Use of the Ask Suicide-Screening Questions (ASQ) in Pediatric Outpatient Settings

2016-07-13 00:08:21 | BioPortfolio



Doctors and nurses who work in non-mental health settings need ways to know when patients are at risk. Researchers created the Ask Suicide-Screening Questions (ASQ) to be used in an emergency department for children. This is a 4-item suicide risk screening tool. We wanted to see if this is also a good tool to use in the outpatient setting. Two studies are being done to test it at hospitals. This study is for researchers to analyze the data from those two studies.


To combine and analyze data from two studies to see how well the ASQ can detect suicide risk in pediatric outpatient clinics.


No people are enrolled in this study.


Participants in the two non-NIH studies will give consent for their data to be shared.

The data will be confidential and secure. They will have no personal information attached to them.

Researchers will get the data and analyze them.


This protocol is designed to combine and analyze data from two separate independent studies conducted at non-NIH sites-Boston Children s Hospital (BCH) and Kansas City Mercy Children s Hospital (KC). Both sites have protocols and consents reviewed by the IRBs at their respective institutions, and data collection is underway; NIMH will coordinate and oversee data analysis from these studies. A protocol to establish NIH s role in the studies and IRB review will enhance the acceptance of the research findings for publication in scientific and medical journals.

Physicians and nurses working in non-mental health settings require tools to guide them in recognizing patients at risk. While screening children and adolescents is emerging as a priority of the Joint Commission, there are currently no suicide screening instruments designed specifically for assessing suicide risk in a pediatric outpatient medical setting. Recently, our study team developed the Ask Suicide-Screening Questions (ASQ), a 4-item suicide risk screening instrument with excellent sensitivity, specificity, and negative predictive value for use in pediatric emergency departments (Protocol 08-M-N070). However, use of the ASQ in an outpatient medical setting has not been tested. The aim of the studies at BCH and KC is to determine the utility of the ASQ among youth in outpatient primary and specialty care clinics (e.g., endocrine, sports medicine, orthopedic). While most outpatients will not be at imminent risk for suicide, we hypothesize that the ASQ will capture a number of patients who screen positive and are not only at risk for suicidal behavior in the future, but are also experiencing significant emotional distress and therefore warrant further psychiatric evaluation and follow-up treatment. Data from BCH and KC will be analyzed under this protocol from a total sample size of 580. Two measures of suicide risk (the ASQ and the Suicidal Ideation Questionnaire) and a depression screen (the Patient Health Questionnaire - Adolescent version), are administered to all eligible patients aged 10-21 years. The ultimate goal is to provide non-mental health clinicians with a brief, accurate assessment tool for detecting risk of suicide in pediatric medical outpatients and in turn, connecting those in need with mental health services.

Study Design

Time Perspective: Prospective




Childrens Hospital, Boston
United States


Enrolling by invitation


National Institutes of Health Clinical Center (CC)

Results (where available)

View Results


Published on BioPortfolio: 2016-07-13T00:08:21-0400

Clinical Trials [660 Associated Clinical Trials listed on BioPortfolio]

A Pilot Study of Boredom in a Community Sample of Adolescents and a Clinical Sample of Adolescents

The aim of the following pilot study is to examine boredom in a community sample of adolescents and a clinical sample of adolescents. This is important in order to examine differences amon...

Evaluating an Internet-based Program for Anxious Adolescents

Anxiety is a common mental health problem for Canadian adolescents. Anxiety that is diagnosed as a disorder and serious enough to require treatment affects up to 10% of all adolescents by ...

Study to Investigate the Pathophysiology of Type 2 Diabetes in Youth

The purpose of the study is to determine the role of beta-cell function and insulin resistance in the development of impaired glucose tolerance (IGT) and type 2 diabetes in children and ad...

Blood Levels of Abacavir in HIV Infected Adolescents

The way abacavir (ABC) behaves in the body differs between children and adults, but little is known about ABC in adolescents. It is unclear if adult doses of ABC are appropriate for adoles...

Cognitive Behavior Therapy for Adolescents With Bulimia

We are interested in studying two different psychological treatments for eating disorders for adolescents (ages 12-18). The study is designed to help adolescents who are having problems wi...

PubMed Articles [1740 Associated PubMed Articles listed on BioPortfolio]

Adolescents have unfavorable opinions of adolescents who use e-cigarettes.

While evidence suggests positive opinions of smokers are associated with tobacco use, research exploring adolescents' opinions of e-cigarette users is nascent. We hypothesized that adolescents harbor ...

Flourishing and academic engagement among adolescents with overweight and obesity.

Background Overweight and obesity in adolescence are associated with several negative health indicators; the association with flourishing, an indicator of overall well-being, is less clear. Objectives...

Queering Poetics: The Impact of Poetry on LGBT+ Identity in Singaporean Adolescents.

This qualitative study explores identity formation in LGBT+ Singaporean adolescents, and how reading, writing, and listening to poetry shapes Singaporean adolescents' social identities as queer people...

Brief Report: Do You See What I See? The Perception of Bullying in Male Adolescents with Autism Spectrum Disorder.

Although there is evidence to suggest that adolescents with autism spectrum disorder (ASD) have difficulty interpreting complex social situations, little is known about their understanding of bullying...

Adverse neonatal outcomes in overweight and obese adolescents compared with normal weight adolescents and low risk adults.

To evaluate the association between maternal body mass index and neonatal outcomes in adolescents and to compare neonatal outcomes between overweight and obese adolescents and obstetric low-risk adult...

Medical and Biotech [MESH] Definitions

The concept covering the physical and mental conditions of ADOLESCENTS.

Runaway and homeless children and adolescents living on the streets of cities and having no fixed place of residence.

Field of psychology concerned with the normal and abnormal behavior of adolescents. It includes mental processes as well as observable responses.

A rare, aggressive soft tissue sarcoma that primarily affects adolescents and young adults. It is most commonly found in the abdomen.

Field of psychology involving the study of normal and abnormal behavior of adolescents. It includes mental processes as well as observable responses.

More From BioPortfolio on "Use of the Ask Suicide-Screening Questions (ASQ) in Pediatric Outpatient Settings"

Quick Search


Relevant Topics

Mental Health
Adhd Anorexia Depression Dyslexia Mental Health Psychiatry Schizophrenia Stress Mental health, although not being as obvious as physical health, is very important, causing great unhappiness to those affected, causing add...

Pediatrics is the general medicine of childhood. Because of the developmental processes (psychological and physical) of childhood, the involvement of parents, and the social management of conditions at home and at school, pediatrics is a specialty. With ...

Psychiatry is the study of mental disorders and their diagnosis, management and prevention.  Conditions include schizophrenia, severe depression and panic disorders among others. There are pharmaceutical treatments as well as other therapies to help...

Searches Linking to this Trial