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Use of the Ask Suicide-Screening Questions (ASQ) in Pediatric Outpatient Settings

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02830334
Recruitment Status : Terminated (this study was determined by IRB not to be humans subjects research)
First Posted : July 12, 2016
Last Update Posted : April 28, 2020
Information provided by (Responsible Party):
National Institutes of Health Clinical Center (CC) ( National Institute of Mental Health (NIMH) )

Brief Summary:


Doctors and nurses who work in non-mental health settings need ways to know when patients are at risk. Researchers created the Ask Suicide-Screening Questions (ASQ) to be used in an emergency department for children. This is a 4-item suicide risk screening tool. We wanted to see if this is also a good tool to use in the outpatient setting. Two studies are being done to test it at hospitals. This study is for researchers to analyze the data from those two studies.


To combine and analyze data from two studies to see how well the ASQ can detect suicide risk in pediatric outpatient clinics.


No people are enrolled in this study.


Participants in the two non-NIH studies will give consent for their data to be shared.

The data will be confidential and secure. They will have no personal information attached to them.

Researchers will get the data and analyze them.

Condition or disease
Adolescents Children

Detailed Description:

This protocol is designed to combine and analyze data from two separate independent studies conducted at non-NIH sites-Boston Children s Hospital (BCH) and Kansas City Mercy Children s Hospital (KC). Both sites have protocols and consents reviewed by the IRBs at their respective institutions, and data collection is underway; NIMH will coordinate and oversee data analysis from these studies. A protocol to establish NIH s role in the studies and IRB review will enhance the acceptance of the research findings for publication in scientific and medical journals.

Physicians and nurses working in non-mental health settings require tools to guide them in recognizing patients at risk. While screening children and adolescents is emerging as a priority of the Joint Commission, there are currently no suicide screening instruments designed specifically for assessing suicide risk in a pediatric outpatient medical setting. Recently, our study team developed the Ask Suicide-Screening Questions (ASQ), a 4-item suicide risk screening instrument with excellent sensitivity, specificity, and negative predictive value for use in pediatric emergency departments (Protocol 08-M-N070). However, use of the ASQ in an outpatient medical setting has not been tested. The aim of the studies at BCH and KC is to determine the utility of the ASQ among youth in outpatient primary and specialty care clinics (e.g., endocrine, sports medicine, orthopedic). While most outpatients will not be at imminent risk for suicide, we hypothesize that the ASQ will capture a number of patients who screen positive and are not only at risk for suicidal behavior in the future, but are also experiencing significant emotional distress and therefore warrant further psychiatric evaluation and follow-up treatment. Data from BCH and KC will be analyzed under this protocol from a total sample size of 580. Two measures of suicide risk (the ASQ and the Suicidal Ideation Questionnaire) and a depression screen (the Patient Health Questionnaire - Adolescent version), are administered to all eligible patients aged 10-21 years. The ultimate goal is to provide non-mental health clinicians with a brief, accurate assessment tool for detecting risk of suicide in pediatric medical outpatients and in turn, connecting those in need with mental health services.

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Study Type : Observational
Actual Enrollment : 525 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Use of the Ask Suicide-Screening Questions (ASQ) in Pediatric Outpatient Settings
Actual Study Start Date : July 9, 2016
Actual Primary Completion Date : May 10, 2018
Actual Study Completion Date : April 22, 2020

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Suicide

Primary Outcome Measures :
  1. Primary outcome measures include frequencies of positive responses to all ASQ and SIQ items. [ Time Frame: Ongoing ]

Secondary Outcome Measures :
  1. Responses to demographic survey items will allow us to describe if the primary outcome measure varies by race, gender, education level, and other demographic variables. A depression screen and a brief questionnaire to assess parent opinion will... [ Time Frame: Ongoing ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
  • Patient in the Adolescent/Young Adult Medicine Program.
  • English-speaking
  • Aged 10-21 years, inclusive.
  • If 18 or older, can supply consent.
  • If under 18, has a parent or legal guardian who is available for informed consent (written/verbal).


  • Has a severe developmental or cognitive delay.
  • Has a severe communication disorder such that the patient cannot comprehend questions or communicate answers.
  • Has a severe illness that prevents adequate communication.
  • Parents/guardians and/or patients are non-English speaking.
  • Patients under 18 years old are not with a parent/legal guardian who can provide written consent.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT02830334

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United States, Massachusetts
Childrens Hospital, Boston
Boston, Massachusetts, United States, 02115
United States, Missouri
The Childrens Mercy Hospital
Kansas City, Missouri, United States
Sponsors and Collaborators
National Institute of Mental Health (NIMH)
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Principal Investigator: Lisa M Horowitz, Ph.D. National Institute of Mental Health (NIMH)
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Responsible Party: National Institute of Mental Health (NIMH) Identifier: NCT02830334    
Other Study ID Numbers: 999916130
First Posted: July 12, 2016    Key Record Dates
Last Update Posted: April 28, 2020
Last Verified: April 2020
Keywords provided by National Institutes of Health Clinical Center (CC) ( National Institute of Mental Health (NIMH) ):
Youth Suicide
Additional relevant MeSH terms:
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Self-Injurious Behavior
Behavioral Symptoms