@article{ref1,
title="Level of behavioral health integration and suicide risk screening results in pediatric ambulatory subspecialty care",
journal="General hospital psychiatry",
year="2022",
author="Urban, Tamaki H. and Stein, Cheryl R. and Mournet, Annabelle M. and Largen, Kelsey and Wuckovich, Michael and Lois, Becky H.",
volume="75",
number="",
pages="23-29",
abstract="OBJECTIVE: This study aimed to characterize suicide risk screening results for youth in pediatric ambulatory subspecialty clinics. <br><br>METHOD: The Ask Suicide-Screening Questions was administered to patients ages 9-24 years in 12 subspecialty clinics to assess suicide risk, determined by suicide ideation/behavior. The SAMSHA-HRSA standard framework for integrated health was used to categorize each clinic's level of behavioral health integration. <br><br>RESULTS: 6365 patients completed 7440 suicide risk screens; 6.2% of patients screened positive at their initial screen and 4.1% at subsequent annual screens. There was no dose-response pattern between increasing level of integration and decreasing likelihood of a positive suicide screen. Youth identifying as gender expansive were 3.1 times (95% CI [2.0, 4.9]) more likely to screen positive as compared to cisgender youth, adjusted for age, gender, race/ethnicity, screen type, year, and clinic integration level. <br><br>CONCLUSION: Results surrounding disparities in suicide risk based on gender identity underscore the importance of further investigating how to optimally identify and manage high-risk, often understudied youth at suicide risk.<p /> <p>Language: en</p>",
language="en",
issn="0163-8343",
doi="10.1016/j.genhosppsych.2022.01.005",
url="http://dx.doi.org/10.1016/j.genhosppsych.2022.01.005"
}