TY  - JOUR
PY  - 2024//
TI  - Screening and follow-up treatment practices for suicide risk in adolescent primary care: a retrospective chart review
JO  - Clinical pediatrics
A1  - Butler, William
A1  - Lewis, Kristina L.
A1  - Benheim, Talia S.
A1  - Arauz Boudreau, Alexy
A1  - Brigham, Kathryn S.
A1  - Feldman, Mitchell
A1  - Jellinek, Michael
A1  - Murphy, J. Michael
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - Universal depression screening in adolescent primary care often encompasses questions about suicide risk. We conducted a retrospective chart review of well-child visits where adolescents (ages 13-17.9) had endorsed self-injurious thoughts and behaviors or suicidal ideation. The goal was to investigate primary care providers' follow-up actions, including documentation, further assessment, and referrals. Over 3-quarters of the progress notes showed evidence of further assessment, and two-thirds documented same-day actions, including mental health referrals, emergency department referrals, safety plans, medication changes, primary-care follow-up, and talking to parents. Actions varied by depression severity. Cases without interventions often had justifications. Owing to the variety of possible meanings and severity underlying positive screens, providers implemented an array of interventions, using clinical judgment to tailor actions to patients' individual needs and preferences. From these observations, we propose that standardized guidelines for suicide risk screening and follow-up should involve a clinical assessment and individualized treatment planning.<p />  <p>Language: en</p>
LA  - en
SN  - 0009-9228
UR  - http://dx.doi.org/10.1177/00099228241253158
ID  - ref1
ER  -