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Writing a thesis can be an arduous task, especially when dealing with sensitive topics like suicide.

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Adv Pediatr. 1977;24:291-309602863 PubMed Google Scholar 6. Open discussion and
documentation of suicidality is important for several reasons, even beyond the disrespectful message
that failure to do so sends to patients who express these feelings. Positive responses to 1 or more of
these 4 questions identified 97% of the youth at risk for suicide, as assessed by the SIQ, a much
longer criterion standard instrument typically administered by mental health clinicians. Union
biblical seminary, pune Research Paper on: SUICIDE By: Letmin Jose Gangte, M Th (Missiology)
On: 12th September, 2012 OUTLINE INTRODUCTION I. It assesses critically the transformation
of a humanistic debate into a scientifi c one. Essay Teenage Suicide Suicide is intentional self-
inflicted acts that end in death(' Suicide,' Compton s) After a series of traumatic events, normal
coping abilities. A sample research paper topic on suicide and depression, a leading cause of as
suicide attempts and suicide ideation, are relatively common in adolescents? The extent to which
observed changes may have been affected by time of year is unknown. Essay Teenage Suicide
Suicide is intentional self-inflicted acts that end in death(' Suicide,' Compton s) After a series of
traumatic events, normal coping abilities. Psychology term papers (paper 16115) on Teen Suicide:
Suicide of any kind is an act in which a person takes his or her own life FACT: Suicide is a
prevalent. Larkin GL, Beautrais AL, Spirito A, Kirrane BM, Lippmann MJ, Milzman DP. Suicidal
behavior in children younger than twelve: a diagnostic challenge for emergency department
personnel. Acad Emerg Med. 2009;16(11):1234-124119845554 PubMed Google Scholar Crossref.
Risk of suicide attempt and suicide death following completion of the Patient Health Questionnaire
depression module in community practice. The future is filled with numerous variables, some more
shocking than others. Pediatr Emerg Care. 2007;23(6):387-39317572523 PubMed Google Scholar
Crossref 19. In addition, evaluating the acceptance of such screening instruments by clinicians and
the costs associated with implementing universal suicide screening in EDs would inform
implementation strategies. You can download the paper by clicking the button above. One template
used with the patient during the clinic visit elicited key factors (eg, plan, intent, barriers) and offered
treatment plan options. Given the consequences of failing to detect an increased risk for suicide, the
high NPV (99.7%), or the probability that the young person who screened negative is not at elevated
risk for suicide, is also an important attribute of an instrument used by ED clinicians. Next, we
evaluated all possible combinations of the candidate questions remaining after the stepwise
procedure. Main Exposures Participants answered 17 candidate questions followed by the Suicidal
Ideation Questionnaire. There may also have been a fatigue effect by asking the participants
repeatedly about suicidal thoughts; however, this did not arise as a concern in study evaluation
interviews. In addition, although the criterion standard SIQ has sound psychometric properties,
including good validity and reliability, it primarily identifies youth at risk for clinically significant
suicidal ideation and may not necessarily be predictive of suicidal behavior. A limitation of this
study is uncertain generalizability due to the sample being drawn from one FMR clinic. For this
study, the 30-item SIQ was administered to participants 15 years of age and older; the 15-item SIQ-
Junior (JR) was administered to participants 14 years of age and younger. The longer-term impact of
the workshops and templates warrant further investigation. Study supervision: Horowitz, Bridge,
Rosenstein, Joshi, and Pao. Predictive and concurrent validity of the Suicidal Ideation Questionnaire
among American Indian adolescents. The Suicidal Ideation Questionnaire served as the criterion
standard.
These data are consistent with King et al, 32 who examined suicide screening in nonpsychiatric
patients in the ED with a much longer battery of assessments and concluded that risk identification
may be a critical step in reducing the youth suicide rate. Robles-Garcia R, Paez Agraz F, Ascensio
Guirado M, Mercado Salcedo E, Hernandez Munoz L. Free Teen Suicide papers, essays, and
research papers. This article delves into the unpleasant subject of youth suicide Issues related to
childhood suicide are introduced. To avoid burdening ED workflow, we sought to include the
smallest number of questions in our instrument that could identify youth with suicidal thoughts, yet
maintain high sensitivity, specificity, and negative predictive value (NPV). Rates of use of the
assessment template were 58% (postintervention) and 49% (follow-up). In addition, although the
criterion standard SIQ has sound psychometric properties, including good validity and reliability, it
primarily identifies youth at risk for clinically significant suicidal ideation and may not necessarily
be predictive of suicidal behavior. First, we presented two 1-hour clinic-wide trainings during
consecutive weekly staff meetings. It assesses critically the transformation of a humanistic debate
into a scientifi c one. Questions whether a physician should be able to help a terminally-ill patient to
commit suicide by prescribing him lethal medications and if such an act is morally justifiable have
long split the population. Study concept and design: Horowitz, Bridge, Ballard, Rosenstein, and Pao.
Participating EDs were all in urban, tertiary care teaching hospitals and may not generalize to other
ED settings. Essay Teenage Suicide Suicide is intentional self-inflicted acts that end in death('
Suicide,' Compton s) After a series of traumatic events, normal coping abilities. Suicidal behavior in
children younger than twelve: a diagnostic challenge for emergency department personnel. The first
real discussions started in 1828 when the first American statute was passed in New York which
explicitly made assisted suicide illegal. Please download one of these browsers for the best
experience on usatoday.com Google Chrome Mozilla Firefox Opera Microsoft Edge Safari. Answers
on this item range from 0 (not at all) to 1 (several days), 2 (more than half the days), and 3 (nearly
every day). This article delves into the unpleasant subject of youth suicide Issues related to
childhood suicide are introduced. Health care contacts in the year before suicide death. Pediatr
Emerg Care. 2010;26(11):787-79220944511 PubMed Google Scholar Crossref 14. Suicide is a
serious public health problem and it must be given due attention. During all phases, likelihood of
provider suicide documentation was not significantly related to the frequency of patients’ thoughts
of death or suicide (item nine). Teenage suicide occurs due to a variety of factors The numbers
remain fairly consistent and schools have attempted to roll out a number of schemes to tackle. Many
other states followed this example and legally the issue was settled at that time. The extent to which
our providers reviewed the PHQ-9 results and discussed them with their patients was uncertain,
especially item nine that assesses the frequency of “thoughts that you would be better off dead or of
hurting yourself in some way” in the past 2 weeks. Future research could include a longer follow-up
period to monitor rates of documentation and use of templates, implementation of these educational
interventions in another setting, exploring provider self-efficacy with managing suicidal patients, and
eliciting patient feedback on their experience of providers’ approaches to assessing suicidal ideation.
There may also have been a fatigue effect by asking the participants repeatedly about suicidal
thoughts; however, this did not arise as a concern in study evaluation interviews. We hypothesized
that documentation rates would increase after our intervention. In 2007, suicide was the third
leading cause of death among youth ages 10 to 24 years, accounting for 4320 deaths in the United
States. 1 Nonfatal suicide attempts are more prevalent, affecting as many as 5% to 8% of children
and adolescents annually 2 - 5 and resulting in significant morbidity and increased use of emergency
departments (EDs) and hospitals. Critical revision of the manuscript for important intellectual
content: Horowitz, Bridge, Teach, Ballard, Klima, Rosenstein, Wharff, Ginnis, Joshi, and Pao.
Actas Esp Psiquiatr. 2005;33(5):292-29716155811 PubMed Google Scholar 23. We examined use of
the templates and changes in rates of documentation of suicidality. This research has been done from
a sociological perspective and involves study of established theoretical research work of renowned
researchers and sociologists who were concerned with the topic. Depression screening in an
academic family practice. Fam Med. 2017;49(1):42-45. Anecdotal provider feedback reflected
appreciation of the templates for assessing and documenting challenging issues. Risk of suicide
attempt and suicide death following completion of the Patient Health Questionnaire depression
module in community practice. Free Youth suicide papers, essays, and research papers. Free Teen
Suicide papers, essays, and research papers. Pediatric and adolescent mental health emergencies in
the emergency medical services system. Screening for depression in adults: US Preventive Services
Task Force recommendation statement. JAMA. 2016;315(4):380-387. Given the high rates of and
burden associated with depression and the elevated risk for self-harm among patients who endorse
item nine, it is incumbent upon physicians to effectively use the PHQ-9 and talk with patients about
depression and suicide. For this study, the 30-item SIQ was administered to participants 15 years of
age and older; the 15-item SIQ-Junior (JR) was administered to participants 14 years of age and
younger. J Dev Behav Pediatr. 2007;28(1):16-2117353727 PubMed Google Scholar Crossref 16. The
first real discussions started in 1828 when the first American statute was passed in New York which
explicitly made assisted suicide illegal. J Am Acad Child Adolesc Psychiatry. 1988;27(1):34-
413343204 PubMed Google Scholar Crossref 4. Dr Bridge's work was supported by institutional
research funds from the Research Institute at Nationwide Children's Hospital and grant K01 MH-
69948 from the National Institute of Mental Health. The meaning and use of the area under a
receiver operating characteristic (ROC) curve. Radiology. 1982;143(1):29-367063747 PubMed
Google Scholar 30. A positive response to any 1 of the candidate questions constituted a positive
screen for the risk for suicide. Rockville, Maryland: US Department of Health and Human Services;
2001 7. Psychology term papers (paper 16115) on Teen Suicide: Suicide of any kind is an act in
which a person takes his or her own life FACT: Suicide is a prevalent. Our study evaluated the
impact of an educational intervention in a family medicine residency clinic on rates of provider
documentation regarding suicidality. Youth risk behavior surveillance: United States, 2009.
Therefore, we chose model 4 as the final Ask Suicide-Screening Questions (ASQ) instrument (
eTable and eAppendix ). The Suicidal Ideation Questionnaire served as the criterion standard.
Administrative, technical, and material support: Horowitz, Bridge, Teach, Ballard, Rosenstein, and
Pao. Pediatr Emerg Care. 2010;26(11):787-79220944511 PubMed Google Scholar Crossref 14. Main
Outcome Measures Sensitivity, specificity, predictive values, likelihood ratios, and area under the
receiver operating characteristic curves of the best-fitting combinations of screening questions for
detecting elevated risk for suicide. Future research could include a longer follow-up period to
monitor rates of documentation and use of templates, implementation of these educational
interventions in another setting, exploring provider self-efficacy with managing suicidal patients, and
eliciting patient feedback on their experience of providers’ approaches to assessing suicidal ideation.
Psychiatric patients were included in the sample to determine whether 1 screening instrument could
be valid for all pediatric patients evaluated in the ED, regardless of their chief concern. Across
faculty and residents, 16 providers (35%) were male.
Screening for depression in adults: US Preventive Services Task Force recommendation statement.
JAMA. 2016;315(4):380-387. J Am Acad Child Adolesc Psychiatry. 2003;42(4):386-40512649626
PubMed Google Scholar Crossref 29. The selection of the best-fitting models was based on both
clinical and statistical significance. Ninety-five percent confidence intervals for the sensitivity,
specificity, PPV, and NPV were calculated using exact binomial methods. 31 Because of the clinical
significance and relative importance of not misclassifying suicidal youths as false negatives, we also
identified the proportion of youth at risk for suicide (as determined by the SIQ) who would have
been undetected by each combination of the 17 candidate questions. Potential racial differences in
sensitivity of suicide screening instruments should also be examined. We added two questions that
assess 10 other risk factors (eg, substance abuse, hallucinations, bereavement) and eight options for
plans for patient safety (eg, warm handoff to behavioral health, referral to psychiatry, psychiatric
admission). A sample research paper topic on suicide and depression, a leading cause of as suicide
attempts and suicide ideation, are relatively common in adolescents? In addition, the SIQ has 8 items
(6 on the SIQ-JR) deemed critical items because they directly assess serious self-destructive behavior.
Essay Teenage Suicide Suicide is intentional self-inflicted acts that end in death(' Suicide,' Compton
s) After a series of traumatic events, normal coping abilities. Promoting Documentation of
Suicidality in a Family Medicine Residency Clinic. Fam Med. 2018;50(2):138-141. The project was
reviewed by our university IRB and deemed exempt. A sample research paper topic on suicide and
depression, a leading cause of as suicide attempts and suicide ideation, are relatively common in
adolescents? First, we presented two 1-hour clinic-wide trainings during consecutive weekly staff
meetings. To avoid burdening ED workflow, we sought to include the smallest number of questions
in our instrument that could identify youth with suicidal thoughts, yet maintain high sensitivity,
specificity, and negative predictive value (NPV). Our study evaluated the impact of an educational
intervention in a family medicine residency clinic on rates of provider documentation regarding
suicidality. Implementation and refinement of the emergency severity index. Free Youth suicide
papers, essays, and research papers. Actas Esp Psiquiatr. 2005;33(5):292-29716155811 PubMed
Google Scholar 23. For this study, the 30-item SIQ was administered to participants 15 years of age
and older; the 15-item SIQ-Junior (JR) was administered to participants 14 years of age and younger.
J Abnorm Child Psychol. 1996;24(6):735-7478970907 PubMed Google Scholar Crossref 26. Fleiss J.
Statistical Methods for Rates and Proportions. Evaluation of suicide risk in children: psychometric
properties of the Spanish version of the Risk of Suicide Questionnaire (RSQ). Mental health and
emergency medicine: a research agenda. The ASQ may be an appropriate tool for implementation in
this venue as part of the Joint Commission 11 and the American Academy of Pediatrics 12
recommendations. A survey containing questions about sociodemographic information, history of
medical and psychiatric illness, prior health care usage, and a screening evaluation was also
administered. Open discussion and documentation of suicidality is important for several reasons,
even beyond the disrespectful message that failure to do so sends to patients who express these
feelings. This article delves into the unpleasant subject of youth suicide Issues related to childhood
suicide are introduced. Participating EDs were all in urban, tertiary care teaching hospitals and may
not generalize to other ED settings. Arch Gen Psychiatry. 2012;69(1):80-8821893643 PubMed
Google Scholar Crossref 17. Wintersteen MB. Standardized screening for suicidal adolescents in
primary care. Attendance at the accident and emergency department in the year before suicide:
retrospective study.
Essay Teenage Suicide Suicide is intentional self-inflicted acts that end in death(' Suicide,' Compton
s) After a series of traumatic events, normal coping abilities. The negative LR was 0.08 (95% CI,
0.002-0.37), meaning that a negative 4-item ASQ was 0.08 times as likely to be seen in someone at
suicidal risk than in someone not at risk. Essay Teenage Suicide Suicide is intentional self-inflicted
acts that end in death(' Suicide,' Compton s) After a series of traumatic events, normal coping
abilities. In addition, evaluating the acceptance of such screening instruments by clinicians and the
costs associated with implementing universal suicide screening in EDs would inform implementation
strategies. National Strategy for Suicide Prevention: Goals and Objectives for Action. Screening for
depression in adults: US Preventive Services Task Force recommendation statement. JAMA.
2016;315(4):380-387. Implementation and refinement of the emergency severity index. Predictive
and concurrent validity of the Suicidal Ideation Questionnaire among American Indian adolescents.
Given the high rates of and burden associated with depression and the elevated risk for self-harm
among patients who endorse item nine, it is incumbent upon physicians to effectively use the PHQ-9
and talk with patients about depression and suicide. We arrived at the final model by choosing the
candidate items that maximized sensitivity, specificity, and NPV such that the minimum number of
suicide-positive patients would be misclassified and ED clinicians would not be overburdened
managing false-positive patients. Odessa, Florida: Psychological Assessment Resources; 1987 25.
Across faculty and residents, 16 providers (35%) were male. However, these findings offer
preliminary support for the effectiveness of our educational interventions in shaping an important
provider behavior. Arch Gen Psychiatry. 2012;69(1):80-8821893643 PubMed Google Scholar
Crossref 17. Folse VN, Hahn RL. Suicide risk screening in an emergency department: engaging staff
nurses in continued testing of a brief instrument. This article delves into the unpleasant subject of
youth suicide Issues related to childhood suicide are introduced. Attendance at the accident and
emergency department in the year before suicide: retrospective study. In both versions of the SIQ,
individuals are asked to rate the frequency with which a thought occurs on a 7-point scale ranging
from almost every day to never. Conclusions A 4-question screening instrument, the Ask Suicide-
Screening Questions (ASQ), with high sensitivity and negative predictive value, can identify the risk
for suicide in patients presenting to pediatric emergency departments. The first real discussions
started in 1828 when the first American statute was passed in New York which explicitly made
assisted suicide illegal. Our website uses cookies to enhance your experience. Open discussion and
documentation of suicidality is important for several reasons, even beyond the disrespectful message
that failure to do so sends to patients who express these feelings. Pediatrics. 2010;125(5):938-
94420385627 PubMed Google Scholar Crossref 10. The Suicidal Ideation Questionnaire served as
the criterion standard. Clin Nurs Res. 2009;18(3):253-27119411625 PubMed Google Scholar
Crossref 22. The ASQ may be an appropriate tool for implementation in this venue as part of the
Joint Commission 11 and the American Academy of Pediatrics 12 recommendations. This research
has been done from a sociological perspective and involves study of established theoretical research
work of renowned researchers and sociologists who were concerned with the topic. Free Teen
Suicide papers, essays, and research papers. Study concept and design: Horowitz, Bridge, Ballard,
Rosenstein, and Pao. Gen Hosp Psychiatry. 2009;31(2):181-18419269541 PubMed Google Scholar
Crossref 11.
Adv Pediatr. 1977;24:291-309602863 PubMed Google Scholar 6. Pediatric emergency medicine
physicians' current practices and beliefs regarding mental health screening. The first author reviewed
the provider progress note corresponding to the date the PHQ-9 was administered. A survey
containing questions about sociodemographic information, history of medical and psychiatric illness,
prior health care usage, and a screening evaluation was also administered. This article delves into the
unpleasant subject of youth suicide Issues related to childhood suicide are introduced. Curr Opin
Pediatr. 2009;21(5):620-62719617829 PubMed Google Scholar Crossref 20. Answers on this item
range from 0 (not at all) to 1 (several days), 2 (more than half the days), and 3 (nearly every day).
Dolan MA, Fein JA.Committee on Pediatric Emergency Medicine. J Abnorm Child Psychol.
1996;24(6):735-7478970907 PubMed Google Scholar Crossref 26. Fleiss J. Statistical Methods for
Rates and Proportions. Rockville, Maryland: US Department of Health and Human Services; 2001 7.
Youth risk behavior surveillance: United States, 2009. Study concept and design: Horowitz, Bridge,
Ballard, Rosenstein, and Pao. We used convenience sampling, which could have introduced bias into
our findings, and we did not administer the ASQ to a validation cohort. Am J Psychiatry.
2002;159(6):909-91612042175 PubMed Google Scholar Crossref 8. Locally written SAS macros..
Accessed December 2011 32. The meaning and use of the area under a receiver operating
characteristic (ROC) curve. Radiology. 1982;143(1):29-367063747 PubMed Google Scholar 30. A
sample research paper topic on suicide and depression, a leading cause of as suicide attempts and
suicide ideation, are relatively common in adolescents? This research has been done from a
sociological perspective and involves study of established theoretical research work of renowned
researchers and sociologists who were concerned with the topic. Suicide is a tragic and potentially
preventable public health problem We use the term 'irrational' here because no matter how bad a
person s life is, suicide is a It is usually the second or third leading cause of death amongst teenagers.
The ASQ may be an appropriate tool for implementation in this venue as part of the Joint
Commission 11 and the American Academy of Pediatrics 12 recommendations. Main Outcome
Measures Sensitivity, specificity, predictive values, likelihood ratios, and area under the receiver
operating characteristic curves of the best-fitting combinations of screening questions for detecting
elevated risk for suicide. Gen Hosp Psychiatry. 2009;31(2):181-18419269541 PubMed Google
Scholar Crossref 11. Pediatr Emerg Care. 2007;23(6):387-39317572523 PubMed Google Scholar
Crossref 19. Free Youth suicide papers, essays, and research papers. We added two questions that
assess 10 other risk factors (eg, substance abuse, hallucinations, bereavement) and eight options for
plans for patient safety (eg, warm handoff to behavioral health, referral to psychiatry, psychiatric
admission). The objective of this study was to assess the impact of these educational interventions on
provider documentation of suicidality. Psychology term papers (paper 16115) on Teen Suicide:
Suicide of any kind is an act in which a person takes his or her own life FACT: Suicide is a
prevalent. Psychiatric patients were included in the sample to determine whether 1 screening
instrument could be valid for all pediatric patients evaluated in the ED, regardless of their chief
concern. Support provided by Research Services, Department of Family Medicine and Community
Health, University of Minnesota.
A sample research paper topic on suicide and depression, a leading cause of as suicide attempts and
suicide ideation, are relatively common in adolescents? In addition, the high specificity demonstrated
by the 4 questions, the ability to correctly identify young patients who are currently not at elevated
risk for suicide (87.6%), is of paramount importance in not overburdening a busy ED setting with
limited mental health resources. Informal provider feedback supports these findings; residents and
faculty shared that the templates increased their self-efficacy and comfort in talking with patients
about suicidal thoughts and in documenting treatment recommendations. Risk of suicide attempt and
suicide death following completion of the Patient Health Questionnaire depression module in
community practice. Acad Emerg Med. 2001;8(2):170-17611157294 PubMed Google Scholar
Crossref 24. Reynolds W. Suicidal Ideation Questionnaire. Pediatric emergency medicine physicians'
current practices and beliefs regarding mental health screening. Anecdotal provider feedback
reflected appreciation of the templates for assessing and documenting challenging issues. Acad
Emerg Med. 2009;16(11):1132-113720053233 PubMed Google Scholar Crossref 15. Pediatric and
adolescent mental health emergencies in the emergency medical services system. Many other states
followed this example and legally the issue was settled at that time. Main Exposures Participants
answered 17 candidate questions followed by the Suicidal Ideation Questionnaire. In addition, the
SIQ has 8 items (6 on the SIQ-JR) deemed critical items because they directly assess serious self-
destructive behavior. Our study evaluated the impact of an educational intervention in a family
medicine residency clinic on rates of provider documentation regarding suicidality. The first author
reviewed the provider progress note corresponding to the date the PHQ-9 was administered. One
template used with the patient during the clinic visit elicited key factors (eg, plan, intent, barriers)
and offered treatment plan options. Full description Save Save Suicide (Research Paper) For Later
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are on page 1 of 6 Search inside document. Trends in office-based mental health care provided by
psychiatrists and primary care physicians. Suicide is a tragic and potentially preventable public health
problem We use the term 'irrational' here because no matter how bad a person s life is, suicide is a It
is usually the second or third leading cause of death amongst teenagers. This article delves into the
unpleasant subject of youth suicide Issues related to childhood suicide are introduced. Main
Outcome Measures Sensitivity, specificity, predictive values, likelihood ratios, and area under the
receiver operating characteristic curves of the best-fitting combinations of screening questions for
detecting elevated risk for suicide. The second template included supportive text and resources to
include in the after-visit summary. Across faculty and residents, 16 providers (35%) were male.
Robles-Garcia R, Paez Agraz F, Ascensio Guirado M, Mercado Salcedo E, Hernandez Munoz L.
This article delves into the unpleasant subject of youth suicide Issues related to childhood suicide are
introduced. Br J Psychiatry. 2003;183:28-3312835240 PubMed Google Scholar Crossref 9. This
article delves into the unpleasant subject of youth suicide Issues related to childhood suicide are
introduced. Essay Teenage Suicide Suicide is intentional self-inflicted acts that end in death('
Suicide,' Compton s) After a series of traumatic events, normal coping abilities. Dr Bridge's work
was supported by institutional research funds from the Research Institute at Nationwide Children's
Hospital and grant K01 MH-69948 from the National Institute of Mental Health. Free Teen Suicide
papers, essays, and research papers. Acquisition of data: Horowitz, Bridge, Teach, Ballard, Wharff,
Ginnis, Cannon, Joshi, and Pao.

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