{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:51:36Z","timestamp":1791312696558,"version":"4.3.1"},"reference-count":10,"publisher":"SLACK, Inc.","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Contin Educ Nurs"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"\n Background:<\/jats:title>\n Suicide is one of the leading causes of death among adolescents in the United States, highlighting the importance of early identification of suicide risk in health care settings. The Ask Suicide-Screening Questions (ASQ) instrument is a validated screening tool designed to identify suicide risk in pediatric populations.<\/jats:p>\n <\/jats:sec>\n \n Method:<\/jats:title>\n A quality improvement project was conducted to develop and implement a standardized clinical workflow to support staff in the administration of the ASQ screening tool and improve screening compliance in an outpatient adolescent medicine clinic. The goal of the project was to increase screening compliance to 95% of eligible patients within 8 weeks of implementation. The interventions included implementing a clinical workflow and providing staff education.<\/jats:p>\n <\/jats:sec>\n \n Discussion:<\/jats:title>\n Screening compliance improved after implementation of the workflow and staff education, indicating that standardized processes and clear clinical guidance can improve adherence to suicide screening practices.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n These findings support the use of structured workflows and staff training to enhance suicide risk screening in out-patient pediatric settings.<\/jats:p>\n <\/jats:sec>","DOI":"10.3928\/00220124-20260506-01","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:11:25Z","timestamp":1786734685000},"page":"473-476","source":"Crossref","is-referenced-by-count":0,"title":["Improving Suicide Screening for Patients in Outpatient Adolescent Medicine"],"prefix":"10.3928","volume":"57","author":[{"given":"Nicole","family":"Williams","sequence":"first","affiliation":[{"name":"Pediatric Nurse Practitioner Program, University of Illinois at Chicago, Chicago, Illinois."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gina","family":"Juliano","sequence":"additional","affiliation":[{"name":"Pediatric Nurse Practitioner Program, University of Illinois at Chicago, Chicago, Illinois."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_1","volume-title":"Suicide: Blueprint for youth suicide prevention","author":"American Academy of Pediatrics","year":"2024","unstructured":"American Academy of Pediatrics. (2024). Suicide: Blueprint for youth suicide prevention. American Academy of Pediatrics. https:\/\/www.aap.org\/en\/patient-care\/blueprint-for-youth-suicide-prevention\/"},{"key":"e_1_3_1_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/02537176211046525"},{"key":"e_1_3_1_4_1","volume-title":"Health disparities in suicide","author":"Centers for Disease Control and Prevention","year":"2024","unstructured":"Centers for Disease Control and Prevention. (2024a). Health disparities in suicide. Centers for Disease Control and Prevention. https:\/\/www.cdc.gov\/suicide\/disparities\/index.html"},{"key":"e_1_3_1_5_1","volume-title":"Health disparities among LGBTQ youth","author":"Centers for Disease Control and Prevention","year":"2024","unstructured":"Centers for Disease Control and Prevention. (2024b). Health disparities among LGBTQ youth. Centers for Disease Control and Prevention. https:\/\/www.cdc.gov\/healthy-youth\/lgbtq-youth\/health-disparities-among-lgbtq-youth.html#cdc_generic_section_4-yrbs-transgender-report"},{"key":"e_1_3_1_6_1","volume-title":"Facts about suicide","author":"Centers for Disease Control and Prevention","year":"2025","unstructured":"Centers for Disease Control and Prevention. (2025, March 26). Facts about suicide. Centers for Disease Control and Prevention. https:\/\/www.cdc.gov\/suicide\/facts\/index.html#"},{"key":"e_1_3_1_7_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201800445"},{"key":"e_1_3_1_8_1","author":"Institute for Healthcare Improvement","year":"2024","unstructured":"Institute for Healthcare Improvement. (2024). Model for improvement: Testing changes. https:\/\/www.ihi.org\/resources\/Pages\/HowtoImprove\/ScienceofImprovementTestingChanges.aspx","journal-title":"Model for improvement: Testing changes"},{"key":"e_1_3_1_9_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-1868-6431"},{"key":"e_1_3_1_10_1","volume-title":"Evidence-based practice in nursing and healthcare: A guide to best practice","author":"Melnyk B. M.","year":"2023","unstructured":"Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing and healthcare: A guide to best practice(5th ed.). Wolters Kluwer.","edition":"5"},{"key":"e_1_3_1_11_1","volume-title":"Ask suicide-screening questions (ASQ) toolkit","author":"U.S. Department of Health and Human Services","year":"2024","unstructured":"U.S. Department of Health and Human Services. (2024). Ask suicide-screening questions (ASQ) toolkit. National Institute of Mental Health. https:\/\/www.nimh.nih.gov\/research\/research-conducted-at-nimh\/asq-toolkit-materials"}],"container-title":["The Journal of Continuing Education in Nursing"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:15:27Z","timestamp":1791310527000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/00220124-20260506-01"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,1]]},"references-count":10,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10,1]]}},"alternative-id":["10.3928\/00220124-20260506-01"],"URL":"https:\/\/doi.org\/10.3928\/00220124-20260506-01","relation":{},"ISSN":["0022-0124"],"issn-type":[{"value":"0022-0124","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10,1]]}}}