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Journal Article

Citation

Devylder JE, Ryan TC, Cwik M, Jay SY, Wilson ME, Goldstein M, Wilcox HC. Psychiatr. Serv. 2019; ePub(ePub): ePub.

Affiliation

Graduate School of Social Service, Fordham University, New York (DeVylder); Department of Mental Health (Ryan, Wilcox) and Department of International Health (Cwik), Johns Hopkins Bloomberg School of Public Health, Baltimore; Department of Psychiatry and Behavioral Sciences (Cwik, Wilcox) and Department of Pediatrics (Wilson, Goldstein), Johns Hopkins School of Medicine, Baltimore; Department of Psychology, University of Maryland, Baltimore County, Baltimore (Jay). Marcela Horvitz-Lennon, M.D., and Kenneth Minkoff, M.D., are editors of this column.

Copyright

(Copyright © 2019, American Psychiatric Association)

DOI

10.1176/appi.ps.201900290

PMID

31795855

Abstract

National Patient Safety Goal 15.01.01 requires all Joint Commission-accredited organizations to screen patients treated for behavioral health conditions for suicide risk. However, little is known about the ability of screening tools to identify suicide risk among youths with psychotic disorders. As part of this quality improvement initiative, youths in a pediatric emergency department with psychotic disorder diagnoses (N=87) were screened with the Ask Suicide-Screening Questions. Almost half (48%, N=42) screened positive. Most positive screens (62%, N=26) were not detected through treatment as usual, suggesting that systematic screening improves the detection of suicide risk among youths with psychotic disorders.


Language: en

Keywords

Schizophrenia; adolescents; emergency room; psychosis; screening; suicidal behavior; suicidal ideation

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