Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School 55 Fruit Street, Boston, MA 02114, USA; Department of Child & Adolescent Psychiatry, NYU Langone, 1 Park Ave 7(th) FL, New York, NY 10016, USA.
Department of Child & Adolescent Psychiatry, NYU Langone, 1 Park Ave 7(th) FL, New York, NY 10016, USA.
Gen Hosp Psychiatry. 2022 Mar-Apr;75:23-29. doi: 10.1016/j.genhosppsych.2022.01.005. Epub 2022 Jan 25.
This study aimed to characterize suicide risk screening results for youth in pediatric ambulatory subspecialty clinics.
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.
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.
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.
本研究旨在描述儿科门诊专科诊所中青少年自杀风险筛查结果的特征。
在 12 个专科诊所中，对 9-24 岁的患者进行自杀筛查问题（Ask Suicide-Screening Questions）调查，以评估自杀风险，通过自杀意念/行为来确定。采用 SAMSHA-HRSA 综合健康标准框架对每个诊所的行为健康综合程度进行分类。
6365 名患者完成了 7440 次自杀风险筛查；初次筛查有 6.2%的患者呈阳性，随后每年筛查有 4.1%的患者呈阳性。整合程度的提高与阳性自杀筛查可能性的降低之间没有剂量反应模式。与顺性别青年相比，性别认同扩张的青年筛查阳性的可能性高 3.1 倍（95%CI[2.0，4.9]），调整年龄、性别、种族/民族、筛查类型、年份和诊所整合水平后仍如此。
基于性别认同的自杀风险差异的结果强调了进一步研究如何最佳识别和管理处于自杀风险中的高风险、通常研究不足的青年的重要性。
