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Description

OBJECTIVE

Our goal was to assess the outcome of recently implemented hospital wide questionnaire ,Ask suicide Screening Questions (ASQ), for all patients seen at Children’s Health ER from April to December 2018.

BACKGROUND

Suicide is the second leading cause of death in youth ages 10-24 and is a significant public health problem. Early identification and treatment can have an impact on the number of youth suicides.

METHOD

Due to demand, a specific workflow was created and implemented hospital wide. ASQ questionnaire consists of 5 questions. If patient answers “no” to first four questions, the fifth question is not asked. If the answer is “yes” to any of the questions or if the patient refuses to answer, a fifth question is asked. Positive ASQ result is followed by a full mental health and safety assessment, and implementation of suicide precautions. Parents/guardians answer the questions for youth 6-9 regarding history of suicidal behaviors or concerns they may have for the child’s safety. Again, a positive answer to any question triggered further assessment and appropriate referrals.

Authors have done retrospective ASQ data review. The data are secured on the Hospital server and protected by password. The project got IRB approval.

The data was examined by descriptive analysis and simple graphic focusing on demographics, chief complaint (Suicidal Ideations or Attempt), previous history of suicide, insurance and follow up treatments.

RESULTS

Number of patients seen in Dallas ER in period between April-December 2018 was 3714; 1900 patients were between ages 6-9 and 2213 between ages 10-18.

In the younger age group 1.05% of total patients seen reported suicidal ideations or suicide attempts. In the older age group 17.75% patients reported suicidal ideations or have attempted suicide. Majority of patients seen in both groups received treatment (inpatient or outpatient follow up)

CONCLUSION

Implementation of ASQ helps to detect suicidal ideations in patient who present to ER.

Publication Date

2021

Disciplines

Pediatric Nursing

INITIAL RESULTS OF THE ASQ (ASK SUICIDE QUESTIONS)PATIENT QUESTIONNAIRE INPLEMENTED AT CHILDREN’S HEALTH

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