Validation of the ask suicide-screening questions (ASQ) with youth in outpatient specialty and primary care clinics
Validate the Ask Suicide-Screening Questions (ASQ) with youth in outpatient specialty and primary care clinics. This is a cross sectional instrument validation study assessing the validity of the ASQ with respect to the standard criterion, Suicidal Ideation Questionnaire (SIQ/SIQ Jr.). The sample in...
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| Published in | General hospital psychiatry Vol. 68; pp. 52 - 58 |
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| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | English |
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United States
Elsevier Inc
01.01.2021
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| Abstract | Validate the Ask Suicide-Screening Questions (ASQ) with youth in outpatient specialty and primary care clinics.
This is a cross sectional instrument validation study assessing the validity of the ASQ with respect to the standard criterion, Suicidal Ideation Questionnaire (SIQ/SIQ Jr.). The sample included 515 English speaking youth ages 10–21 years old from outpatient specialty and primary care clinics. ASQ sensitivity, specificity, positive and negative predictive values (PPV/NPV), positive and negative likelihood ratios, c statistic and respective receiver operating characteristic curves were assessed.
A total of 335 outpatient specialty and 180 primary care clinic participants completed the study. In outpatient specialty clinics, the ASQ showed a sensitivity of 100.0% (95% CI: 80.5–100.0%), specificity of 91.2% (95% CI: 87.5–94.1%), and NPV of 100.0% (95% CI: 98.7–100.0). In the primary care clinic, the ASQ showed a sensitivity of 100.0% (95% CI: 59.0–100.0%), specificity of 87.9% (95% CI: 82.0–92.3%), and NPV of 100.0% (95% CI: 97.7–100.0). Forty-five (13.4%) outpatient specialty clinic participants and 28 (15.6%) primary care clinic participants screened positive for suicide risk on the ASQ.
The ASQ is a valid screening tool for identifying youth at elevated suicide risk in outpatient clinical settings. |
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| AbstractList | Validate the Ask Suicide-Screening Questions (ASQ) with youth in outpatient specialty and primary care clinics.
This is a cross sectional instrument validation study assessing the validity of the ASQ with respect to the standard criterion, Suicidal Ideation Questionnaire (SIQ/SIQ Jr.). The sample included 515 English speaking youth ages 10–21 years old from outpatient specialty and primary care clinics. ASQ sensitivity, specificity, positive and negative predictive values (PPV/NPV), positive and negative likelihood ratios, c statistic and respective receiver operating characteristic curves were assessed.
A total of 335 outpatient specialty and 180 primary care clinic participants completed the study. In outpatient specialty clinics, the ASQ showed a sensitivity of 100.0% (95% CI: 80.5–100.0%), specificity of 91.2% (95% CI: 87.5–94.1%), and NPV of 100.0% (95% CI: 98.7–100.0). In the primary care clinic, the ASQ showed a sensitivity of 100.0% (95% CI: 59.0–100.0%), specificity of 87.9% (95% CI: 82.0–92.3%), and NPV of 100.0% (95% CI: 97.7–100.0). Forty-five (13.4%) outpatient specialty clinic participants and 28 (15.6%) primary care clinic participants screened positive for suicide risk on the ASQ.
The ASQ is a valid screening tool for identifying youth at elevated suicide risk in outpatient clinical settings. Validate the Ask Suicide-Screening Questions (ASQ) with youth in outpatient specialty and primary care clinics.OBJECTIVEValidate the Ask Suicide-Screening Questions (ASQ) with youth in outpatient specialty and primary care clinics.This is a cross sectional instrument validation study assessing the validity of the ASQ with respect to the standard criterion, Suicidal Ideation Questionnaire (SIQ/SIQ Jr.). The sample included 515 English speaking youth ages 10-21 years old from outpatient specialty and primary care clinics. ASQ sensitivity, specificity, positive and negative predictive values (PPV/NPV), positive and negative likelihood ratios, c statistic and respective receiver operating characteristic curves were assessed.METHODThis is a cross sectional instrument validation study assessing the validity of the ASQ with respect to the standard criterion, Suicidal Ideation Questionnaire (SIQ/SIQ Jr.). The sample included 515 English speaking youth ages 10-21 years old from outpatient specialty and primary care clinics. ASQ sensitivity, specificity, positive and negative predictive values (PPV/NPV), positive and negative likelihood ratios, c statistic and respective receiver operating characteristic curves were assessed.A total of 335 outpatient specialty and 180 primary care clinic participants completed the study. In outpatient specialty clinics, the ASQ showed a sensitivity of 100.0% (95% CI: 80.5-100.0%), specificity of 91.2% (95% CI: 87.5-94.1%), and NPV of 100.0% (95% CI: 98.7-100.0). In the primary care clinic, the ASQ showed a sensitivity of 100.0% (95% CI: 59.0-100.0%), specificity of 87.9% (95% CI: 82.0-92.3%), and NPV of 100.0% (95% CI: 97.7-100.0). Forty-five (13.4%) outpatient specialty clinic participants and 28 (15.6%) primary care clinic participants screened positive for suicide risk on the ASQ.RESULTSA total of 335 outpatient specialty and 180 primary care clinic participants completed the study. In outpatient specialty clinics, the ASQ showed a sensitivity of 100.0% (95% CI: 80.5-100.0%), specificity of 91.2% (95% CI: 87.5-94.1%), and NPV of 100.0% (95% CI: 98.7-100.0). In the primary care clinic, the ASQ showed a sensitivity of 100.0% (95% CI: 59.0-100.0%), specificity of 87.9% (95% CI: 82.0-92.3%), and NPV of 100.0% (95% CI: 97.7-100.0). Forty-five (13.4%) outpatient specialty clinic participants and 28 (15.6%) primary care clinic participants screened positive for suicide risk on the ASQ.The ASQ is a valid screening tool for identifying youth at elevated suicide risk in outpatient clinical settings.CONCLUSIONSThe ASQ is a valid screening tool for identifying youth at elevated suicide risk in outpatient clinical settings. |
| Author | He, Jian-Ping Sullivant, Shayla Wharff, Elizabeth A. Bradley-Ewing, Andrea Bridge, Jeffrey A. Lanzillo, Elizabeth C. Ross, Abigail Horowitz, Lisa M. Aguinaldo, Laika D. |
| AuthorAffiliation | a Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive (MC 0862), La Jolla, California, USA, 92093 e The Abigail Wexner Research Institute at Nationwide Children’s Hospital, 575 Children’s Crossroad, Columbus, Ohio, USA, 43215 b Children’s Mercy Kansas City, 2401 Gillham Rd, Kansas City, Missouri, USA, 64108 f Department of Pediatrics, Ohio State University, 370 W. 9th Avenue, Columbus, Ohio, USA, 43210 d Graduate School of Social Service, Fordham University, 113 W 60th St #7, New York, New York, USA, 10023 g Department of Psychiatry, Boston Children’s Hospital, 300 Longwood Avenue, Boston, Massachusetts, USA, 02115 c National Institute of Mental Health, 10 Center Drive, Bethesda, Maryland, USA, 20892 h Department of Psychiatry, Harvard Medical School, 401 Park Drive, Boston, Massachusetts, USA, 02215 |
| AuthorAffiliation_xml | – name: b Children’s Mercy Kansas City, 2401 Gillham Rd, Kansas City, Missouri, USA, 64108 – name: c National Institute of Mental Health, 10 Center Drive, Bethesda, Maryland, USA, 20892 – name: d Graduate School of Social Service, Fordham University, 113 W 60th St #7, New York, New York, USA, 10023 – name: a Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive (MC 0862), La Jolla, California, USA, 92093 – name: e The Abigail Wexner Research Institute at Nationwide Children’s Hospital, 575 Children’s Crossroad, Columbus, Ohio, USA, 43215 – name: f Department of Pediatrics, Ohio State University, 370 W. 9th Avenue, Columbus, Ohio, USA, 43210 – name: h Department of Psychiatry, Harvard Medical School, 401 Park Drive, Boston, Massachusetts, USA, 02215 – name: g Department of Psychiatry, Boston Children’s Hospital, 300 Longwood Avenue, Boston, Massachusetts, USA, 02115 |
| Author_xml | – sequence: 1 givenname: Laika D. surname: Aguinaldo fullname: Aguinaldo, Laika D. email: laaguinaldo@health.ucsd.edu organization: Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive (MC 0862), La Jolla, CA 92093, USA – sequence: 2 givenname: Shayla surname: Sullivant fullname: Sullivant, Shayla organization: Children's Mercy Kansas City, 2401 Gillham Rd, Kansas City, MO 64108, USA – sequence: 3 givenname: Elizabeth C. surname: Lanzillo fullname: Lanzillo, Elizabeth C. organization: National Institute of Mental Health, 10 Center Drive, Bethesda, MD 20892, USA – sequence: 4 givenname: Abigail surname: Ross fullname: Ross, Abigail organization: Graduate School of Social Service, Fordham University, 113 W 60th St #7, New York, NY 10023, USA – sequence: 5 givenname: Jian-Ping surname: He fullname: He, Jian-Ping organization: National Institute of Mental Health, 10 Center Drive, Bethesda, MD 20892, USA – sequence: 6 givenname: Andrea surname: Bradley-Ewing fullname: Bradley-Ewing, Andrea organization: Children's Mercy Kansas City, 2401 Gillham Rd, Kansas City, MO 64108, USA – sequence: 7 givenname: Jeffrey A. surname: Bridge fullname: Bridge, Jeffrey A. organization: The Abigail Wexner Research Institute at Nationwide Children's Hospital, 575 Children's Crossroad, Columbus, OH 43215, USA – sequence: 8 givenname: Lisa M. surname: Horowitz fullname: Horowitz, Lisa M. organization: National Institute of Mental Health, 10 Center Drive, Bethesda, MD 20892, USA – sequence: 9 givenname: Elizabeth A. surname: Wharff fullname: Wharff, Elizabeth A. organization: Department of Psychiatry, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33310014$$D View this record in MEDLINE/PubMed |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Author contributions: Drs. Aguinaldo, He, Bridge, and Horowitz had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Drs. Horowitz, Bridge, Wharff, Sullivant, Ross, Aguinaldo and Ms. Bradley-Ewing. Acquisition of data: Drs. Horowitz, Wharff, Sullivant, Ross, Aguinaldo and Ms. Bradley-Ewing. |
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| Title | Validation of the ask suicide-screening questions (ASQ) with youth in outpatient specialty and primary care clinics |
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