Ask Suicide-Screening Questions (ASQ)
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Open Access
- 1 December 2012
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Pediatrics & Adolescent Medicine
- Vol. 166 (12), 1170-1176
- https://doi.org/10.1001/archpediatrics.2012.1276
Abstract
ObjectiveTo develop a brief screening instrument to assess the risk for suicide in pediatric emergency department patients.DesignA prospective, cross-sectional instrument-development study evaluated 17 candidate screening questions assessing suicide risk in young patients. The Suicidal Ideation Questionnaire served as the criterion standard.SettingThree urban, pediatric emergency departments associated with tertiary care teaching hospitals.ParticipantsA convenience sample of 524 patients aged 10 to 21 years who presented with either medical/surgical or psychiatric chief concerns to the emergency department between September 10, 2008, and January 5, 2011.Main ExposuresParticipants answered 17 candidate questions followed by the Suicidal Ideation Questionnaire.Main Outcome MeasuresSensitivity, specificity, predictive values, likelihood ratios, and area under the receiver operating characteristic curves of the best-fitting combinations of screening questions for detecting elevated risk for suicide.ResultsA total of 524 patients were screened (344 medical/surgical and 180 psychiatric). Fourteen of the medical/surgical patients (4%) and 84 of the psychiatric patients (47%) were at elevated suicide risk on the Suicidal Ideation Questionnaire. Of the 17 candidate questions, the best-fitting model comprised 4 questions assessing current thoughts of being better off dead, current wish to die, current suicidal ideation, and past suicide attempt. This model had a sensitivity of 96.9% (95% CI, 91.3-99.4), specificity of 87.6% (95% CI, 84.0-90.5), and negative predictive values of 99.7% (95% CI, 98.2-99.9) for medical/surgical patients and 96.9% (95% CI, 89.3-99.6) for psychiatric patients.ConclusionsA 4-question screening instrument, the Ask Suicide-Screening Questions (ASQ), with high sensitivity and negative predictive value, can identify the risk for suicide in patients presenting to pediatric emergency departments.Keywords
This publication has 27 references indexed in Scilit:
- Feasibility of Screening Patients With Nonpsychiatric Complaints for Suicide Risk in a Pediatric Emergency DepartmentPediatric Emergency Care, 2010
- Standardized Screening for Suicidal Adolescents in Primary CarePEDIATRICS, 2010
- Public Health in the Emergency Department: Overcoming Barriers to Implementation and DisseminationAcademic Emergency Medicine, 2009
- Mental Health and Emergency Medicine: A Research AgendaAcademic Emergency Medicine, 2009
- Adolescent Suicide Risk Screening in the Emergency DepartmentAcademic Emergency Medicine, 2009
- Suicide screening in schools, primary care and emergency departmentsCurrent Opinion in Pediatrics, 2009
- Suicide Risk Screening in an Emergency DepartmentClinical Nursing Research, 2009
- Suicidal Behavior in Children Younger than Twelve: A Diagnostic Challenge for Emergency Department PersonnelAcademic Emergency Medicine, 2007
- Predictive and concurrent validity of the Suicidal Ideation Questionnaire among American Indian adolescentsJournal of Abnormal Child Psychology, 1996
- Suicidal Ideation QuestionnaireJournal of Psychoeducational Assessment, 1992