Abstract

The rate of suicide among adolescents is rising in the United States, yet many adolescents at risk go unrecognized and receive no mental health services. Improved risk detection through effective screening has the potential to facilitate treatment linkage, reduce morbidity, and prevent mortality. Our study aims were: 1) to develop a Computerized Adaptive Screen for Suicidal Youth (CASSY) presenting to emergency departments (EDs) with at least 80-percent sensitivity and 80-percent specificity for the prediction of a suicide attempt within 3 months; and 2) to determine whether this screen outperforms the widely recognized screen, Ask Suicide-Screening Questions (ASQ).

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