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 Vol. 14 No. 1, July 2005
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AAP Grand Rounds 14:6 (2005)
© 2005 American Academy of Pediatrics

EPIDEMIOLOGY

Iatrogenic Risk of School-Based Suicide Screening

Source: Gould MS, Marrocco FA, Kleinman M, et al. Evaluating iatrogenic risk of youth suicide screening programs: a randomized controlled trial. JAMA. 2005;293:1635–1643.[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.

Suicide is the third leading cause of death among youth aged 15–24 years,1 and prominent national voices call for effective prevention strategies.2,3 Investigators from Columbia University and New York State Psychiatric Institute performed a randomized controlled trial between 2002–2004 designed to determine whether a screening survey asking high school students about suicidal thoughts or behavior actually causes distress or suicidal ideation among the participants.

Subjects included 2342 students from 6 New York State high schools, representing 64% of eligible students in grades 9–12. Nonparticipation was primarily due to parental refusal (62%), student refusal (14%), and school absence (24%). Subjects were predominantly white (80%) with a mean age of 14.8 years. Because one school was a parochial boys’ school, males were over-represented (58%). Classes within . . . [Full Text of this Article]

Michael B. Aldous, MD, MPH, FAAP
Pediatrics, University of Arizona, Tucson, AZ