Laura Hennefield, Katherine R Luking, Rebecca Tillman, Deanna M Barch, Joan L Luby, Renee J Thompson
{"title":"向青少年询问自杀问题与自杀想法的增加无关。","authors":"Laura Hennefield, Katherine R Luking, Rebecca Tillman, Deanna M Barch, Joan L Luby, Renee J Thompson","doi":"10.1016/j.jaac.2025.03.025","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Rising rates of suicidal thoughts and behaviors (STBs) in preadolescents make suicide-risk screening in this age group critical to reduce harm. Although screening appears generally safe for youth aged 12 years of age and older, effects in preadolescents remain unknown. This study tested iatrogenic effects of repeated suicide-risk screening in 2 groups of preadolescents (8-12 years of age): a lower-risk group with no prior STBs, and a higher-risk group who had experienced STBs.</p><p><strong>Method: </strong>The Ask-Suicide Screening Questions (ASQ) screener, modified to query suicidal thoughts over the prior week, was administered to 194 preteens from the Pediatric Suicidality Study (PED-SI) over 12 months. PED-SI is a study of preschool-onset depression following children recruited at ages 3 to 6 years for depression and nondepressed peers. Lower-risk preadolescents (n = 68) completed monthly screens, whereas higher-risk preadolescents (n = 124) completed weekly screens, administered remotely via text or e-mail. We examined correlations between screen completion rates and positive screens, changes in positive screens over time, and whether previous screen completion predicted a positive future screen. Bayes factors assessed for meaningfulness of null effects.</p><p><strong>Results: </strong>A total of 192 preadolescents (mean age = 10.13 years; 63% boys, 37% girls; 79.2% White, 8.9% Black, 9.9% Multiracial, 2.1% Asian; 7.3%, Hispanic) completed at least one screen. Findings from inferential statistics and supported by Bayes factors indicated no evidence that repeated screening increased suicidal thoughts in either group. In the lower-risk group, positive screens were rare (1.6%), with no significant increases over time. In the higher-risk group, 7% of screens were positive, but this frequent screening did not exacerbate suicidal thoughts.</p><p><strong>Conclusion: </strong>Suicide-risk screening appears to be safe for preadolescents. Clinicians can proceed with screening preadolescents with increased confidence that the benefits outweigh the risks.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2000,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Asking Preadolescents About Suicide Is Not Associated With Increased Suicidal Thoughts.\",\"authors\":\"Laura Hennefield, Katherine R Luking, Rebecca Tillman, Deanna M Barch, Joan L Luby, Renee J Thompson\",\"doi\":\"10.1016/j.jaac.2025.03.025\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Rising rates of suicidal thoughts and behaviors (STBs) in preadolescents make suicide-risk screening in this age group critical to reduce harm. Although screening appears generally safe for youth aged 12 years of age and older, effects in preadolescents remain unknown. This study tested iatrogenic effects of repeated suicide-risk screening in 2 groups of preadolescents (8-12 years of age): a lower-risk group with no prior STBs, and a higher-risk group who had experienced STBs.</p><p><strong>Method: </strong>The Ask-Suicide Screening Questions (ASQ) screener, modified to query suicidal thoughts over the prior week, was administered to 194 preteens from the Pediatric Suicidality Study (PED-SI) over 12 months. PED-SI is a study of preschool-onset depression following children recruited at ages 3 to 6 years for depression and nondepressed peers. Lower-risk preadolescents (n = 68) completed monthly screens, whereas higher-risk preadolescents (n = 124) completed weekly screens, administered remotely via text or e-mail. We examined correlations between screen completion rates and positive screens, changes in positive screens over time, and whether previous screen completion predicted a positive future screen. Bayes factors assessed for meaningfulness of null effects.</p><p><strong>Results: </strong>A total of 192 preadolescents (mean age = 10.13 years; 63% boys, 37% girls; 79.2% White, 8.9% Black, 9.9% Multiracial, 2.1% Asian; 7.3%, Hispanic) completed at least one screen. Findings from inferential statistics and supported by Bayes factors indicated no evidence that repeated screening increased suicidal thoughts in either group. In the lower-risk group, positive screens were rare (1.6%), with no significant increases over time. In the higher-risk group, 7% of screens were positive, but this frequent screening did not exacerbate suicidal thoughts.</p><p><strong>Conclusion: </strong>Suicide-risk screening appears to be safe for preadolescents. 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Asking Preadolescents About Suicide Is Not Associated With Increased Suicidal Thoughts.
Objective: Rising rates of suicidal thoughts and behaviors (STBs) in preadolescents make suicide-risk screening in this age group critical to reduce harm. Although screening appears generally safe for youth aged 12 years of age and older, effects in preadolescents remain unknown. This study tested iatrogenic effects of repeated suicide-risk screening in 2 groups of preadolescents (8-12 years of age): a lower-risk group with no prior STBs, and a higher-risk group who had experienced STBs.
Method: The Ask-Suicide Screening Questions (ASQ) screener, modified to query suicidal thoughts over the prior week, was administered to 194 preteens from the Pediatric Suicidality Study (PED-SI) over 12 months. PED-SI is a study of preschool-onset depression following children recruited at ages 3 to 6 years for depression and nondepressed peers. Lower-risk preadolescents (n = 68) completed monthly screens, whereas higher-risk preadolescents (n = 124) completed weekly screens, administered remotely via text or e-mail. We examined correlations between screen completion rates and positive screens, changes in positive screens over time, and whether previous screen completion predicted a positive future screen. Bayes factors assessed for meaningfulness of null effects.
Results: A total of 192 preadolescents (mean age = 10.13 years; 63% boys, 37% girls; 79.2% White, 8.9% Black, 9.9% Multiracial, 2.1% Asian; 7.3%, Hispanic) completed at least one screen. Findings from inferential statistics and supported by Bayes factors indicated no evidence that repeated screening increased suicidal thoughts in either group. In the lower-risk group, positive screens were rare (1.6%), with no significant increases over time. In the higher-risk group, 7% of screens were positive, but this frequent screening did not exacerbate suicidal thoughts.
Conclusion: Suicide-risk screening appears to be safe for preadolescents. Clinicians can proceed with screening preadolescents with increased confidence that the benefits outweigh the risks.
期刊介绍：
The Journal of the American Academy of Child & Adolescent Psychiatry (JAACAP) is dedicated to advancing the field of child and adolescent psychiatry through the publication of original research and papers of theoretical, scientific, and clinical significance. Our primary focus is on the mental health of children, adolescents, and families.
We welcome unpublished manuscripts that explore various perspectives, ranging from genetic, epidemiological, neurobiological, and psychopathological research, to cognitive, behavioral, psychodynamic, and other psychotherapeutic investigations. We also encourage submissions that delve into parent-child, interpersonal, and family research, as well as clinical and empirical studies conducted in inpatient, outpatient, consultation-liaison, and school-based settings.
In addition to publishing research, we aim to promote the well-being of children and families by featuring scholarly papers on topics such as health policy, legislation, advocacy, culture, society, and service provision in relation to mental health.
At JAACAP, we strive to foster collaboration and dialogue among researchers, clinicians, and policy-makers in order to enhance our understanding and approach to child and adolescent mental health.
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