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Measurement Choices for Youth Suicidality

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Abstract

Suicide is among the leading causes of death among individuals ages 10–24, making suicidal thoughts and behaviors (STBs) a serious public health crisis among youth. Suicide risk screening and assessment are vital to addressing this public health crisis. In fact, many youths that screen positive for suicidal ideation do not have known mental health concerns and would have been missed if not asked directly. Medical settings are an optimal setting to detect suicidality early and provide appropriate follow-up monitoring and care as needed. To support effective and efficient screening and assessment of suicidal thoughts and behaviors, providers must choose measures with both strong psychometric properties and clinical utility. While measurement of STBs can vary across health settings, suicide risk screening and assessment typically involves gathering information about current suicidal ideation, suicidal behaviors, and suicidal plans via self-report questionnaires, clinical interviews, and/or computerized adaptive screens. In alignment with measurement-based care efforts, the current manuscript will provide a scoping review of measures of youth suicidal ideation, behavior, plans, and their risk factors. Specifically, the psychometric properties, clinical utility, and other key considerations for screening and assessment of adolescent suicide risk are discussed.

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Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, University of Texas Medical Branch, Galveston, USA

    Danielle R. Busby, Mallory Walters, Adannaya Ihediwa & Michel Adeniran

  2. Department of Psychiatry and Behavioral Health, Nationwide Children’s Hospital, College of Medicine, and the Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, Columbus, OH, USA

    Jennifer L. Hughes

  3. Center for Depression Research and Clinical Care, Peter O’Donnell Jr. Brain Institute and the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA

    Lynnel Goodman & Taryn L. Mayes

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  1. Danielle R. Busby
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  2. Jennifer L. Hughes
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  3. Mallory Walters
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  4. Adannaya Ihediwa
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  5. Michel Adeniran
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  6. Lynnel Goodman
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  7. Taryn L. Mayes
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Contributions

D. Busby conceptualized the study, and lead draft writing and preparation; J. Hughes contributed to study conceptualization, draft writing, preparation, and review; M. Walters lead literature reviews, and contributed to draft writing and preparation; A. Ihediwa contributed to literature reviews, draft writing, and preparation; M. Adeniran contributed to literature reviews, draft preparation, and review. L. Goodman contributed to draft preparation and review. T. Mayes contributed to draft preparation and review.

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Correspondence to Danielle R. Busby.

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Busby, D.R., Hughes, J.L., Walters, M. et al. Measurement Choices for Youth Suicidality. Child Psychiatry Hum Dev (2023). https://doi.org/10.1007/s10578-023-01627-5

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