37 Screening Youth For Suicide Risk: Using the Ask Suicide Screening Questions Tool

https://302.buzz/PM-WhatAreYourThoughtsToday’s episode is an encore of an interview I did with Dr. Lisa Horowitz last fall. Suicide is the second leading cause of death in youth 15-24. Dr. Horowitz talks about how pediatricians can incorporate the Ask Suicide Screening Questions (ASQ) screening tool into their practice to help identify children and adolescents at risk of suicide and to link them to coordinated care.   Dr. Lisa Horowitz is a Staff Scientist and Pediatric Psychologist at the Nation Institute of Mental Health Intermural Research Program at NIMH. The major focus of her research has been detection of suicide risk in the medical setting. She is the head PI in several ‘Suicide Prevention Protocols’ using the ASQ Toolkit. She assists hospitals, schools, and pediatric centers in implementing Suicide Screening of patients.   The Hotline for Suicide Prevention is 1-800-273-8255. Crisis Text Line: text HOME to 741741 [00:01 - 10:54] Dr. Lisa Horowitz Shares Her Story   I introduce my guest, Dr. Lisa HorowitzDr. Horowitz shares a bit of her background How Dr. Horowitz got into her line of work Realizing the need for developing a suicide screening tool The Creation of ASQ   [10:55 - 22:25] How To Implement Suicide Risk Screening When It’s Outside of Your Medical Training The pushback Dr. Horowitz experienced when trying to implement Ask Suicide Screening Questions (ASQ) ToolkitCreating a script for Nurses or practitioners that will help parents and patients feel comfortable Using appropriate language when checking up on patient’s mental health Doctor’s fear about patient’s screening positive for suicide risk   [22:26 - 49:48]  How What Dr. Horowitz Did in the Emergency Room Translates To Primary Care  Despite suicide being the 2nd leading cause of death, most health care professionals are not trained in dealing with it Dr. Horowitz tells a pediatrician superhero story about Dr. Ted Abernathy“He’s not worried about all the ones he’s going to catch. He’s worried about the ones he’s going to miss.”  What a practitioner should do if they get a positive screening Conducting the 2nd tier safety assessmentCreating safety plans for the patient with the ASQ toolkit  Having experts with mental health experience and training in the clinic is idealPartnering with mental health professionals or partnering with your local crisis hotline Having the patient return to your office in a few days until you can secure them with a mental health professional    Asking about access to lethal means particularly firearmsDisrupting at-risk patient’s means of suicide can be a big lifesaver Fostering resilience Checking your own emotional regulation [49:48 - 00:00]   Closing Segment Pediatricians can make a difference To learn more about the ASQ, please refer to the link below Final Takeaways: The ASQ is a lot more sensitive than the PHQ9 It is OK to ask parents to step outside the room It’s a myth that asking will put suicidal ideas who weren’t thinking about suicide This can be implemented in a primary care setting; Listen to next week's episode on how it can be implemented in a way it makes sense We can make a difference by using these 5 questions Never forget to ask...

Fecha de Publicación: 19 de mayo de 2021

Duración: 56 min