Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (2): 69-74.doi: 10.6040/j.issn.1671-7554.0.2021.0379

Previous Articles     Next Articles

Research progress of suicide warning systems for adolescents and young adults

XU Xiaoming1, KONG Yiting1, LIU Chuan2, MING Ying2, KUANG Li1   

  1. 1. Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China;
    2. Mental Health Center, University-Town Hospital of Chongqing Medical University, Chongqing 401331, China
  • Published:2022-01-25

Abstract: Suicide is one of the leading causes of death among adolescents and young adults and brings a heavy burden of disease to families and society. The World Health Organization identifies suicide as a serious public health event and calls on member countries to establish a nationwide strategy of suicide prevention to reduce the global suicide rate by one-third by 2030. This article analyzed the studies on the progress of suicide early warning systems for adolescents and young adults in countries around the world from 2000 to 2020 in four aspects: the screening of suicide risk factors, the tools of suicide screening, screening process, and the effectiveness of suicide screening. This review aimed to provide a reference for professionals on adolescents suicide in schools, communities, and hospitals and provided ideas for establishing a national strategy of suicide prevention in China.

Key words: Adolescents, Young adults, Suicide, Attempted suicide, Screening, Prevention, Early warning

CLC Number: 

  • C320.57
[1] Alonso P, Segalàs C, Real E, et al. Suicide in patients treated for obsessive-compulsive disorder: a prospective follow-up study[J]. J Affect Disord, 2010, 124(3): 300-308.
[2] Babeva K, Hughes JL, Asarnow J. Emergency Department screening for suicide and mental health risk[J]. Curr Psychiatry Rep, 2016, 18(11): 100. doi: 10.1007/s11920-016-0738-6.
[3] Ballard ED, Tingey L, Lee A, et al. Emergency Department utilization among American Indian adolescents who made a suicide attempt: a screening opportunity[J]. J Adolesc Health, 2014, 54(3): 357-359.
[4] World Health Organization. Suicide worldwide in 2019: global health estimates [EB/OL].(2021-06-16)[2021-07-22]. https://apps.who.int/iris/rest/bitstreams/1350975/retrieve.
[5] 廖翠萍. 中国大学生自杀未遂的研究分析[D].重庆: 重庆医科大学, 2018.
[6] Wang W, Zhou DD, Ai M, et al. Internet addiction and poor quality of life are significantly associated with suicidal ideation of senior high school students in Chongqing, China[J]. Peer J, 2019, 7: e7357. doi: 10.7717/peerj. 7357.
[7] 陈春梅,孙希玲,杨晶洁,等. 我国20年来青少年自杀研究的分析[J]. 健康教育与健康促进, 2017, 12(5): 403-406. CHEN Chunmei, SUN Xiling, YANG Jingjie, et al. Analysis on research of adolescent suicide in China in the recent 20 years [J]. Health Education and Health Promotion, 2017, 12(5): 403-406.
[8] Korczak DJ, Finkelstein Y, Barwick M, et al. A suicide prevention strategy for youth presenting to the Emergency Department with suicide related behaviour: protocol for a randomized controlled trial[J]. BMC Psychiatry, 2020, 20(1): 20. doi: 10.1186/s12888-019-2422-y.
[9] Garlow SJ, Rosenberg J, Moore JD, et al. Depression, desperation, and suicidal ideation in college students: results from the American Foundation for Suicide Prevention College Screening Project at Emory University[J]. Depress Anxiety, 2008, 25(6): 482-488.
[10] Zhu X, Tian L, Huebner ES. Trajectories of suicidal ideation from middle childhood to early adolescence: risk and protective factors[J]. J Youth and Adolesc,2019, 48(9): 1818-1834.
[11] Diamond GS, Herres JL, Krauthamer Ewing ES, et al. Comprehensive screening for suicide risk in primary care[J]. Am J Prev Med, 2017, 53(1): 48-54.
[12] Horowitz LM, Ballard ED, Pao M. Suicide screening in schools, primary care and emergency departments[J]. Curr Opin Pediatr, 2009, 21(5): 620-627.
[13] Scott M, Wilcox H, Huo Y, et al. School-based screening for suicide risk: balancing costs and benefits[J]. Am J Public Health, 2010, 100(9): 1648-1652.
[14] Franklin JC, Ribeiro JD, Fox KR, et al. Risk factors for suicidal thoughts and behaviors: a meta-analysis of 50 years of research[J]. Psychol Bull, 2017, 143(2): 187-232.
[15] 胡一文,王高华.大学生网络成瘾与自杀倾向的相关性[J].中华健康管理学杂志, 2011(6): 384-386. doi: 10.3760/cma.j.issn.1674-0815.2011.06.026.
[16] King CA, Gipson PY, Horwitz AG, et al. Teen options for change: an intervention for young emergency patients who screen positive for suicide risk[J]. Psychiatr Serv, 2015, 66(1): 97-100.
[17] Nock MK, Green JG, Hwang I, et al. Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement[J]. JAMA Psychiatry, 2013, 70(3): 300-310.
[18] Wintersteen MB, Diamond GS, Fein JA. Screening for suicide risk in the pediatric emergency and acute care setting[J]. Curr Opin Pediatr, 2007, 19(4): 398-404.
[19] Gould MS, Greenberg T, Velting DM, et al. Youth suicide risk and preventive interventions: a review of the past 10 years[J]. J Am Acad Child Adolesc Psychiatry, 2003, 42(4): 386-405.
[20] Dilillo D, Mauri S, Mantegazza C, et al. Suicide in pediatrics: epidemiology, risk factors, warning signs and the role of the pediatrician in detecting them[J]. Ital J Pediatr, 2015, 41: 49. doi: 10.1186/s13052-015-0153-3.
[21] Goodyear-Smith F, Martel R, Darragh M, et al. Screening for risky behaviour and mental health in young people: the YouthCHAT programme[J]. Public Health Rev, 2017, 38: 20. doi: 10.1186/s40985-017-0068-1.
[22] OConnor RC, Portzky G. The relationship between entrapment and suicidal behavior through the lens of the integrated motivational-volitional model of suicidal behavior[J]. Curr Opin Psychol, 2018, 22: 12-17. doi: 10.1016/j.copsyc.2017.07.021.
[23] 林益强,谢斌,卞茜,等.以学校为基础的青少年自杀风险筛查与干预研究[J].健康教育与健康促进, 2016, 11(4): 250-252. LIN Yiqiang, XIE Bin, BIAN Qian, et al. A stugy of adolescent suicide risk screening and intervention based on the school setting [J]. Health Education and Health Promotion, 2016, 11(4): 250-252.
[24] Gould MS, Marrocco FA, Hoagwood K, et al. Service use by at-risk youths after school-based suicide screening[J]. J Am Acad Child Adolesc Psychiatry, 2009, 48(12): 1193-1201.
[25] Horowitz LM, Bridge JA, Pao M, et al. Screening youth for suicide risk in medical settings: time to ask questions[J]. Am J Prev Med, 2014, 47(3 Suppl 2): S170-S175.
[26] Ludi E, Ballard ED, Greenbaum R, et al. Suicide risk in youth with intellectual disabilities: the challenges of screening[J]. J Dev Behav Pediatr, 2012, 33(5): 431-440.
[27] OConnor E, Gaynes BN, Burda BU, et al. Screening for and treatment of suicide risk relevant to primary care: a systematic review for the U.S. Preventive Services Task Force[J]. Ann Intern Med, 2013, 158(10): 741-754.
[28] Lew B, Huen J, Yu P, et al. Associations between depression, anxiety, stress, hopelessness, subjective well-being, coping styles and suicide in Chinese university students[J]. PLoS ONE, 2019, 14(7): e0217372. doi: 10.1371/journal.pone.0217372.
[29] 杨林胜. 大学生一年随访期内自杀行为及其预测因素研究[D].合肥: 安徽医科大学, 2015.
[30] Brent DA, McMakin DL, Kennard BD, et al. Protecting adolescents from self-harm: a critical review of intervention studies[J]. J Am Acad Child Adolesc Psychiatry, 2013, 52(12): 1260-1271.
[31] Kann L, McManus T, Harris WA, et al. Youth risk behavior surveillance-United States, 2017[J]. MMWR Surveill Summ, 2018, 67(8): 1-114.
[32] Naghavi M, Global Burden of Disease Self-Harm Collaborators. Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016[J]. BMJ, 2019, 364: l94. doi: 10.1136/bmj.l94.
[33] Kann L, Olsen EOM, McManus T, et al. Sexual identity, sex of sexual contacts, and health-related behaviors among students in grades 9-12-United States and selected sites, 2015[J]. MMWR Surveill Summ, 2016, 65(9): 1-202.
[34] Horowitz LM, Bridge JA, Teach SJ, et al. Ask Suicide-Screening QWuestions(ASQ): a brief instrument for the pediatric emergency department[J]. Arch Pediatr Adolesc Med, 2012, 166(12): 1170-1176.
[35] Posner K, Brown GK, Stanley B, et al. The Columbia-suicide severity rating scale:initial validity and internal consistency findings from three multisite studies with adolescents and adults[J]. Am J Psychiatry, 2011, 168(12): 1266-1277.
[36] Thom R, Hogan C, Hazen E. Suicide risk screening in the hospital setting: a review of brief validated tools[J]. Psychosomatics, 2020, 61(1): 1-7.
[37] Cotton CR, Peters DK, Range LM. Psychometric properties of the suicidal behaviors questionnaire[J]. Death Stud, 1995, 19(4): 391-397.
[38] Harris KM, Syu JJ, Lello OD, et al. The ABCs of suicide risk assessment: applying a tripartite approach to individual evaluations[J]. PLoS ONE, 2015, 10(6): e0127442. doi: 10.1371/ journal.pone.0127442.
[39] Boudreaux ED, Jaques ML, Brady KM, et al. The patient safety screener: validation of a brief suicide risk screener for Emergency Department settings[J]. Arch Suicide Res, 2017, 21(1): 52-61.
[40] Na PJ, Yaramala SR, Kim JA, et al. The PHQ-9 Item 9 based screening for suicide risk: a validation study of the Patient Health Questionnaire(PHQ)-9 Item 9 with the Columbia Suicide Severity Rating Scale(C-SSRS)[J]. J Affect Disord, 2018, 232: 34-40. doi: 10.1016/j.jad.2018.02.045.
[41] Heise B, York A, Thatcher B. Child suicide screening methods: are we asking the right questions? A review of the literature and recommendations for practice[J]. J Nurse Prac, 2016, 12(6): 410-417.
[42] Horowitz LM, Wang PS, Koocher GP, et al. Detecting suicide risk in a pediatric emergency department: development of a brief screening tool[J]. Pediatrics, 2001, 107(5): 1133-1137.
[43] Hammerton G, Zammit S, Potter R, et al. Validation of a composite of suicide items from the Mood and Feelings Questionnaire(MFQ)in offspring of recurrently depressed parents[J]. Psychiatry Res, 2014, 216(1): 82-88.
[44] Bussing R, Murphy TK, Storch EA, et al. Psychometric properties of the Treatment-Emergent Activation and Suicidality Assessment Profile(TEASAP)in youth with OCD[J]. Psychiatry Res, 2013, 205(3): 253-261.
[45] 杨雪岭,胡全喜,赵静波,等.个体心理危机征兆预警工具研究[J].中国全科医学, 2019, 22(4): 484-489. YANG Xueling, HU Quanxi, ZHAO Jingbo, et al. Development of an evaluation instrument for warning signs of individual paychological crisis [J]. Chinese General Practice, 2019, 22(4): 484-489.
[46] Patterson S. Suicide risk screening tools and the youth population[J]. J Child Adolesc Psychiatr Nurs, 2016, 29(3): 118-126.
[47] Zheng L, Wang O, Hao S, et al. Development of an early-warning system for high-risk patients for suicide attempt using deep learning and electronic health records[J]. Transl Psychiatry, 2020, 10(1): 72. doi: 10.1038/s41398-020-0684-2.
[48] Chai Y, Luo H, Zhang Q, et al. Developing an early warning system of suicide using Google Trends and media reporting[J]. J Affect Disord, 2019, 255: 41-49. doi: 10.1016/j.jad.2019.05.030.
[49] King CA, OMara RM, Hayward CN, et al. Adolescent suicide risk screening in the Emergency Department[J]. 2009, 16(11): 1234-1241.
[50] Hallfors D, Brodish PH, Khatapoush S, et al. Feasibility of screening adolescents for suicide risk in “real-world” high school settings[J]. Am J Public Health, 2006, 96(2): 282-287.
[51] Lake CR. How academic psychiatry can better prepare students for their future patients: Part II: a course in ultra-brief initial diagnostic screening suitable for future primary care physicians[J]. Behav Med, 2008, 34(3): 101-116.
[52] Frick MG, Butler SA, deBoer DS. Universal suicide screening in college primary care[J]. J Am Coll Health, 2021, 69(1): 17-22.
[53] Gould MS, Marrocco FA, Kleinman M, et al. Evaluating iatrogenic risk of youth suicide screening programs: a randomized controlled trial[J]. JAMA, 2005, 293(13): 1635-1643.
[54] Ross AM, White E, Powell D, et al. To ask or not to ask? Opinions of pediatric medical inpatients about suicide risk screening in the hospital[J]. J Pediatr, 2016, 170: 295-300. doi: 10.1016/j.jpeds.2015.11.052.
[55] LeFevre ML. Screening for suicide risk in adolescents, adults, and older adults in primary care: U.S. Preventive Services Task Force recommendation statement[J]. Ann Intern Med, 2014, 160(10): 719-726.
[1] LI Yan-Meng, LI Dong-Qing, CHEN Peng, ZHANG Ke-Feng. PLGA membrane in prevention of epidural scar adhesions after the operations: an empirical study [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2209, 47(6): 33-.
[2] WANG Jing, XIE Yan, LI Peilong, DU Lutao, WANG Chuanxin. Value of abnormal methylation of cg16212145 on GZMB gene in early screening of gastric cancer [J]. Journal of Shandong University (Health Sciences), 2022, 60(6): 26-34.
[3] Li KUANG,Xiaoming XU,Qi ZENG. Review of machine learning used in the field of suicide [J]. Journal of Shandong University (Health Sciences), 2022, 60(4): 10-16.
[4] SHEN Yufei, ZHAO Mei, HU Mi. Help-seeking willingness, help-seeking behaviors and influencing factors in middle school students with suicidal ideation [J]. Journal of Shandong University (Health Sciences), 2022, 60(4): 99-106.
[5] ZHAO Sibo, PENG Li, LING Hongxiang. Relationship between medical insurance participation and risk of suicide among rural elderly [J]. Journal of Shandong University (Health Sciences), 2022, 60(4): 113-118.
[6] JIA Cunxian, LIU Zhenzhen. Pay attention to sleep problems and prevent self-harm among adolescents [J]. Journal of Shandong University (Health Sciences), 2022, 60(2): 1-7.
[7] SU Yonggang, WANG Rui, YANG Tongwei. Influencing factors and preventive measures of elderly suicide from the perspective of Healthy China Initiative [J]. Journal of Shandong University (Health Sciences), 2022, 60(2): 8-13.
[8] YAO Zhiying, WEI Yanxin, WANG Xinting, ZHANG Jie, JIA Cunxian. Relationship between exposure to suicidal behaviors and suicide attempt of rural residents [J]. Journal of Shandong University (Health Sciences), 2022, 60(1): 86-92.
[9] BI Fengying, YAN Dongqin, CHEN Xi, LUO Dan. Theoretical framework of suicide risk factors among people living with HIV/AIDS: a qualitative study based on grounded theory [J]. Journal of Shandong University (Health Sciences), 2022, 60(1): 109-117.
[10] LI Tiantian, WANG Qing, SUN Qinghua. Strengthen research on early warning of environmental health risks and promote public health services [J]. Journal of Shandong University (Health Sciences), 2021, 59(12): 1-5.
[11] WEI Yanxin, WANG Xinting, LIU Baopeng, LI Yuanyuan, ZHANG Jiyu, JIA Cunxian. A cluster analysis of suicide attempters in rural Shandong Province according to their suicidal behaviors [J]. Journal of Shandong University (Health Sciences), 2021, 59(11): 108-113.
[12] YANG Jiulong, YU Tao, XUE Fuzhong. Distribution of cerebrovascular stenosis and construction of a screening model [J]. Journal of Shandong University (Health Sciences), 2021, 59(11): 114-119.
[13] ZHANG Yilin, WANG Chao, ZOU Guangshun, LYU Juncheng. Relationship between sense of meaning in life and suicidal ideation in medical students [J]. Journal of Shandong University (Health Sciences), 2021, 59(11): 93-99.
[14] ZHUANG Dayong, HE Qingqing, LI Xiaolei, ZHOU Peng, YUE Tao, XU Jing. Application of da Vinci robotic thyroidectomy for thyroid cancer in children and adolescents [J]. Journal of Shandong University (Health Sciences), 2021, 59(1): 45-48.
[15] AN Di, WANG Xinting, LIU Zhenzhen, JIA Cunxian. Association between restless legs syndrome and suicidal behaviors among adolescents [J]. Journal of Shandong University (Health Sciences), 2020, 1(9): 77-82.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] LYU Longfei, LI Lin, LI Shuhai, QI Lei, LU Ming, CHENG Chuanle, TIAN Hui. Application of laparoscopic fine needle catheter jejunostomy in minimally invasive McKeown resection of esophageal cancer[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 77 -81 .
[2] SHAO Haigang, WANG Xuan, WANG Qing. Anatomy of the root canal system of mandibular first premolar in population of Shandong Province[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(9): 85 -89 .
[3] SHI Shuang, LI Juan, MI Qi, WANG Yunshan, DU Lutao, WANG Chuanxin. Construction and application of a miRNAs prognostic risk assessment model of gastric cancer[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 47 -52 .
[4] LI Yu-liang,WANG Yong-zheng,WANG Xiao-hua,ZHANG Fu-jun,ZHU Li-dong,ZHANG Wang-ming,LI Zheng,LI Zhen-jia,ZHANG Kai-xian. I implantation combined with Gemcitabine in the treatment of advanced pancreatic cancer[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(4): 393 -396 .
[5] JIANG Bao-dong,MA Xiang-xing,WANG Qing,WANG Qian,FENG Xiao-yuan,LI Ke,YU Fu-hua. Imaging parameters of multislice spiral CT venography in cerebral veins[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(11): 1084 -1086 .
[6] HUANG Fei,WANG Huaijing,XING Yi,GAO Wei,LI Yonggang,XING Ziying,LI Zhenzhong. Protective effects of NGF and GM1 on primary sensory neurons in SD rat with sciatic nerve injury[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2006, 44(4): 332 -335 .
[7] WANG Xiaoju1，　WANG Mingming2，　XU Wansu2,　ZHAO Shengmei3，CUI Sunan2，　LI Xiaoying2，　LIU Chunhua1
. Expression of peripheral blood lymphocyte ubiquitin mRNA in chronic HBV infection with active inflammation and its clinical significance[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(02): 58 -61 .
[8] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(10): 1078 -1080 .
[9] TANG Fang1,2, ZHANG Yingqian3, WANG Zhiqiang4, KANG Dianmin4,
WANG Jiezhen1, XUE Fuzhong1. A 2D minimal spanning tree model of the spatial structures of natural focal disease[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(01): 106 -110 .
[10] MA Li-Xin, LI Gang, SU Yu-Hang, ZHANG Cai, ZHANG Jian. Expression of NKG2D on NK cells in intracranial tumors[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(5): 88 -91 .
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd