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The Cost of Universal Suicide Risk Screening for Adolescents in Emergency Departments.

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  • معلومة اضافية
    • المصدر:
      Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: Basel : MDPI, c2004-
    • الموضوع:
      Suicide Prevention* ; Suicide, Attempted*/prevention & control; Humans ; Adolescent ; Suicidal Ideation ; Emergency Service, Hospital ; Mass Screening
    • نبذة مختصرة :
      Suicide is the second leading cause of death among adolescents. As nearly 20% of adolescents visit emergency departments (EDs) each year, EDs have an opportunity to identify previously unrecognized suicide risk. A novel Computerized Adaptive Screen for Suicidal Youth (CASSY) was shown in a multisite study to be predictive for suicide attempts within 3 months. This study uses site-specific data to estimate the cost of CASSY implementation with adolescents in general EDs. When used universally with all adolescents who are present and able to participate in the screening, the average cost was USD 5.77 per adolescent. For adolescents presenting with non-behavioral complaints, the average cost was USD 2.60 per adolescent. Costs were driven primarily by time and personnel required for the further evaluation of suicide risk for those screening positive. Thus, universal screening using the CASSY, at very low costs relative to the cost of an ED visit, can facilitate services needed for at-risk adolescents.
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    • Grant Information:
      KL2 TR002241 United States TR NCATS NIH HHS; U01 MH104311 United States MH NIMH NIH HHS; U01 MH104311. United States MH NIMH NIH HHS
    • Contributed Indexing:
      Keywords: adolescent; cost analysis; emergency department; screening; suicide; universal screening
    • الموضوع:
      Date Created: 20231014 Date Completed: 20231101 Latest Revision: 20240726
    • الموضوع:
      20250114
    • الرقم المعرف:
      PMC10573004
    • الرقم المعرف:
      10.3390/ijerph20196843
    • الرقم المعرف:
      37835113