{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T14:35:33Z","timestamp":1776954933730,"version":"3.51.4"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K23MH135206\u201001"],"award-info":[{"award-number":["K23MH135206\u201001"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Suicide is a leading cause of death among US youth. Universal suicide risk screening can identify youth with unmet mental health needs, enabling interventions and linkage to services, yet screening is not widely implemented in perioperative and procedural settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We retrospectively assessed implementation of universal suicide risk screening for youth in perioperative and procedural areas of a pediatric health system by examining screening completion rates, positivity rates, and demographic and clinical factors associated with screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective cross\u2010sectional study of universal suicide risk screening among youth 10\u201321\u2009years of age in perioperative and procedural areas of an academic children's hospital and two affiliated ambulatory surgical centers, using electronic health record data from August 2022 to February 2025. We described rates of screening completion using Ask Suicide\u2010Screening Questions (ASQ) and screening positivity rates. We used multivariable logistic regression to examine factors associated with (1) screening completion and (2) positive screens.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 15\u2009204 perioperative and procedural encounters (median age 14 [interquartile range 12, 16], 45% female), 13\u2009566 (89.2%) had at least one ASQ item completed. Of these encounters, 494 (3.6%) had positive screens and 7 (0.1%) had screens indicating imminent risk. Adjusted odds of screening completion were lower among youth aged 10\u201312 than 13\u201315\u2009years (adjusted odds ratio [aOR] 0.69, 95% CI 0.61\u20130.78) and those who preferred a language other than English or Spanish versus those who preferred English (aOR 0.55, 95% CI 0.41\u20130.75). Adjusted odds of positive screens were higher among females than males (aOR 2.49, 95% CI 2.06\u20133.03) and lower in ambulatory surgical centers than the children's hospital (aOR 0.26, 95% CI 0.14\u20130.42).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Universal suicide risk screening can be implemented in perioperative and procedural areas, with positive screens in about 1 in 28 encounters. These settings represent an underutilized opportunity to identify at\u2010risk youth.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pan.70127","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T09:41:22Z","timestamp":1768383682000},"page":"421-430","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Retrospective Evaluation of the Implementation of Universal Suicide Risk Screening for Youth in the Perioperative and Procedural Areas of a Health System"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6416-4846","authenticated-orcid":false,"given":"Michelle","family":"Tsao","sequence":"first","affiliation":[{"name":"Department of Pediatric Anesthesiology Ann &amp; Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"},{"name":"Northwestern University Feinberg School of Medicine  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arkadeep","family":"Ghosh","sequence":"additional","affiliation":[{"name":"University of Missouri\u2010Kansas City, School of Medicine  Kansas City Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda N.","family":"Burnside","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine  Chicago Illinois USA"},{"name":"The Pritzker Department of Psychiatry and Behavioral Health Ann &amp; Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunyi","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Anesthesiology Ann &amp; Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew J.","family":"Rowland","sequence":"additional","affiliation":[{"name":"Department of Pediatric Anesthesiology Ann &amp; Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"},{"name":"Northwestern University Feinberg School of Medicine  Chicago Illinois USA"},{"name":"Division of Critical Care Medicine Ann &amp; Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Cheon","sequence":"additional","affiliation":[{"name":"Department of Pediatric Anesthesiology Ann &amp; Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"},{"name":"Northwestern University Feinberg School of Medicine  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1653-363X","authenticated-orcid":false,"given":"Jennifer A.","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine Ann &amp; Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"},{"name":"Department of Pediatrics and Medical Social Sciences Northwestern University Feinberg School of Medicine  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Centers for Disease Control and Prevention \u201cLeading Causes of Death and Injury \u201daccessed May 21 2023 https:\/\/wisqars.cdc.gov\/."},{"key":"e_1_2_12_3_1","volume-title":"Youth Risk Behavior Survey Data Summary & Trends Report: 2013\u20132023","author":"Centers for Disease Control and Prevention","year":"2024"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2022.11.009"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2022-325122"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2020.1586"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.202000881"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2020-0087"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/24694193.2022.2060376"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2012.1276"},{"key":"e_1_2_12_11_1","unstructured":"National Institute of Mental Health \u201cAsk Suicide\u2010Screening Questions Toolkit \u201daccessed July 30 2025 https:\/\/www.nimh.nih.gov\/research\/research\u2010conducted\u2010at\u2010nimh\/asq\u2010toolkit\u2010materials\/index.shtml."},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2020.11.006"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaclp.2020.12.002"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworksopen.2024.24664"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-036453"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.20230211"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2024-065901"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2018-0154"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2023-064800"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2019.5678"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2020.0279"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/07347332.2020.1856997"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/17504589211020905"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2015.11.28590"}],"container-title":["Pediatric Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pan.70127","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pan.70127","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pan.70127","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T13:36:08Z","timestamp":1776951368000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pan.70127"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,14]]},"references-count":23,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/pan.70127"],"URL":"https:\/\/doi.org\/10.1002\/pan.70127","archive":["Portico"],"relation":{},"ISSN":["1155-5645","1460-9592"],"issn-type":[{"value":"1155-5645","type":"print"},{"value":"1460-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,14]]},"assertion":[{"value":"2025-09-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}