Retrospective Evaluation of the Implementation of Universal Suicide Risk Screening for Youth in the Perioperative and Procedural Areas of a Health System
Authors' conclusion
Universal suicide risk screening can be implemented in perioperative and procedural areas, with positive screens in about 1 in 28 encounters.
Study context
- Population
- Youth 10–21 years in perioperative and procedural areas of an academic children's hospital and two affiliated ambulatory surgical centers, August 2022 to February 2025
- Participants
- 15,204 encounters
- Outcome
- Screening completion (ASQ) and screening positivity rates
Methodological detailsmultivariable logistic regression, electronic health record data
- Multivariable logistic regression
- Electronic health record data
Main finding
As reported in the abstract
Encounters with ≥1 ASQ item completed
13 566
89.2%
Positive screens (of completed encounters)
494
3.6%
Screens indicating imminent risk
7
0.1%
Observational data: associations, not effects.
Further findings
| Outcome | aOR (95% CI) | |
|---|---|---|
| Factors associated with screening completionAged 10-12 vs Aged 13-15 | 0.69 (0.61–0.78) | |
| Factors associated with screening completionLanguage other than English or Spanish vs English | 0.55 (0.41–0.75) | |
| Factors associated with positive screensFemales vs Males | 2.49 (2.06–3.03) | |
| Factors associated with positive screensAmbulatory surgical centers vs Children's hospital | 0.26 (0.14–0.42) | |
| 0.10.31310Adjusted odds ratio (log scale) |
Original publication
Retrospective Evaluation of the Implementation of Universal Suicide Risk Screening for Youth in the Perioperative and Procedural Areas of a Health System. Paediatr Anaesth. Published 14 January 2026. doi:10.
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