{ "schemaVersion": 2, "eyebrow": "Pediatric Psychiatry", "title": "Suicide Risk in Children and Adolescents", "summary": "Assess youth suicide risk through direct, developmentally appropriate inquiry, collateral information, and evaluation of prior self-harm plus current ideation, plan, intent, and preparations. Match immediate safety measures, disposition, lethal-means counseling, safety planning, and evidence-based follow-up to dynamic clinical risk rather than a score alone.", "seoDescription": "Point-of-care assessment and management of suicide risk in children and adolescents, including disposition, safety planning, means safety, and follow-up.", "clinicalQuestion": "How should physicians assess acute suicide risk and determine safe management and disposition for children and adolescents?", "specialty": "Pediatrics and Psychiatry", "audience": "U.S. physicians and medical trainees", "tags": [ "pediatric suicide risk", "adolescent suicidality", "suicide assessment", "safety planning", "lethal means counseling", "pediatric emergency psychiatry" ], "keyTakeaways": [ "Ask youth directly about suicidal thoughts, plan, intent, preparatory acts, and prior suicidal behavior; assessment should integrate distal history and proximal, dynamic features rather than rely on a single risk score. [12]", "A prior suicide attempt or self-harm establishes elevated chronic risk; current ideation, plan, intent, and preparations drive acute-risk designation and disposition. [12]", "Do not use a no-suicide contract as a safety intervention. Use a collaborative, written safety plan with coping steps, supports, crisis contacts, and lethal-means restriction. [12][24]", "For moderate or high acute risk, maintain continuous safety precautions and arrange urgent psychiatric evaluation; hospitalization is generally indicated for persistent ideation with strong intent, rehearsal, or a potentially lethal attempt. [24]", "Screening detects otherwise undocumented risk, but the USPSTF found insufficient evidence that suicide-risk screening improves outcomes in asymptomatic children and adolescents; any screening program requires a defined assessment and response pathway. [2][16]" ], "sections": [ { "id": "clinical-priority", "eyebrow": "Clinical priority", "heading": "Treat suicide risk as a dynamic clinical state", "intro": "Risk formulation, not prediction, guides immediate action.", "paragraphs": [ "Suicide risk assessment in youth should distinguish chronic vulnerability from acute danger. Prior suicide attempt or self-harm is a major distal marker of chronic risk, whereas current suicidal ideation, method or plan, intent, and preparatory behavior identify acute escalation. Document the risk designation, its rationale, actions taken, and the next reassessment or treatment step. [12]", "Do not infer low risk from age, apparent developmental immaturity, parental lack of awareness, or a negative depression screen. In a nationally representative U.S. sample of 9- and 10-year-olds, lifetime suicidal ideation was reported by 14.33% and attempts by 1.26%; parent-child agreement for ideation and attempts was low. [4]" ], "bullets": [ "Use direct, nonjudgmental language. Asking about suicide does not increase suicidal thoughts or behavior. [5][12]", "Interview the youth privately when feasible, then obtain caregiver and other collateral information; discordant reports should increase concern rather than be treated as reassurance. [4]", "Differentiate suicidal behavior from nonsuicidal self-injury by establishing intent to die for each episode. [5]" ], "subsections": [], "table": { "caption": "", "columns": [], "rows": [] } }, { "id": "screening-and-assessment", "eyebrow": "Assessment", "heading": "Use structured screening to trigger a clinical suicide inquiry", "intro": "A positive screen is not a disposition decision.", "paragraphs": [ "The USPSTF recommends depression screening for adolescents aged 12 to 18 years when systems are available for diagnosis, treatment, and follow-up, but found insufficient evidence to determine benefits and harms of screening specifically for suicide risk in children and adolescents. [2] In behavioral health settings, structured assessment can improve consistent detection and documentation, but it does not substitute for formulation and management. [16]", "The pediatric Columbia-Suicide Severity Rating Scale (C-SSRS) is a semistructured clinician-administered instrument that captures lifetime and recent ideation and behavior from youth and caregiver report. In a pediatric outpatient behavioral health quality-improvement program, EHR-supported implementation achieved mean completion of 97.7% and increased documentation of suicide-related problem-list items from 1.47% to 5.66% monthly. [16]" ], "bullets": [ "Screening pathway: validated screener or structured question → same-visit clinical assessment if positive or concerning history → disposition and safety intervention based on acute risk. [12][16]", "Assess current and lifetime passive death wish, active ideation, method, plan, intent, preparations, aborted or interrupted attempts, and actual attempts. [12][16]", "Assess psychiatric symptoms and conditions, substance use or intoxication, agitation, anxiety, hopelessness, trauma exposure, impulsivity, access to lethal means, recent losses or humiliation, family conflict, and treatment disruption. [12][24]", "Ask specifically about firearm access and access to medications or other potentially lethal means. [24]" ], "subsections": [ { "heading": "Interpret a negative or equivocal response cautiously", "paragraphs": [ "A single-item measure can misclassify suicidal behavior, and youth may not disclose without direct questioning. A negative response does not negate concern when collateral information, recent behavior, psychiatric deterioration, intoxication, or access to lethal means suggests elevated risk. [4][5][12]" ], "bullets": [] } ], "table": { "caption": "Clinical features that should shape acute risk formulation and action. [12][24]", "columns": [ "Domain", "High-concern findings", "Clinical implication" ], "rows": [ [ "Suicidal cognition", "Persistent active ideation; specific method or plan; intent to act; belief that the method will be lethal. [12][24]", "Escalate to urgent comprehensive assessment; outpatient management is generally unsuitable if intent or ability to maintain safety is uncertain. [24]" ], [ "Behavior", "Recent attempt; aborted or interrupted attempt; rehearsal or preparations; escalating self-harm. [12][24]", "Treat as elevated acute risk, particularly with current ideation or intent. [12]" ], [ "Clinical state", "Agitation, severe mood or psychotic symptoms, intoxication, impaired capacity to participate in assessment, or severe anxiety/hopelessness. [12][24]", "Maintain observation, treat contributory medical or psychiatric conditions, and reassess when able to participate. [24]" ], [ "Environment", "Unsupervised or unstable setting; access to firearms or toxic medications; inability of caregivers to provide supervision or means restriction. [24]", "Risk may exceed what can be safely managed outpatient even if ideation is intermittently denied. [24]" ], [ "Protective context", "Reliable caregiver engagement, willingness to seek help, stable supports, and feasible means restriction. [24]", "Protective factors inform the plan but do not offset active plan, intent, or preparations. [5][24]" ] ] } }, { "id": "immediate-management", "eyebrow": "Management", "heading": "Stabilize safety before deciding disposition", "intro": "The first priorities are containment, capacity, and collaborative information gathering.", "paragraphs": [ "A youth under evaluation for suicidal thoughts or behavior should not leave before assessment is complete. Use an environment that reduces access to dangerous objects and apply observation according to local policy and the patient’s acuity. Obtain collateral information from caregivers, emergency medical services, school personnel, and outpatient clinicians when relevant; information may be obtained without consent when necessary to address an imminent and serious safety threat. [24]", "Perform a focused medical assessment directed by history and examination, including ingestion, trauma, intoxication, delirium, medication effects, and medical illness affecting cognition or behavior. Routine nontargeted laboratory or radiographic testing has not demonstrated clinical benefit in emergency psychiatric assessment. [24]", "If intoxication or impaired cognition prevents meaningful assessment, observe and reassess after cognitive capacity returns. Do not use a specific blood alcohol threshold as a proxy for assessment readiness. [24]" ], "bullets": [ "Use verbal de-escalation first for agitation; restraints can be traumatic and impair rapport. [24]", "Treat acute agitation, intoxication, psychosis, mood symptoms, and other psychiatric or medical drivers according to the presenting syndrome; the supplied evidence does not support a medication regimen specific to suicidal risk itself.", "Communicate clearly with caregivers about confidentiality limits, risk, supervision requirements, firearm and medication access, and the follow-up plan. [16][24]" ], "subsections": [], "table": { "caption": "", "columns": [], "rows": [] } }, { "id": "disposition", "eyebrow": "Disposition", "heading": "Match setting to acute risk and the safety of the home environment", "intro": "Disposition is a clinical judgment informed by risk, capacity, supports, and means access.", "paragraphs": [ "Psychiatric hospitalization is generally indicated for youth with a potentially lethal attempt, persistent suicidal ideation with strong intent, suicide rehearsal, or inability to maintain safety in a supervised environment. Voluntary hospitalization is preferred when feasible; involuntary evaluation or treatment must follow state-specific law. [24]", "Outpatient management may be possible only after a complete assessment when imminent risk is judged acceptably low, the youth can engage in a safety plan, caregivers can provide supervision, lethal means can be restricted, and rapid follow-up is secured. Do not discharge solely because the patient denies current ideation after an attempt, intoxication resolves, or a caregiver promises monitoring. [12][24]" ], "bullets": [ "Before discharge, provide a specific outpatient appointment rather than a generic referral; ED discharge is a high-risk transition period. [24]", "Discharge only to a supportive, stable setting without youth access to firearms or toxic medications. [24]", "If inpatient care is not indicated but risk remains clinically meaningful, arrange urgent mental health follow-up and active outreach rather than routine follow-up alone. [24]" ], "subsections": [], "table": { "caption": "Disposition framework based on acute clinical risk rather than a numeric score. [12][24]", "columns": [ "Risk pattern", "Typical action" ], "rows": [ [ "High acute risk: potentially lethal attempt; persistent ideation with strong intent; rehearsal or preparations; severely unstable clinical state. [24]", "Immediate psychiatric evaluation and hospitalization are generally indicated; maintain safety precautions pending transfer. [24]" ], [ "Intermediate acute risk: active ideation or plan without established intent, but multiple vulnerabilities, uncertain supports, impaired coping, or unsafe means access. [12][24]", "Urgent specialty evaluation; consider hospitalization or a higher level of care based on ability to ensure supervision, means safety, and timely treatment. [24]" ], [ "Lower acute risk: thoughts of death without plan, intent, or behavior; stable presentation; reliable supports and feasible means restriction. [24]", "Collaborative safety plan, lethal-means counseling, rapid outpatient referral, crisis instructions, and documented reassessment plan. [24]" ] ] } }, { "id": "safety-planning-and-means-safety", "eyebrow": "Intervention", "heading": "Use collaborative safety planning and lethal-means restriction", "intro": "Safety planning is an intervention, not a formality.", "paragraphs": [ "A safety plan is a personalized, written sequence for recognizing escalating risk and using coping and help-seeking strategies. It should identify warning signs, internal coping strategies, distracting social settings or contacts, persons to ask for help, professional and crisis resources, and actions to make the environment safer. It differs from a no-suicide contract, which is insufficient and ineffective for risk management. [12][24]", "Include the caregiver in the safety plan whenever appropriate, with explicit roles for supervision, help-seeking, medication control, and means restriction. Protective reasons or social supports may guide intervention targets, but they should not be converted into a simplistic formula that negates acute risk. [5]", "Lethal-means counseling should specifically address firearms and toxic medications. During a suicidal crisis, recommend off-site firearm storage when legally feasible; if firearms remain in the home, they should be locked, unloaded, and separated from ammunition, with the youth unable to access them. Restrict and supervise access to potentially toxic medications. [24]" ], "bullets": [ "Give the youth and caregiver a copy of the safety plan and verify they understand when and how to use it. [24]", "Provide 988 Suicide & Crisis Lifeline information; call or text 988 is available continuously in the United States. [9]", "Use teach-back: ask the youth and caregiver what they will do if suicidal thoughts, intent, or inability to stay safe recur.", "Replace vague instructions such as “return if worse” with concrete escalation triggers: active intent, inability to follow the plan, renewed access to lethal means, intoxication, or caregiver inability to supervise." ], "subsections": [], "table": { "caption": "", "columns": [], "rows": [] } }, { "id": "ongoing-treatment", "eyebrow": "Follow-up", "heading": "Treat underlying disorders while directly targeting suicidal behavior", "intro": "Suicidality requires its own treatment plan alongside treatment of comorbidity.", "paragraphs": [ "Address depressive, anxiety, trauma-related, disruptive behavior, substance use, psychotic, and other psychiatric syndromes as part of the longitudinal plan. In preadolescent youth, major depressive disorder, generalized anxiety disorder, conduct disorder, oppositional defiant disorder, and ADHD were associated with suicidal ideation; psychiatric comorbidity was associated with higher odds of both ideation and attempts. [4]", "For adolescents with recurrent suicidal behavior or self-harm, dialectical behavior therapy for adolescents has the strongest evidence among psychological interventions. In a randomized trial of high-risk adolescents, DBT reduced suicide attempts after treatment versus individual and group supportive therapy (odds ratio 0.30, 95% CI 0.10-0.91), although between-group differences were not significant at 12 months. [7] A systematic review concluded that DBT was the only intervention with replicated evidence across independent adolescent trials; evidence for CBT, family therapies, mentalization-based therapy, and brief interventions remains less conclusive. [7]", "Medication may be indicated for a co-occurring psychiatric disorder, but pharmacotherapy should not replace direct suicide-focused assessment, safety planning, means safety, and psychotherapy. Antidepressants may be associated with increased suicidality risk in children, adolescents, and young adults, requiring appropriate monitoring when prescribed. [10][11]" ], "bullets": [ "At each follow-up, reassess ideation, intent, plan, preparatory behavior, self-harm, substance use, access to means, treatment adherence, caregiver capacity, and changes in stressors or supports. [12]", "Prioritize rapid transition after ED or inpatient discharge; multiple telephone contacts after hospitalization were associated with fewer suicide attempts than one telephone contact in one adolescent study. [7]", "Consider interventions that strengthen follow-up engagement and care coordination; evidence remains heterogeneous and should not displace indicated specialty care. [7]" ], "subsections": [], "table": { "caption": "", "columns": [], "rows": [] } }, { "id": "documentation-and-systems", "eyebrow": "Practice systems", "heading": "Document a defensible risk formulation and create a reliable response pathway", "intro": "Documentation should make the next clinician safer and more effective.", "paragraphs": [ "Document the nature, frequency, duration, and trajectory of suicidal thoughts; plan, intent, access, preparations, and past behavior; collateral information; acute and chronic risk formulation; protective and environmental factors; disposition rationale; safety plan; lethal-means counseling; caregiver participation; and exact follow-up arrangements. [12][24]", "Standardized workflows, clinician training, and EHR integration can improve reliability. In pediatric outpatient behavioral health care, structured C-SSRS use with EHR prompts improved documented identification of suicide-related risk without delaying encounter closure. [16]" ], "bullets": [ "Establish a local pathway before implementing screening: who performs secondary assessment, where the patient waits, who can provide observation, who arranges psychiatric consultation, and how follow-up is confirmed.", "Avoid using an isolated questionnaire total or a checkbox as the basis for discharge; structured tools organize inquiry but do not predict individual suicide reliably. [5][24]", "Ensure information sharing within the care team respects adolescent confidentiality while addressing imminent safety threats and the caregiver’s essential safety role. [16][24]" ], "subsections": [], "table": { "caption": "", "columns": [], "rows": [] } } ], "faq": [ { "question": "What elements of suicidal ideation require immediate escalation in a child or adolescent?", "answer": "Escalate urgently for active ideation with a specific plan, intent to act, preparatory behavior or rehearsal, a potentially lethal attempt, severe agitation or impaired capacity, or an unsafe home environment with accessible lethal means. [12][24]" }, { "question": "Can a child or adolescent be discharged after denying suicidal ideation?", "answer": "Yes, but only after a complete assessment establishes acceptably low imminent risk and confirms a stable supervised setting, restricted lethal means, collaborative safety plan, and rapid follow-up. Denial alone is not sufficient, particularly after an attempt, intoxication, or concerning collateral history. [12][24]" }, { "question": "Are safety contracts recommended for suicidal youth?", "answer": "No. No-suicide or safety contracts are not adequate risk-management interventions. Use a collaborative, written safety plan with coping strategies, contacts, crisis resources, caregiver roles, and lethal-means restriction. [12][24]" }, { "question": "What psychotherapy has the strongest evidence for suicidal adolescents?", "answer": "Dialectical behavior therapy for adolescents has the strongest replicated evidence for reducing suicidal and self-harming behaviors in high-risk adolescents, although benefits relative to active comparators may attenuate over longer follow-up. [7]" }, { "question": "Should clinicians ask caregivers about firearm access?", "answer": "Yes. Firearm access materially changes environmental safety planning. During a suicidal crisis, counsel families to store firearms off site when feasible or ensure locked, unloaded storage separate from ammunition without youth access. 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Verify recommendations against current guidance and patient-specific factors.", "citations": [ { "number": 1, "title": "Suicide in Teenagers: Assessment, Management, and ...", "detail": "jamanetwork.com", "url": "https://jamanetwork.com/journals/jama/article-abstract/194496", "authors": "jamanetwork.com", "host": "jamanetwork.com", "snippet": "by AJ Zametkin · 2001 · Cited by 97 — Although teenage suicide is rare and hard to predict, identifying and treating adolescents at risk is essential to further reduce teenage suicide.", "score": 0.528169 }, { "number": 2, "title": "Screening for Depression and Suicide Risk in Children and ...", "detail": "jamanetwork.com", "url": "https://jamanetwork.com/journals/jama/fullarticle/2797145", "authors": "jamanetwork.com", "host": "jamanetwork.com", "snippet": "by US Preventive Services Task Force · 2022 · Cited by 236 — The USPSTF concludes that the evidence is insufficient on the benefit and harms of screening for suicide risk in children and adolescents owing", "score": 0.36670366 }, { "number": 3, "title": "Safety Planning Interventions for Suicide Prevention in ...", "detail": "jamanetwork.com", "url": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2834286", "authors": "jamanetwork.com", "host": "jamanetwork.com", "snippet": "by C Albaum · 2025 · Cited by 30 — Current evidence to support safety planning as an effective intervention for children and adolescents at increased risk of suicide is limited.", "score": 0.30925363 }, { "number": 4, "title": "Prevalence and correlates of suicidal ideation and suicide attempts in preadolescent children: A US population-based study | Translational Psychiatry", "detail": "www.nature.com", "url": "https://www.nature.com/articles/s41398-021-01593-3", "authors": "www.nature.com", "host": "www.nature.com", "snippet": "Child and parent self-reports of current and past suicidal ideation and behavior were obtained using the computerized version of the Kiddie Schedule for Affective Disorders and Schizophrenia–Present and Lifetime Version for DSM-5 (K-SADS-PL DSM-5) [27: Development and Administration Guidelines. J Am", "score": 0.4129331 }, { "number": 5, "title": "Development and validation of the SuPr-10 questionnaire ...", "detail": "www.nature.com", "url": "https://www.nature.com/articles/s41598-026-54258-w", "authors": "www.nature.com", "host": "www.nature.com", "snippet": "Article \n CAS \n PubMed \n Google Scholar\n29. Malone, K. M. et al. Protective factors against suicidal acts in major depression: reasons for living. Am. J. Psychiatr. 157(7), 1084–1088 (2000).\n\n Article \n CAS \n PubMed \n Google Scholar\n30. Berman, A. L. & Silverman, M. M. Near term", "score": 0.3971204 }, { "number": 6, "title": "Analysis and evaluation of explainable artificial intelligence on suicide risk assessment | Scientific Reports", "detail": "www.nature.com", "url": "https://www.nature.com/articles/s41598-024-53426-0", "authors": "www.nature.com", "host": "www.nature.com", "snippet": "Article \n Google Scholar\n5. Kamimura, H. et al. The associations between suicide-related behaviors, prefrontal dysfunction in emotional cognition, and personality traits in mood disorders. Sci. Rep. 12, 17377 (2022).\n\n Article \n ADS \n CAS \n PubMed \n PubMed Central \n Google Scholar\n6. S", "score": 0.33882108 }, { "number": 7, "title": "Psychological interventions for suicidal behavior in adolescents: a comprehensive systematic review | Translational Psychiatry", "detail": "www.nature.com", "url": "https://www.nature.com/articles/s41398-024-03132-2", "authors": "www.nature.com", "host": "www.nature.com", "snippet": "Future research should focus on improving the design of trials with the most promising interventions, as well as increasing scientific support for other therapeutic alternatives, such as brief psychological interventions for critical periods of high suicide risk. In addition, further investigations ", "score": 0.2830753 }, { "number": 8, "title": "National Institute of Mental Health (NIMH) - Transforming the understanding and treatment of mental illnesses", "detail": "go.nature.com", "url": "http://go.nature.com/2f0vxcw", "authors": "go.nature.com", "host": "go.nature.com", "snippet": "NIMH Logo\n\nTransforming the understanding\n \nand treatment of mental illnesses.\n\nHome | Help for Mental Illnesses\n\nSearch the NIMH website:\n\nInformación en español\n\n## Health Topics\n\nNIMH offers expert-reviewed information on mental disorders and a range of topics.\n\n## Statistics\n\nNIMH statistics ", "score": 0.09808816 }, { "number": 9, "title": "Treatment for Alcohol Problems: Finding and Getting Help | National Institute on Alcohol Abuse and Alcoholism (NIAAA)", "detail": "go.nature.com", "url": "https://go.nature.com/3vm4txd", "authors": "go.nature.com", "host": "go.nature.com", "snippet": "| Provider Type | Degrees and Credentials | Treatment Type |\n --- \n| Primary Care Provider | M.D., D.O. (doctor of osteopathic medicine); others include nurse practitioner (NP) or physician assistant (PA) | Medications, brief behavioral treatment, referral to specialist |\n| Psychiatrist | M.D., D.O.", "score": 0.049080737 }, { "number": 10, "title": "Comparative Benefits and Harms of Second-Generation ...", "detail": "www.acpjournals.org", "url": "https://www.acpjournals.org/doi/10.7326/0003-4819-155-11-201112060-00009", "authors": "www.acpjournals.org", "host": "www.acpjournals.org", "snippet": "by G Gartlehner · 2011 · Cited by 534 — The FDA identified that the risk of suicidality is increased in children and patients aged 18 to 24 years but not in other adult patients.", "score": 0.34786987 }, { "number": 11, "title": "Depression | Annals of Internal Medicine", "detail": "www.acpjournals.org", "url": "https://www.acpjournals.org/doi/10.7326/AITC202105180", "authors": "www.acpjournals.org", "host": "www.acpjournals.org", "snippet": "antidepressants may be associated with increased risk for suicide in children, adolescents, and young adults.", "score": 0.3059155 }, { "number": 12, "title": "Assessment and Management of Suicide Risk in Children and Adolescents", "detail": "www.sciencedirect.com", "url": "https://www.sciencedirect.com/science/article/abs/pii/S1077722918300440", "authors": "www.sciencedirect.com", "host": "www.sciencedirect.com", "snippet": "## Abstract\n\nThis article presents a pragmatic approach to assessing and managing suicide risk in children and adolescents. We first present general recommendations for conducting risk assessments with children and adolescents, followed by an algorithm for designating risk. Risk assessment and desig", "score": 0.72884524 }, { "number": 13, "title": "Practice Parameter for the Assessment and Treatment of Children and Adolescents With Suicidal Behavior - ScienceDirect", "detail": "www.sciencedirect.com", "url": "https://www.sciencedirect.com/science/article/abs/pii/S0890856709603555", "authors": "www.sciencedirect.com", "host": "www.sciencedirect.com", "snippet": "Title: Practice Parameter for the Assessment and Treatment of Children and Adolescents With Suicidal Behavior - ScienceDirect\n# Aacap Official Action Practice Parameter for the Assessment and Treatment of Children and Adolescents With Suicidal Behavior. Detailed guidelines are provided concerning th", "score": 0.61140573 }, { "number": 14, "title": "Suicide Assessment of Adolescents in the Primary Care Setting", "detail": "www.sciencedirect.com", "url": "https://www.sciencedirect.com/science/article/abs/pii/S1555415510003624", "authors": "www.sciencedirect.com", "host": "www.sciencedirect.com", "snippet": "## Comprehensive Suicide Risk Assessment and Management\n\nThe Committee on Adolescence of the American Academy of Pediatrics (AAP) and the American Psychiatric Association (APA) address guidelines for categorizing risk levels and treating suicidal patients based on their risk levels.9, 21 Low-risk pa", "score": 0.5717911 }, { "number": 15, "title": "State and Trait Anxiety in Adolescent Suicide Attempters - ScienceDirect", "detail": "www.sciencedirect.com", "url": "https://www.sciencedirect.com/science/article/pii/S0890856709663711", "authors": "www.sciencedirect.com", "host": "www.sciencedirect.com", "snippet": "Title: State and Trait Anxiety in Adolescent Suicide Attempters - ScienceDirect\n# ARTICLES State and Trait Anxiety in Adolescent Suicide Attempters. To examine the relationship between anxiety and suicidal behavior in adolescents. Forty-six adolescents who had been hospitalized in an inpatient psych", "score": 0.64986813 }, { "number": 16, "title": "Assessing Suicide Risk in a Pediatric Outpatient... : Pediatric Quality & Safety", "detail": "journals.lww.com", "url": "https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202205000-00019", "authors": "journals.lww.com", "host": "journals.lww.com", "snippet": "This project makes several significant contributions. First, limited research examines the lifetime prevalence of suicidal ideation and behavior among young people seeking specialty behavioral healthcare. Healthcare systems have only begun to address this critical issue, so this project starts to fi", "score": 0.5265625 }, { "number": 17, "title": "Suicide Risk Management | Wiley Online Books", "detail": "onlinelibrary.wiley.com", "url": "https://onlinelibrary.wiley.com/doi/book/10.1002/9780470750933", "authors": "onlinelibrary.wiley.com", "host": "onlinelibrary.wiley.com", "snippet": "Suicide Risk Management: A Manual for Health Professionals provides health professionals with the tools to recognize, assess, and manage the", "score": 0.42892754 }, { "number": 18, "title": "Pediatric Suicide-Related Presentations: A Systematic ...", "detail": "www.annemergmed.com", "url": "https://www.annemergmed.com/article/S0196-0644(10)00216-7/abstract", "authors": "www.annemergmed.com", "host": "www.annemergmed.com", "snippet": "by AS Newton · 2010 · Cited by 96 — Review of Mental Health Care. American Psychiatric Association Practice guidelines for the assessment and treatment of patients with suicidal behaviors", "score": 0.53415143 }, { "number": 19, "title": "Suicide risk management protocol (SRMP) for presence trial in ...", "detail": "ashpublications.org", "url": "https://ashpublications.org/blood/article/146/Supplement%201/8225/553830/Suicide-risk-management-protocol-SRMP-for-presence", "authors": "ashpublications.org", "host": "ashpublications.org", "snippet": "A Suicide Risk Management Protocol (SRMP) is employed by a safety team including an adolescent medicine physician, clinical psychologist,", "score": 0.50915486 }, { "number": 20, "title": "14. Children and Adolescents: Standards of Care in Diabetes ...", "detail": "diabetesjournals.org", "url": "https://diabetesjournals.org/care/article/48/Supplement_1/S283/157559/14-Children-and-Adolescents-Standards-of-Care-in", "authors": "diabetesjournals.org", "host": "diabetesjournals.org", "snippet": "by NA ElSayed · 2025 · Cited by 29 — Screening for depression and suicide risk in children and adolescents: US Preventive Services Task Force Recommendation Statement . JAMA.", "score": 0.47475353 }, { "number": 21, "title": "Suicide Risk Assessment in Youth and Young Adults With ...", "detail": "diabetesjournals.org", "url": "https://diabetesjournals.org/care/article/43/2/343/36043/Suicide-Risk-Assessment-in-Youth-and-Young-Adults", "authors": "diabetesjournals.org", "host": "diabetesjournals.org", "snippet": "There are several clinical and logistical aspects of suicide risk assessment that need to be considered. First, because suicidal ideations are a", "score": 0.45885846 }, { "number": 22, "title": "The Management of Children and Youth With Pediatric ...", "detail": "www.annemergmed.com", "url": "https://www.annemergmed.com/article/S0196-0644(23)00431-6/fulltext", "authors": "www.annemergmed.com", "host": "www.annemergmed.com", "snippet": "by M Saidinejad · 2023 · Cited by 91 — Suicide risk screening in pediatric hospitals: clinical pathways to address a global health crisis Psychosomatics. Assessment of selective and universal", "score": 0.4560954 }, { "number": 23, "title": "Treating Pediatric and Geriatric Patients at Risk of Suicide ...", "detail": "www.annemergmed.com", "url": "https://www.annemergmed.com/article/S0196-0644(21)00332-2/abstract", "authors": "www.annemergmed.com", "host": "www.annemergmed.com", "snippet": "by CF Bowden · 2021 · Cited by 28 — Improving youth suicide risk screening and assessment in a pediatric hospital setting by using The Joint Commission guidelines Hosp Pediatr.", "score": 0.43438992 }, { "number": 24, "title": "Managing Suicidal Patients in the Emergency Department", "detail": "www.acep.org", "url": "https://www.acep.org/siteassets/uploads/uploaded-files/acep/continuing-education/moc-resource-center/member-llsa-resources/managing-suicidal-patients-in-the-ed.pdf", "authors": "www.acep.org", "host": "www.acep.org", "snippet": "J Emerg Med. 2000;18:173-176.\n21. Donofrio JJ, Santillanes G, McCammack BD, et al. Clinical utility of screening laboratory tests in pediatric psychiatric patients presenting to the emergency department for medical clearance. Ann Emerg Med.\n2014;63:666-675.e663.\n22. Kaplan MS, Huguet N, McFarland BH", "score": 0.3362008 } ], "publishedAt": "2026-08-20T23:43:09.060779Z", "updatedAt": "2026-08-20T23:43:09.060779Z", "readingMinutes": 7, "slug": "suicide-risk-in-children-and-adolescents" }