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AAP Grand Rounds 14:6 (2005) Iatrogenic Risk of School-Based Suicide ScreeningSource: Gould MS, Marrocco FA, Kleinman M, et al. Evaluating iatrogenic risk of youth suicide screening programs: a randomized controlled trial. JAMA. 2005;293:16351643.
Suicide is the third leading cause of death among youth aged 1524 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 20022004 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 912. 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
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