| School-based screening for suicide risk: balancing costs and benefits. | |
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MedLine Citation:
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PMID: 20634467 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Michelle Scott; Holly Wilcox; Yanling Huo; J Blake Turner; Prudence Fisher; David Shaffer |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. Date: 2010-07-15 |
Journal Detail:
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Title: American journal of public health Volume: 100 ISSN: 1541-0048 ISO Abbreviation: Am J Public Health Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-13 Completed Date: 2010-09-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1254074 Medline TA: Am J Public Health Country: United States |
Other Details:
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Languages: eng Pagination: 1648-52 Citation Subset: AIM; IM |
Affiliation:
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Department of Child Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY, USA. mscott@monmouth.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adolescent Behavior Adolescent Psychology* Algorithms Anxiety / diagnosis*, pathology Depression / diagnosis*, psychology Female Humans Interview, Psychological Male Mass Screening / organization & administration* New York City Predictive Value of Tests Psychometrics Questionnaires Risk Factors School Health Services / organization & administration* Sensitivity and Specificity Substance-Related Disorders / diagnosis*, psychology Suicide / prevention & control*, psychology |
| Grant Support | |
ID/Acronym/Agency:
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P30MH-43878/MH/NIMH NIH HHS; R49/CCR 202598//PHS HHS; T32MH-16434/MH/NIMH NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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