Suicidal Risk Assessment

Bottom line recommendations for screening and assessment of suicide risk. March 2022. Version 1.0

Bottom line recommendations for screening and assessment of suicide risk. March 2022. Version 1.0

Bottom Line Recommendations for screening and assessment of suicide risk. September 2021, Version 1.0

Suicide Prevention, Risk Assessment & Management (SPRAM) is a web-based, interactive e-Learning series designed to respond to the foundational learning needs of health practitioners working in Addiction and Mental Health (AMH).

The ASQ toolkit is organized by the medical setting in which it will be used: emergency department, inpatient medical/surgical unit, and outpatient primary care and specialty clinics.

Objective: to synthesise the literature on paediatric suicide screening, risk assessment and treatment to inform clinical practice and suicide prevention efforts.

Objective: review and summarize the properties of brief suicide risk-screening tools described in the literature and discuss the benefits of using these tools for universal screening in the general hospital setting, as well as the significant limitations in their use in the general hospital setting.

Objective: To evaluate the diagnostic accuracy of suicide prediction models in predicting suicide and suicide attempts and to simulate the effects of implementing suicide prediction models using population-level estimates of suicide rates.

Objective: quantitatively synthesized research concerning the iatrogenic risks of assessing suicidality

Objective: to review current peds education screening tools

Objective: to evaluate the evidence for these instruments including assessment of risk of bias and diagnostic accuracy for suicide and suicide attempt.

Objective: To identify studies of predictive instruments and to calculate PPV estimates for suicidal behaviours.

Objective: to investigate the psychometric properties, accuracy, and performance metrics of instruments used in the ED to identify pediatric mental health and substance use problems.

Objective: to identify risk and protective factors that then provide the data for the formulation of suicide risk.

Objective: to review the salient clinical issues that define an SRF, provide a historical perspective on how clinicians have been trained to make an SRF, and suggest modeling for an SRF that might guide clinical researchers toward refinement and validation as a trainable guide to clinical judgment.

Objective: Given the emphasis on screening for suicidal ideation in the general hospital and ED, it is important for Emergency Physicians to be able to understand and perform suicide risk assessment.

Objective: reviews epidemiology, psychiatric comorbidities, risk factors, warning signs, screening measures, and issues related to screening for suicide risk in the pediatric emergency department and acute care settings.

Objective: First, we review the epidemiologic evidence for the association between suicidal behaviour and suicide in individuals diagnosed with antisocial, borderline, or narcissistic personality disorder. Second, we examine whether any potentially modifiable risk factors are associated with these diagnoses, based on existing empirical evidence. Last, we discuss clinical approaches to assessing youth with antisocial, borderline, or narcissistic personality disorder presenting at risk for suicide.

Objective: to review 29 suicideal risk assessmet instruments.

Objective: to evaluate the clinical use of the HEADS-ED tool for patients presenting to a pediatric emergency department (PED) for mental health (MH) care

Objective: youths in a pediatric emergency department with psychotic disorder diagnoses (N=87) were screened with the Ask Suicide-Screening Questions

Objective: to disagree with the pessimism of Belsher et al1 regarding the potential utility of models predicting suicidal behavior

Objective: To describe the prevalence of screening positive for suicide risk in a sample of 10- to 12-year-olds presenting to the emergency department (ED).

Objective: to assess nurses comfort level with using the ASQ.

Objective: describe the first attempt to generate clinical pathways for patients presenting to pediatric emergency departments (EDs) and inpatient medical settings.

Objective: evaluated the use of a mental health (MH) screening tool in a hospital-based centralized MH referral telephonic intake process.

Objective: To evaluate the psychometric properties of HEARTSMAP, an emergency psychosocial assessment and management tool, and its impact on patient care and flow measures.

Objective: examined the predictive and incremental predictive validity of past-month suicidal behavior and ideation for short-term suicidal behavior among adolescents at high risk of suicide

Objective: retrospective review of the implementation of a brief suicide screen for pediatric psychiatric ED patients as standard of care

Objective: examined the predictive validity of a highly promising instrument, the Columbia-Suicide Severity Rating Scale (C-SSRS).

Objective: To describe emergency mental health services in major paediatric centres across Canada.

Objective: developed the rapid screening tool home, education, activities/peers, drugs/alcohol, suicidality, emotions/behavior, discharge resources (HEADS-ED), which is a modification of "HEADS," a mnemonic widely used to obtain a psychosocial history in adolescents.

Objective: To develop a brief screening instrument to assess the risk for suicide in pediatric emergency department patients.

Objective: describes pediatric patients' opinions regarding suicide screening in that setting.

Objective: to compare desire for death and suicidal ideation as clinical markers for suicide attempts.

Objective: As part of an instrument validation study, ED patients (10-21 years old) with both psychiatric and nonpsychiatric presenting complaints were recruited to take part in suicide screening.

Clinical Practice Guideline: Suicide Risk Assessment: Authored by the 2017 ENA Clinical Practice Guideline Committee

This report updates the previous statement of the American Academy of Pediatrics and is intended to assist pediatricians, in collaboration with other child and adolescent health care professionals, in the identification and management of the adolescent at risk for suicide

The present practice point provides paediatricians and child health professionals with a framework for assessing the adolescent with suicidal thoughts and/or behaviours.

Non peds specific practise guidline for assessment treatment suicidal behavors

These guidelines review what is known about the epidemiology, causes, management, and prevention of suicide and attempted suicide in young people. Detailed guidelines are provided concerning the assessment and emergency management of the children and adolescents who present with suicidal behavior.