { max-width: 100%; margin-left: 0; margin-bottom: 10px; } } @media (max-width: 568px){ footer .site-address { font-size: 12px; width: 100%; } } .slick-slide { position: relative!important; } .slick-slider .slick-track, .slick-slider .slick-list{ margin:0 } iframe{ width:100% }@media (min-width: 992px){ .menu-toggle { display: none!important; } @media (min-width: 992px){ .region-we-mega-menu .navbar-we-mega-menu ul .we-mega-menu-submenu { top: 200px; } } blockquote { border-left: none!important; } #block-cvp-views-block-cvp-goals-block-1 .card-title { /* padding-top: 30%; */ border: none !important; border-radius: 0px; } #block-cvp-views-block-cvp-goals-block-1 .collapse-arrow::before { content: "\f067"; /* FontAwesome plus icon */ font-family: "Font Awesome 5 Free"; font-weight: 900; display: inline-block; margin-right: 10px; color: white; display: inline-flex; align-items: center; justify-content: center; width: 35px; height: 35px; background-color: #005587; border-radius: 50%; font-size: 20px; text-align: center; } #block-cvp-views-block-cvp-goals-block-1 .description { color: #005587; text-align: left; } #block-cvp-views-block-cvp-goals-block-1 .card-title-card { margin-left: 22px; margin-bottom: 25px; font-size: 18px; } #block-cvp-views-block-cvp-goals-block-1 .dynamic-div { padding: 20px 30px 30px 30px; margin-top: 0px; margin-bottom: 20px; position: relative; } #block-cvp-views-block-cvp-goals-block-1 .custom-toggle.btn:focus { box-shadow: none; } #block-cvp-views-block-cvp-goals-block-1 .content-title { font-size: 24px; font-weight: 500; color: #ffffff; font-family: "rubrik"; } #block-cvp-views-block-cvp-goals-block-1 .custom-toggle { color: white; font-size: 20px; font-family: "rubriksemibold"; font-weight: 500; width: 100%; text-align: left; } #block-cvp-views-block-cvp-goals-block-1 .custom-toggle span { color: black; margin-top: -3px; margin-right: -20px; } #block-cvp-views-block-cvp-goals-block-1 .custom-toggle:hover { color: white; } #block-cvp-views-block-cvp-goals-block-1 .collapse-arrow { float: right; } #block-cvp-views-block-cvp-goals-block-1 .expand-icon .collapse-arrow::before { content: "\f068"; /* FontAwesome plus icon */ font-family: "Font Awesome 5 Free"; color: white; align-items: center; justify-content: center; width: 35px; height: 35px; background-color: #005587; border-radius: 50%; font-size: 20px; text-align: center; } .goal-card{ position: relative; } .goal-card .background_goal_image{ } .goal-card .content{ position: absolute; z-index: 1; bottom: 0; width: 100%; } .dynamic-div { padding: 20px 30px 30px 30px; margin-top: 0px; margin-bottom: 20px; background-color: #EBE7E4 } .card-title-card { margin-left: 22px; margin-bottom: 25px; font-size: 18px; } .dynamic-div h4{ font-size: 1.25rem; } #block-cvp-views-block-cvp-goals-block-1 .custom-toggle{ background: none; } #block-cvp-views-block-cvp-goals-block-1 .fa-angle-right:before, #block-cvp-views-block-cvp-goals-block-1 .fa-angle-down:before { display: none; } #block-cvp-views-block-cvp-goals-block-1 .custom-toggle a{ color: white; font-size: 20px; font-family: "rubriksemibold"; font-weight: 500; width: 100%; text-align: left; background: none; white-space: normal; } #block-cvp-views-block-cvp-goals-block-1 .block-title h2 { text-align: center; } .dynamic-div.left-10:before{ width: 0; height: 0; border-left: 10px solid transparent; border-right: 10px solid transparent; border-bottom: 10px solid #ebe7e4; position: absolute; top: -9px; left: 15%; } .dynamic-div.right-10:before{ width: 0; height: 0; border-left: 10px solid transparent; border-right: 10px solid transparent; border-bottom: 10px solid #ebe7e4; position: absolute; top: -9px; right: 15%; } .dynamic-div.left-50:before{ width: 0; height: 0; border-left: 10px solid transparent; border-right: 10px solid transparent; border-bottom: 10px solid #ebe7e4; position: absolute; top: -9px; left: 50%; } #block-cvp-views-block-cvp-goals-block-1 .container + .container h3 { margin-top: 40px; } #block-cvp-views-block-cvp-goals-block-1 .container:last-child { margin-bottom: 40px; } @media screen and (min-width: 768px) { #block-cvp-views-block-cvp-goals-block-1 .custom-collapse.show, #block-cvp-views-block-cvp-goals-block-1 .collapsing { display: none !important; } } .cvts-goals .container .col-12 span{ font-size: 1.875rem; color: #005586; } .cvts-goals .container .col-12 #block--Title{ margin-top: 20px !important; } #block-cvp-views-block-cvp-goals-block-1 .container .collapse-cvts-title a{ font-size: 1.875rem; color: #005586; text-transform: none !important; } /*]]>*/ </style></div> </div> </div> </div> </section> <section class="fixed-top"> <section class="row no-gutters row no-gutters d-none d-lg-block"> <div class=" "> <div> <div id="block-cvp-socialmediaheader" data-block-plugin-id="block_content:ac588368-d888-45ee-9305-2ef88c1b9d47" class="white-content color-right"> <div><div class="topheader"><div class="container"><div class="right"><a href="/blog"><span class="blog">Blog</span></a><a href="https://www.facebook.com/CIRPatCHOP/" target="_blank"><span> </span></a><a href="https://give2.chop.edu/give/242953/#!/donation/checkout" target="_blank"><span class="giftlink">Make a Gift</span></a></div></div></div><style type="text/css"> /*<![CDATA[*/ h4.pb-20 { padding-bottom: 0px; } .oneexpand .expandall { display: none!important; } blockquote.align-right p { font-size: 1.25rem; line-height: 33px; font-style: italic; } blockquote.align-right { margin-bottom: 10px; } blockquote p, blockquote p em, blockquote p em span { font-size: 1.1rem; font-size: 1.25rem; line-height: 33px; font-style: italic!important; } .sidebar .block-menu.navigation ul li.nav-item ul li a{ padding:8px 40px 8px 30px; } .path-meet-our-team .col-sm-3.pt-40 { padding-bottom: 40px; padding-top: 0; } .ckeditor-accordion-container &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt; dl dt &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt; .ckeditor-accordion-toggler,.ckeditor-accordion-container dt .two-col-right .col-main * { color: #33a0bb !important; } .banner-image { background-position: top right; } .page-node-type-front-page .slide__grid .grid__content { border-radius: 0; min-height: 620px; } .slick--view--cvp-leadership .slide__grid .grid__content { min-height: 602px!important; } .page-node-type-front-page .recent-articles .slide__grid .grid__content { border-radius: 0; min-height: 480px; } .pb-60{ padding-bottom:60px } footer nav.block-menu:first-child ul li a.nav-link, .footer-content nav.block-menu:first-child ul li a.nav-link { font-family: 'rubrikmedium'; } .inner-banner, .inner-profilebanner { display: block !important; } .inner-profilebanner.contactform { background: url(https://violence.chop.edu/sites/violence.chop.edu/themes/custom/cvp/images/heroimages/SECONDARY_PATTERN.jpg) no-repeat; } .page-node-type-webform .custom-viewTitle h2 { margin-top: 0; } .path-press-releases .sidebar .menu--about-menu { background: #ffffff; } li.pager__item.btn.btn-light,li.btn.btn-secondary.pager__item.btn.btn-light { padding: 0; }a + li a:first-child { display: none; } .slick-slide img { display: block; width: 100%; } @media screen and (max-width: 1200px) { .ckeditor-accordion-container dt .ckeditor-accordion-toggler span.customtoggle + span { padding-left: 0px !important; } } @media only screen and (max-width: 767px) { .click-btn img { width: 100%; max-height: 150px; } header .search-area { padding-left: 0; padding-right: 0; margin-left: 20px; } .inner-banner.row { height: initial; min-height: 150px; background-size: cover; background-repeat: no-repeat; } .white-content.color-top.no-gutters { } .sidebar { padding: 0 15px !important; margin-top: 30px; }.path-publications-view .layout { width: 100%!important; margin: 0 auto; }.ckeditor-accordion-container dt .ckeditor-accordion-toggler span.customtoggle + span { padding-left: 45px !important; } } @media only screen and (max-width: 991px) { .click-btn img { width: 100%; max-height: 150px; } .inner-banner.row { height: initial; min-height: 150px!important; background-size: cover; background-repeat: no-repeat; }.content-img-caption .align-right { max-width: 100%; margin-left: 0; margin-bottom: 10px; } } @media (max-width: 568px){ footer .site-address { font-size: 12px; width: 100%; } } .slick-slide { position: relative!important; } .slick-slider .slick-track, .slick-slider .slick-list{ margin:0 } iframe{ width:100% }@media (min-width: 992px){ .menu-toggle { display: none!important; } @media (min-width: 992px){ .region-we-mega-menu .navbar-we-mega-menu ul .we-mega-menu-submenu { top: 200px; } } blockquote { border-left: none!important; } #block-cvp-views-block-cvp-goals-block-1 .card-title { /* padding-top: 30%; */ border: none !important; border-radius: 0px; } #block-cvp-views-block-cvp-goals-block-1 .collapse-arrow::before { content: "\f067"; /* FontAwesome plus icon */ font-family: "Font Awesome 5 Free"; font-weight: 900; display: inline-block; margin-right: 10px; color: white; display: inline-flex; align-items: center; justify-content: center; width: 35px; height: 35px; background-color: #005587; border-radius: 50%; font-size: 20px; text-align: center; } #block-cvp-views-block-cvp-goals-block-1 .description { color: #005587; text-align: left; } #block-cvp-views-block-cvp-goals-block-1 .card-title-card { margin-left: 22px; margin-bottom: 25px; font-size: 18px; } #block-cvp-views-block-cvp-goals-block-1 .dynamic-div { padding: 20px 30px 30px 30px; margin-top: 0px; margin-bottom: 20px; position: relative; } #block-cvp-views-block-cvp-goals-block-1 .custom-toggle.btn:focus { box-shadow: none; } #block-cvp-views-block-cvp-goals-block-1 .content-title { font-size: 24px; font-weight: 500; color: #ffffff; font-family: "rubrik"; } #block-cvp-views-block-cvp-goals-block-1 .custom-toggle { color: white; font-size: 20px; font-family: "rubriksemibold"; font-weight: 500; width: 100%; text-align: left; } #block-cvp-views-block-cvp-goals-block-1 .custom-toggle span { color: black; margin-top: -3px; margin-right: -20px; } #block-cvp-views-block-cvp-goals-block-1 .custom-toggle:hover { color: white; } #block-cvp-views-block-cvp-goals-block-1 .collapse-arrow { float: right; } #block-cvp-views-block-cvp-goals-block-1 .expand-icon .collapse-arrow::before { content: "\f068"; /* FontAwesome plus icon */ font-family: "Font Awesome 5 Free"; color: white; align-items: center; justify-content: center; width: 35px; height: 35px; background-color: #005587; border-radius: 50%; font-size: 20px; text-align: center; } .goal-card{ position: relative; } .goal-card .background_goal_image{ } .goal-card .content{ position: absolute; z-index: 1; bottom: 0; width: 100%; } .dynamic-div { padding: 20px 30px 30px 30px; margin-top: 0px; margin-bottom: 20px; background-color: #EBE7E4 } .card-title-card { margin-left: 22px; margin-bottom: 25px; font-size: 18px; } .dynamic-div h4{ font-size: 1.25rem; } #block-cvp-views-block-cvp-goals-block-1 .custom-toggle{ background: none; } #block-cvp-views-block-cvp-goals-block-1 .fa-angle-right:before, #block-cvp-views-block-cvp-goals-block-1 .fa-angle-down:before { display: none; } #block-cvp-views-block-cvp-goals-block-1 .custom-toggle a{ color: white; font-size: 20px; font-family: "rubriksemibold"; font-weight: 500; width: 100%; text-align: left; background: none; white-space: normal; } #block-cvp-views-block-cvp-goals-block-1 .block-title h2 { text-align: center; } .dynamic-div.left-10:before{ width: 0; height: 0; border-left: 10px solid transparent; border-right: 10px solid transparent; border-bottom: 10px solid #ebe7e4; position: absolute; top: -9px; left: 15%; } .dynamic-div.right-10:before{ width: 0; height: 0; border-left: 10px solid transparent; border-right: 10px solid transparent; border-bottom: 10px solid #ebe7e4; position: absolute; top: -9px; right: 15%; } .dynamic-div.left-50:before{ width: 0; height: 0; border-left: 10px solid transparent; border-right: 10px solid transparent; border-bottom: 10px solid #ebe7e4; position: absolute; top: -9px; left: 50%; } #block-cvp-views-block-cvp-goals-block-1 .container + .container h3 { margin-top: 40px; } #block-cvp-views-block-cvp-goals-block-1 .container:last-child { margin-bottom: 40px; } @media screen and (min-width: 768px) { #block-cvp-views-block-cvp-goals-block-1 .custom-collapse.show, #block-cvp-views-block-cvp-goals-block-1 .collapsing { display: none !important; } } .cvts-goals .container .col-12 span{ font-size: 1.875rem; color: #005586; } .cvts-goals .container .col-12 #block--Title{ margin-top: 20px !important; } #block-cvp-views-block-cvp-goals-block-1 .container .collapse-cvts-title a{ font-size: 1.875rem; color: #005586; text-transform: none !important; } /*]]>*/ </style></div> </div> </div> </div> </section> <header > <div class="container"> <div class="top-mast "> <div class="header-logo d-flex pl-0"> <div id="block-cvp-sitebranding" data-block-plugin-id="system_branding_block" id="block--Sitebranding"> <div class=""> <div class="logo"> <div class="logo-img"> <a href="/" title="Home" rel="home" class="chop-logo"> <img 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<div class="layout row layout-builder__layout"> <div class="col-12 col-md-8"> <div data-block-plugin-id="field_block:node:page:body" id="block--Body"> <div property="content:encoded"><h2>Suicide and Self-Harm</h2><div>If you, or someone you know, are in crisis, dial 988 to call the <a href="https://988lifeline.org/">988 Suicide & Crisis Lifeline</a>.</div><p>It can be hard to understand what would drive someone to take his or her own life. Suicide is a desperate attempt to escape suffering. Many people with suicidal thoughts do not want to die – they want to end their pain. Suicidal people can be blinded by their despair and see no other option.</p><blockquote class="align-right"><p><em>Suicidal thoughts result from extreme emotional distress and are not necessarily signs of mental illness.</em></p></blockquote><p>This is a serious, but preventable, mental health issue that affects people of any age, gender, sexuality, race, and socioeconomic status. Approximately 45,000 Americans die each year from suicide, which is more than twice the number of homicides. It has become an increasing public health problem among youth and young adults. In 2016, suicide was the second leading cause of death among 10– 24-year-olds (after unintentional injury) and in 2014 death by suicide became more common than death by traffic crashes among children 10-14 years old.</p><p>This is a common misconception. Abuse, <a href="/types-violence/bullying-schools">bullying</a>, family stress and sexual orientation are all risk factors for youth suicide.</p><p>Severe distress and emotional pain can also manifest in other unhealthy ways. Self-harm, intentionally inflicting pain on one’s self, is a negative coping mechanism and emotional outlet. Each year, approximately 1 in 5 females and 1 in 7 males hurt themselves on purpose. There is a multitude of reasons why adolescents self-harm, including desperation, anger, anxiety, a cry for help, and the desire to “feel something” in those who may feel otherwise “numb” to emotions. While these individuals are at a higher risk of suicide, self-injury is often unrelated to suicidal ideation. One of the most common forms of self-injury is cutting, the act of making small cuts on one’s body. Like other forms of self-harm, some youth report that this provides a sense of relief from overwhelming negative feelings. Self-harm should be taken seriously. </p><h4>Suicide and Self-Harm Facts and Stats</h4><dl class="ckeditor-accordion"><dt>Facts & Statistics About Youth Suicide</dt><dd><ul><li>From 2007 to 2017, the youth suicide rate increased by 58%, according to a <a href="https://www.cdc.gov/nchs/products/databriefs/db352.htm" target="_blank">NCHS Data Brief</a>.</li><li>In 2016, more than 6,000 young people under age 25 committed suicide, according to the <a href="http://webappa.cdc.gov/sasweb/ncipc/mortrate10_us.html" target="_blank">CDC’s Fatal Injury Reports</a>. 2,500 youth were 19 years or younger.</li><li>Suicide attempts among black and Hispanic youth are almost 2 times higher than white youth.</li><li>LGB youth are almost 5 times more likely to attempt suicide as their straight peers.</li><li>In 2017, according to the national <a href="https://www.cdc.gov/healthyyouth/data/yrbs/index.htm" target="_blank">Youth Risk Behavior Survey</a> 17% of high-school students self-reported seriously considering suicide, while 14% made a suicide plan and 7.4% attempted suicide,</li><li>Studies show that 45% of suicide victims had contact with primary care providers within 1 month of suicide.</li><li>Having a gun in the home, regardless of storage practice, type of gun, or number of firearms, is associated with an increased risk of firearm suicide.</li><li>States implementing universal background checks and mandatory waiting periods prior to the purchase of a firearm show lower rates of suicides than states without this legislation. To read more about suicide and firearms, <a href="/types-violence/gun-violence/gun-violence-facts-and-statistics">click here</a>.</li><li>A 2017 study of ER and inpatient encounters across 32 US children's hospitals revealed the annual percentage of encounters identified as suicidality or self-harm for children ages 5-17 more than doubled over the 8-year study period. <a href="https://injury.research.chop.edu/blog/posts/suicide-happens-among-young-children">Read more about addressing suicide risk in young children</a>.</li></ul></dd><dt>Youth Suicide Prevention: Know the Warning Signs</dt><dd><p>The best way to prevent youth suicide is to recognize the warning signs, including but not limited to:</p><ul><li>Talking about suicide, dying, or self-harm</li><li>Looking for access to guns, pills, or other lethal means</li><li>Unusual preoccupation with death, dying, or violence</li><li>Talking about feeling hopeless or having no reason to live</li><li>Talking about feeling trapped or in unbearable pain</li><li>Talking about being a burden to others</li><li>Expressing feelings of self-loathing, worthlessness, guilt, and shame</li><li>Increasing the use of alcohol or drugs and other self-destructive behaviors</li><li>Sleeping too little or too much</li><li>Withdrawing from friends and family</li><li>Showing rage or talking about seeking revenge</li><li>Loss of touch with reality, seeing things or hearing voices</li><li>Displaying extreme mood swings.</li></ul></dd><dt>Clinical Screening Can Help</dt><dd><p>These signs can be easy to miss. An estimated 70% of children suffer with untreated mental health problems. Routine behavioral health (BH) screening in acute-care settings like the emergency department, as well as primary care and sub-specialty outpatient visits would help reduce the number of adolescents with unmet mental health needs.</p><p>Researchers at Children’s Hospital of Philadelphia (CHOP) developed the <a href="https://violence.chop.edu/research-and-programs/suicide-prevention/behavioral-health-screen">Behavioral Health Screen (BHS)</a>, a comprehensive, web-based tool, to assess and identify BH symptoms among adolescents such as depression, anxiety, and suicidal risk. The screening also identifies potential urgent risks, such as suicide attempts and sexual abuse. A study found that the application of BHS in the Emergency Department increased the identification of mental health problems by 8%. When tested in primary care settings, they found that 9.2% of adolescent patients admitted to having suicidal thoughts.</p><p>Even though screening tools, such as the BHS, have proven to be an important first step to address our country’s growing mental health problem, the barriers to implementation (e.g., lack of time, training, and capacity) hinder integration into the primary and emergency care settings. Overcoming these barriers is the goal of several researchers at CHOP who aim to fully integrate BH screening into medical settings and establish its importance as a clinical practice. CHOP is also a site for a National Institute of Mental Health study to develop and validate a suicide-specific screening tool.</p><p>Once suicidal or at-risk youth (e.g. significant depression) are identified, timely evaluation is needed in order to intervene and determine the appropriate plan. Healthcare organizations and communities must work together to tackle this public health crisis despite barriers. At CHOP, multidisciplinary teams strive to develop innovative care models and advocate for better resources and legislation.</p></dd><dt>Youth Suicide Prevention: Increase Awareness</dt><dd><p>In 2017, the National Action Alliance for Suicide <a>Prevention</a> released an update to the <a href="https://theactionalliance.org/our-strategy/national-strategy-suicide-prevention" target="_blank">National Strategy for Suicide Prevention</a>. The report focuses on four strategies to reducing the number of deaths by suicide</p><ol><li>Create healthy and empowered individuals, families, and communities</li><li>Develop, implement, and monitor clinical and community preventive services</li><li>Provide appropriate treatment and support services</li><li>Improve the quality of data on suicidal behaviors to develop increasingly effective prevention efforts</li></ol><p>If you, or someone you know, are in crisis, call <a href="http://www.suicidepreventionlifeline.org/" target="_blank">the National Suicide Prevention Lifeline</a> at 1-800-273-TALK (8255)</p><p><a href="https://www.crisistextline.org" target="_blank">Crisis Text Line</a>: Text “Home” to 741741 for free, 24-hour support</p><p class="node-subtitle"><a href="https://injury.research.chop.edu/blog/tags/suicide-prevention">Read <em>Research in Action</em> blog articles about suicide prevention.</a></p></dd><dt>Related CVP Program</dt><dd><p><a href="/research-and-programs/communicating-and-connecting-mental-health-needs-of-patients">Communicating and Connecting Mental Health Needs of Patients</a></p></dd></dl><h4 class="text-primary mb-0">Recommended Resources</h4><dl class="ckeditor-accordion"><dt><b data-stringify-type="bold"><strong>Learn More</strong></b></dt><dd><ul><li><a href="http://www.afsp.org/" target="_blank" rel=" noopener noreferrer">The American Foundation for Suicide Prevention</a></li><li><a href="http://www.nimh.nih.gov/health/topics/suicide-prevention/index.shtml" target="_blank" rel=" noopener noreferrer">National Institute of Mental Health: Suicide Prevention</a></li><li><a href="https://www.cdc.gov/violenceprevention/suicide/index.html" target="_blank" rel=" noopener noreferrer">Centers for Disease Control and Prevention</a></li><li><a href="https://theactionalliance.org/" target="_blank" rel=" noopener noreferrer">National Action Alliance for Suicide Prevention</a></li><li><a href="http://yellowribbon.org/" target="_blank" rel=" noopener noreferrer">Yellow Ribbon Suicide Prevention Program</a></li><li><a href="http://www.thetrevorproject.org/" target="_blank" rel=" noopener noreferrer">The Trevor Project</a></li></ul></dd><dt><b data-stringify-type="bold"><strong>Relevant Publications</strong></b></dt><dd><ul><li>Doupnik SK, Esposito J, Lavelle J. <a href="https://pubmed.ncbi.nlm.nih.gov/29666165/" target="_blank" rel=" noopener noreferrer">Beyond Mental Health Crisis Stabilization in Emergency Departments and Acute Care Hospitals</a><strong>.</strong> <em>Pediatrics</em>. 2018;141(5): e20173059</li><li>Bevans, KB, Diamond G, Levy S. <a href="https://pubmed.ncbi.nlm.nih.gov/22395125/" target="_blank" rel=" noopener noreferrer">Screening for Adolescents' Internalizing Symptoms in Primary Care: Item Response Theory Analysis of the Behavior Health Screen Depression, Anxiety, and Suicidal Risk Scales</a>. <em>Journal of Developmental and Behavioral Pediatrics,</em> 33(4), May 2012.</li><li>Diamond G, Levy S, Bevans KB, Fein JA, Wintersteen M, Tien A, Creed T. <a href="https://pubmed.ncbi.nlm.nih.gov/20566613/" target="_blank" rel=" noopener noreferrer">Development, Validation and Utility of Internet-based, Behavioral Health Screen for Adolescents</a>. <em>Pediatrics</em>. 2010;126(1):e163-70.</li><li>Fein JA, Pailler M, Diamond G, Wintersteen M, Tien A, Hayes K, Barg F. <a href="https://pubmed.ncbi.nlm.nih.gov/21135339/" target="_blank" rel=" noopener noreferrer">Feasibility and Effects of a Web-based Adolescent Psychiatric Assessment Administered by Clinical Staff in the Pediatric Emergency Department</a>. <em>Archives of Pediatric and Adolescent Medicine </em>2010;164(12):1112-1117.</li><li>Pailler ME, Fein JA. <a href="https://pubmed.ncbi.nlm.nih.gov/19353905/" target="_blank" rel=" noopener noreferrer">Computerized Behavioral Health Screening in the Emergency Department</a>. <em>Pediatric Annals,</em> 38(3), March 2009.</li></ul></dd></dl></div> </div> </div> <div class="col-12 col-md-4 sidebar"> <nav role="navigation" aria-labelledby="-menu" data-block-plugin-id="system_menu_block:about-menu" class="block block-menu navigation menu--about-menu"> <h5 class="visually-hidden" id="-menu">about menu</h5> <ul class="nav navbar-nav parent-nav about-menu" 0> <h5 class=hidden>About CVP</h5> <li class="menu-icon menu-icon-3788 hidden nav-item parent-li"> <a href="/about-cvp" class="nav-link sub-link dropdown-toggle" data-drupal-link-system-path="node/35">About CVP</a> <ul class="parent-nav about-menu nav navbar-nav" 1> <li class="menu-icon menu-icon-3823 nav-item child-li"> <a href="/meet-our-team" class="nav-link child-link dropdown-toggle" data-drupal-link-system-path="meet-our-team">Meet Our Team</a> <ul class="parent-nav about-menu nav navbar-nav" 2> <li class="menu-icon menu-icon-3972 nav-item subchild-li"> <a href="/meet-our-team/role/cvp-leadership" class="nav-link subchild-link" 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