TY  - JOUR
PY  - 2022//
TI  - Level of behavioral health integration and suicide risk screening results in pediatric ambulatory subspecialty care
JO  - General hospital psychiatry
A1  - Urban, Tamaki H.
A1  - Stein, Cheryl R.
A1  - Mournet, Annabelle M.
A1  - Largen, Kelsey
A1  - Wuckovich, Michael
A1  - Lois, Becky H.
SP  - 23
EP  - 29
VL  - 75
IS  - 
N2  - 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>
LA  - en
SN  - 0163-8343
UR  - http://dx.doi.org/10.1016/j.genhosppsych.2022.01.005
ID  - ref1
ER  -