Current Opinion in Pediatrics

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this.features)));n.length>0&&(0,e.R)(36,{targetFeature:r.featureName,missingDependencies:n}),this.features[r.featureName]=new r(this)}))}catch(t){(0,e.R)(22,t);for(const e in this.features)this.features[e].abortHandler?.();const r=(0,R.Zm)();delete r.initializedAgents[this.agentIdentifier]?.api,delete r.initializedAgents[this.agentIdentifier]?.features,delete this.sharedAggregator;return r.ee.get(this.agentIdentifier).abort(),!1}}}({features:[he,w,N,Ne,_e,_,D,ot,ct,je,nt],loaderType:"spa"})})()})();</script><meta charset="utf-8" /><meta name="viewport" content="width=device-width, initial-scale=1" /><meta http-equiv="Expires" content="0" /><meta name="DCSext.AbsHTMLview" content="1" /><meta name="WT.cg_n" content="co-pediatrics" /><meta name="WT.cg_s" content="Articles" /><meta name="wkhealth_journal_title" content="Current Opinion in Pediatrics" /><meta name="wkhealth_journal_title_legacy" content="Current Opinion in Pediatrics" /><meta name="wkhealth_issue" content="5" /><meta name="wkhealth_article_publication_date" content="October 2009" /><meta name="wkhealth_volume" content="21" /><meta name="wkhealth_ovid_accession_number" content="00008480-200910000-00012" /><meta name="wkhealth_issn" content="1040-8703" /><meta name="wkhealth_title" content="Suicide screening in schools, primary care and emergency departments" /><meta name="wkhealth_authors" content="Horowitz, Lisa M;Ballard, Elizabeth D;Pao, Maryland" /><meta name="wkhealth_doi" content="10.1097/MOP.0b013e3283307a89" /><meta name="wkhealth_abstract_html_url" content="https://journals.lww.com/co-pediatrics/abstract/2009/10000/suicide_screening_in_schools,_primary_care_and.12.aspx" /><meta name="wkhealth_fulltext_html_url" content="https://journals.lww.com/co-pediatrics/fulltext/2009/10000/suicide_screening_in_schools,_primary_care_and.12.aspx" /><meta name="wkhealth_toc_section" content="Psychiatry" /><meta name="wkhealth_toc_sub_section" content="Edited by John V. Campo" /><meta name="wkhealth_eJpId" content="co-pediatrics:2009:10000:00012" /><meta name="wkhealth_firstpage" content="620" /><meta name="wkhealth_date" content="October 2009" /><meta name="wkhealth_pdf_url" content="https://journals.lww.com/co-pediatrics/_layouts/15/oaks.journals/downloadpdf.aspx?trckng_src_pg=Other&an=00008480-200910000-00012" /><meta name="Description" content="Purpose of review Every year, suicide claims the lives of tens of thousands of young people world" /><meta property="og:site_name" content="LWW" /><meta property="og:type" content="article" /><meta property="og:title" content="Suicide screening in schools, primary care and emergency... : Current Opinion in Pediatrics" /><meta property="og:description" content="creening youth for suicide may be a critical step in suicide prevention. This paper reviews suicide screening in three different settings: schools, primary care clinics and emergency departments (EDs). Recent findings Unrecognized and thus untreated suicidality leads to substantial morbidity and mortality. With the onus of detection falling on nonmental health professionals, brief screening tools can be used to initiate more in-depth evaluations. Nonetheless, there are serious complexities and implications of screening all children and adolescents for suicide. Recent studies show that managing positive screens is a monumental challenge, including the problem of false positives and the burden subsequently posed on systems of care. Furthermore, nearly 60% of youth in need of mental health services do not receive the care they need, even after suicide attempt. Schools, primary care clinics and EDs are logical settings where screening that leads to intervention can be initiated. Summary Valid, brief and easy-to-administer screening tools can be utilized to detect risk of suicide in children and adolescents. Targeted suicide screening in schools, and universal suicide screening in primary care clinics and EDs may be the most effective way to recognize and prevent self-harm. These settings must be equipped to manage youth who screen positive with effective and timely interventions. Most importantly, the impact of suicide screening in various settings needs to be further assessed...." /><meta property="og:image" content="https://images.journals.lww.com/co-pediatrics/SocialThumb.00008480-200910000-00000.CV.jpeg" /><meta property="og:image:width" content="886" /><meta property="og:image:height" content="1200" /><meta property="og:url" content="https://journals.lww.com/co-pediatrics/fulltext/2009/10000/suicide_screening_in_schools,_primary_care_and.12.aspx" /><meta property="twitter:card" content="summary" /><meta name="robots" content="index, follow, noarchive" /><meta name="WT.sv" content="ZUSE1PEJPWEB02" /><meta name="Title" content="Current Opinion in Pediatrics" /><style id="SPThemeHideForms" type="text/css">body {opacity:0 !important}</style>  <link href="https://fonts.googleapis.com/css?family=Arvo:400,400i,700|Fira+Sans:300,300i,400,400i,500,500i,600,600i,700,700i&display=swap" rel="stylesheet" /> <script> // temporary workaround for Bug 316328:[Stage][Registration][Regression 05.04] - Omniture events are not displayed for article viewer page // prevents JS exception in Adobe launch.js caused by situation when wkhealth_institution_type meta tag is present while wkhealth_institution_name tag is not in the page head // see this check in Adobe launch.js: null != document.querySelector("meta[name='wkhealth_institution_name']") ... // TODO: implement proper code fix after release 05.04.00 deployment var wkhealth_institution_type = document.querySelector("meta[name='wkhealth_institution_type']"); var wkhealth_institution_name = document.querySelector("meta[name='wkhealth_institution_name']"); console.warn(wkhealth_institution_type); console.warn(wkhealth_institution_name); if (wkhealth_institution_type && !wkhealth_institution_name) { console.warn('Workaround in release 05.04.00 - removing wkhealth_institution_type meta tag if wkhealth_institution_name is not present'); wkhealth_institution_type.remove(); } </script> <link 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Permissions</span></span></a></li> </ul></li> </ul> </div> <div class="search-v2"> <div class="search-wrapper"> <select name="ctl00$ctl51$SearchBox$ddlContentScope" id="ctl00_ctl51_SearchBox_ddlContentScope"> <option value="All">All</option> <option selected="selected" value="Articles">Articles</option> <option value="Images">Images</option> <option value="Videos">Videos</option> <option value="Podcasts">Podcasts</option> <option value="Blogs">Blogs</option> </select> <div class="input-group" id="globalSearch"> <input name="ctl00$ctl51$SearchBox$txtKeywords" type="text" value="Search" id="ctl00_ctl51_SearchBox_txtKeywords" class="form-control searchText" /> <span class="input-group-btn"> <button id="ctl00_ctl51_SearchBox_btnGlobalSearchMagnifier" type="submit" class="btn btn-default"><i class="fa fa-search"></i></button> </span> <input type="hidden" name="ctl00$ctl51$SearchBox$IsAutoCompleteEnabled" id="ctl00_ctl51_SearchBox_IsAutoCompleteEnabled" value="true" /> <input type="hidden" name="ctl00$ctl51$SearchBox$AutocompleteApiUrl" id="ctl00_ctl51_SearchBox_AutocompleteApiUrl" value="https://platformservices.wolterskluwerhealth.com/autocomplete/COPED/shingle/" /> </div> </div> <div class="advance-search" style=""> <a id="ctl00_ctl51_SearchBox_lnkAdvanceSearch" href="https://journals.lww.com/co-pediatrics/pages/advancedsearch.aspx">Advanced Search</a> <input type="submit" name="ctl00$ctl51$SearchBox$btnGlobalSearch" value="" id="ctl00_ctl51_SearchBox_btnGlobalSearch" disabled="disabled" class="aspNetDisabled btnGlobalSearch" style="display: none;" /> <input name="ctl00$ctl51$SearchBox$hfldKeywords" type="hidden" id="ctl00_ctl51_SearchBox_hfldKeywords" class="hfldKeywords" value="disableButton" /> </div> </div> <script> $(function() { try { var objSearchBox = { btnGlobalSearchMagnifierId: 'ctl00_ctl51_SearchBox_btnGlobalSearchMagnifier', searchButtonId: 'ctl00_ctl51_SearchBox_btnGlobalSearch', txtKeywordsId: 'ctl00_ctl51_SearchBox_txtKeywords', hfldKeywordsHiddenId: 'ctl00_ctl51_SearchBox_hfldKeywords', defaultSearchText: 'Search' }; new Searchbox(objSearchBox).Init(); } catch (e) { console.error(e); } }); //autocomplete functionality for basic search //this functionality will call the SBA url and start suggesting after typing 3rd character var textKeywords = null; var hiddenAutocompleteApiUrl = null; var buttonGlobalSearch = null; $(function () { try { var objAutocomplete = { hiddenIsAutoCompleteEnabled: $('#ctl00_ctl51_SearchBox_IsAutoCompleteEnabled'), textKeywords: $('#ctl00_ctl51_SearchBox_txtKeywords'), hiddenAutocompleteApiUrl: $('#ctl00_ctl51_SearchBox_AutocompleteApiUrl'), buttonGlobalSearch: $('#ctl00_ctl51_SearchBox_btnGlobalSearch'), enableNewAutoComplete: true, newAutoCompleteUrl: 'https://dxg-search-na-prd.wkgposvc.cloud/Query.svc/Query_Expand', newAutoCompleteMaxSuggestions: '10', newAutoCompleteDictionaryIds: 'ovid_sted28_mesh22' }; autoComplete(objAutocomplete); } catch (e) { console.error(e); } }); $(function () { let searchSelect = $('select[id$="ddlContentScope"]');; if (searchSelect.length){ searchSelect.selectize(); } }); </script> </nav> </div> </div> </header>     <div id="main-container-content" class="wk-grid-page-container"> <div id="DeltaWebPartAdderUpdatePanelContainer" class="ms-core-webpartadder"> <div id="WebPartAdderUpdatePanelContainer"> <div id="ctl00_WebPartAdderUpdatePanel"> <span id="ctl00_WebPartAdder"></span> </div> </div> </div> <div id="notificationArea" class="ms-notif-box"></div> <div id="DeltaPageStatusBar"> <div id="pageStatusBar"></div> </div> <div id="DeltaPlaceHolderMain" class="delta-place-holder-main"> <a id="mainContent" name="mainContent" tabindex="-1"></a> <div id="ctl00_PlaceHolderMain_ResponsivePageLayoutRenderer_responsivePageLayoutContainer" class="main-content ejp-page-container"> <div class="wk-grid-container-no-margin" id="AddRowTopContainer"> </div> <div 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width="100%" class="ms-WPBody noindex " allowDelete="false" style="" ><div id="ctl00_ctl29_g_dc2dbd9f_06ed_4188_abe1_44af64d16335">  <div class="ejp-article-breadcrumb"> <div class="ejp-article-breadcrumb__left"> <a title href="/co-pediatrics/toc/2009/10000" class="ejp-article-nav__list-link-back">October 2009 - Volume 21 - Issue 5 </a> </div> <div class="ejp-article-breadcrumb__right"> <nav id="ctl00_ctl29_g_dc2dbd9f_06ed_4188_abe1_44af64d16335__ffbc407e21cc5bdd_ArticleNavigator"> <ul class="ejp-article-nav__list"> <li id="ctl00_ctl29_g_dc2dbd9f_06ed_4188_abe1_44af64d16335__ffbc407e21cc5bdd_liArticleNavigatorPrev"> <a title href="/co-pediatrics/fulltext/2009/10000/epidemiology_of_youth_suicide_and_suicidal.11.aspx" onmouseover="javascript:Tooltip_Article('Epidemiology of youth suicide and suicidal behavior', 'Cash Scottye J; Bridge, Jeffrey A', 'Current Opinion in Pediatrics', 'October 2009', '21', '5' , 'p 613-619')" onmouseout="javascript:Tooltip_MouseOut()" 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'Suicide screening in schools, primary care and emergency departments', '10012009', 'Lisa Horowitz, Elizabeth Ballard, and Maryland Pao', '21', '5', '\u00A9 2009 Lippincott Williams & Wilkins, Inc.', '00008480-200910000-00012', '', false, ''); } </script> <div id="ArticleContainer"> <article id="ej-abstract-view" xmlns:ssr="http://ssr-eus-go-csi.cloudapp.net/v1/assets" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xhtml="http://www.w3.org/1999/xhtml"><section class="ejp-r-article-subsection"><div class="ejp-r-article-subsection__text">Psychiatry: Edited by John V. Campo</div></section><header class="ejp-article-header"><h1 class="ejp-article-title">Suicide screening in schools, primary care and emergency departments</h1></header><section id="ejp-article-authors"><p id="P7">Horowitz, Lisa M<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">a</sup>; Ballard, Elizabeth D<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">a,b</sup>; Pao, Maryland<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">a</sup></p><section><a href="#" id="ejp-article-authors-link"> Author Information <i class="wk-icon-arrow-down-r"></i></a></section></section><section id="ejp-article-authors-info" class="ejp-article-authors-info ejp-article-authors-info--hidden"><div class="ejp-article-authors-info-holder"> <p id="P_ID_d5918e49"><sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">a</sup>National Institute of Mental Health, National Institutes of Health, USA</p> <p id="P_ID_d5918e55"><sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">b</sup>Department of Psychology, Catholic University of America, Washington, District of Columbia, USA</p> <p id="BT_ID_d5918e62">Correspondence to Lisa M. Horowitz, PhD, MPH, Office of the Clinical Director, National Institute of Mental Health, National Institutes of Health, 10 CRC, Room 6-5340, 10 Center Drive, Bethesda, MD 20892-1276, USA Tel: +1 301 435 6052; fax: +1 301 402 2588; e-mail: <span><a href="/cdn-cgi/l/email-protection#ddb5b2afb2aab4a9a7b19db0bcb4b1f3b3b4b5f3bab2ab" onclick="javascript:window.open('mailto:horowitzl@mail.nih.gov');return false"><span class="__cf_email__" data-cfemail="84ecebf6ebf3edf0fee8c4e9e5ede8aaeaedecaae3ebf2">[email protected]</span></a></span></p> </div></section><section id="article-journal-info"><div class="ej-journal-info"><span class="ej-journal-name">Current Opinion in Pediatrics </span><span id="ej-journal-date-volume-issue-pg"><a href="/co-pediatrics/toc/2009/10000">21(5):p 620-627, October 2009.</a></span><span> | </span><span class="ej-journal-doi">DOI: </span>10.1097/MOP.0b013e3283307a89</div></section><section id="ejp-article-indicators" class="ejp-article-indicators"><ul class="ejp-article-indicators__list"> <li id="ej-article-indicators-buy" class="ejp-article-indicators__list-item" onmouseover="javascript:Tooltip_Buy()" onmouseout="javascript:Tooltip_MouseOut()"><a href="#ContentAccessOptions"><span class="ejp-indicator">Buy</span></a></li> </ul><button id="openArticleMetricsPopupButton" type="button" class="wk-button wk-button-ghost wk-button-icon-left ejp-article-metrics-btn" data-articleMetricsEndpoint="//services.journals.lww.com/IntegrationServices/ArticleMetricsService.svc" data-articleMetricsDetailsUrl="https://wolterskluwer.altmetric.com/details/" data-doi="10.1097/MOP.0b013e3283307a89" data-suiteId="vrs_woltere_journalsglobalvrs" data-articlePublicationDate="2009-10-01" data-articlePublicationDateString="October 2009" data-receivedDate="" data-revisionReceivedDate="" data-acceptedDate="" data-crossrefRefLinkRoot="https://doi.org/" data-medlineRefLinkRoot="http://www.ncbi.nlm.nih.gov/pubmed/" data-pubMedId="19617829"><i class="wk-icon-filled-chart-r"></i><i class="wk-icon-filled-chart-white-r"></i> Metrics </button></section><section class="ejp-article-tabs" id="abstractWrap"><h2 class="ejp-article-tabs-heading">Abstract</h2> <div class="ejp-article-tabs__tabpanel" id="panel1" role="tabpanel" aria-labelledby="tab1"> <div id="article-abstract-content1"> <div class="ejp-article-text-abstract"> <h3>Purpose of review </h3> <p>Every year, suicide claims the lives of tens of thousands of young people worldwide. Despite its high prevalence and known risk factors, suicidality is often undetected. Early identification of suicide risk may be an important method of mitigating this public health crisis. Screening youth for suicide may be a critical step in suicide prevention. This paper reviews suicide screening in three different settings: schools, primary care clinics and emergency departments (EDs).</p> <h3>Recent findings </h3> <p>Unrecognized and thus untreated suicidality leads to substantial morbidity and mortality. With the onus of detection falling on nonmental health professionals, brief screening tools can be used to initiate more in-depth evaluations. Nonetheless, there are serious complexities and implications of screening all children and adolescents for suicide. Recent studies show that managing positive screens is a monumental challenge, including the problem of false positives and the burden subsequently posed on systems of care. Furthermore, nearly 60% of youth in need of mental health services do not receive the care they need, even after suicide attempt. Schools, primary care clinics and EDs are logical settings where screening that leads to intervention can be initiated.</p> <h3>Summary </h3> <p>Valid, brief and easy-to-administer screening tools can be utilized to detect risk of suicide in children and adolescents. Targeted suicide screening in schools, and universal suicide screening in primary care clinics and EDs may be the most effective way to recognize and prevent self-harm. These settings must be equipped to manage youth who screen positive with effective and timely interventions. Most importantly, the impact of suicide screening in various settings needs to be further assessed.</p> </div> </div> </div></section><section class="ej-article-copyright">漏 2009 Lippincott Williams & Wilkins, Inc.</section></article> </div> </div> <section id="ContentAccessOptions" class="article-not-authorized-msg"> <div class="ejp-access-options-wrapper"> <div class="ejp-access-options ejp-access-options--desktop"> <div id="ctl00_ctl29_g_bba94262_f3cb_4b98_9361_a01501e6b89e_ctl00_FullTextAccessOptionsContainer" class="ejp-access-options__subscriber-access"> <h3 class="ejp-access-options__subscriber-access-title">Full Text Access for Subscribers:</h3> <div class="ejp-access-options__subscriber-access-society-list"> <div id="ctl00_ctl29_g_bba94262_f3cb_4b98_9361_a01501e6b89e_ctl00_PrimaryLoginBox" class="box-ssologin primary-login-box"> <a 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}); Sys.Application.add_init(function() { $create(AjaxControlToolkit.ModalPopupBehavior, {"BackgroundCssClass":"Popup-Overlay","DropShadow":true,"PopupControlID":"ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_pnlSubscribeToEtoc","dynamicServicePath":"/co-pediatrics/pages/articleviewer.aspx","id":"subscribeToEtoc"}, null, null, $get("ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_dummyTargetControl")); }); document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_cvEmailError').dispose = function() { Array.remove(Page_Validators, document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_cvEmailError')); } g_QuickLaunchControlIds.push("zz1_TopNavigationMenu");_spBodyOnLoadFunctionNames.push('QuickLaunchInitDroppable'); var g_zz1_TopNavigationMenu = null; function init_zz1_TopNavigationMenu() { if (g_zz1_TopNavigationMenu == null) g_zz1_TopNavigationMenu = $create(SP.UI.AspMenu, null, null, null, $get('zz1_TopNavigationMenu')); 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