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School-based screening for suicide risk: balancing costs and benefits.

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Title: School-based screening for suicide risk: balancing costs and benefits.
Authors: Scott M (AUTHOR), Wilcox H (AUTHOR), Huo Y (AUTHOR), Turner JB (AUTHOR), Fisher P (AUTHOR), Shaffer D (AUTHOR)
Source: American Journal of Public Health. Sep2010, Vol. 100 Issue 9, p1648-1652. 5p.
Subjects: Teenage suicide, Adolescent psychology, Emotional problems of teenagers, Behavioral assessment of teenagers, School mental health services, Suicidal ideation, Suicide risk factors, Prevention
Abstract: OBJECTIVES: We examined the effects of a scoring algorithm change on the burden and sensitivity of a screen for adolescent suicide risk. METHODS: The Columbia Suicide Screen was used to screen 641 high school students for high suicide risk (recent ideation or lifetime attempt and depression, or anxiety, or substance use), determined by subsequent blind assessment with the Diagnostic Interview Schedule for Children. We compared the accuracy of different screen algorithms in identifying high-risk cases. RESULTS: A screen algorithm comprising recent ideation or lifetime attempt or depression, anxiety, or substance-use problems set at moderate-severity level classed 35% of students as positive and identified 96% of high-risk students. Increasing the algorithm's threshold reduced the proportion identified to 24% and identified 92% of high-risk cases. Asking only about recent suicidal ideation or lifetime suicide attempt identified 17% of the students and 89% of high-risk cases. The proportion of nonsuicidal diagnosis-bearing students found with the 3 algorithms was 62%, 34%, and 12%, respectively. CONCLUSIONS: The Columbia Suicide Screen threshold can be altered to reduce the screen-positive population, saving costs and time while identifying almost all students at high risk for suicide. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: School-based screening for suicide risk: balancing costs and benefits.
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  Data: <searchLink fieldCode="AR" term="%22Scott+M%22">Scott M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wilcox+H%22">Wilcox H</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Huo+Y%22">Huo Y</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Turner+JB%22">Turner JB</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fisher+P%22">Fisher P</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shaffer+D%22">Shaffer D</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Sep2010, Vol. 100 Issue 9, p1648-1652. 5p.
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  Data: <searchLink fieldCode="DE" term="%22Teenage+suicide%22">Teenage suicide</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescent+psychology%22">Adolescent psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Emotional+problems+of+teenagers%22">Emotional problems of teenagers</searchLink><br /><searchLink fieldCode="DE" term="%22Behavioral+assessment+of+teenagers%22">Behavioral assessment of teenagers</searchLink><br /><searchLink fieldCode="DE" term="%22School+mental+health+services%22">School mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Suicidal+ideation%22">Suicidal ideation</searchLink><br /><searchLink fieldCode="DE" term="%22Suicide+risk+factors%22">Suicide risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Prevention%22">Prevention</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVES: We examined the effects of a scoring algorithm change on the burden and sensitivity of a screen for adolescent suicide risk. METHODS: The Columbia Suicide Screen was used to screen 641 high school students for high suicide risk (recent ideation or lifetime attempt and depression, or anxiety, or substance use), determined by subsequent blind assessment with the Diagnostic Interview Schedule for Children. We compared the accuracy of different screen algorithms in identifying high-risk cases. RESULTS: A screen algorithm comprising recent ideation or lifetime attempt or depression, anxiety, or substance-use problems set at moderate-severity level classed 35% of students as positive and identified 96% of high-risk students. Increasing the algorithm's threshold reduced the proportion identified to 24% and identified 92% of high-risk cases. Asking only about recent suicidal ideation or lifetime suicide attempt identified 17% of the students and 89% of high-risk cases. The proportion of nonsuicidal diagnosis-bearing students found with the 3 algorithms was 62%, 34%, and 12%, respectively. CONCLUSIONS: The Columbia Suicide Screen threshold can be altered to reduce the screen-positive population, saving costs and time while identifying almost all students at high risk for suicide. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=105083456
RecordInfo BibRecord:
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        Value: 10.2105/AJPH.2009.175224
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        Text: English
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        Type: general
      – SubjectFull: Adolescent psychology
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      – SubjectFull: Emotional problems of teenagers
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      – SubjectFull: Behavioral assessment of teenagers
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      – SubjectFull: School mental health services
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      – SubjectFull: Suicide risk factors
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              Text: Sep2010
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