Children's Hospitals Today - Summer 2024 - 18

FEATURE / TRENDS
MENTAL HEALTH SCREENINGS
Facing a mental health crisis among young people, children's hospitals are increasing
suicide and depression screenings to connect kids with resources sooner.
Universal screening
In 2021, Children's Wisconsin set out to
implement a universal suicide screening
process across the health system. In two
years, more than 27,000 Ask SuicideScreening
Questions (ASQ) screenings
were conducted, resulting in more than
400 social work consults. Patients who
score in the non-acute positive range on
the ASQ are additionally screened using
the Columbia Suicide Severity Rating
Scale to help triage their level of risk.
Children 10 and older are screened every
30 days within the health system.
Specialty clinic screenings
Atrium Health Levine Children's
Hospital incorporated GAD-7 and PHQ9
screening tools into the routine workflow
at a pediatric nephrology clinic, aiming
to increase recognition of anxiety
and depression in patients over 12 years
old who have chronic conditions. To
18
CHILDREN'S HOSPITALS TODAY Summer 2024
Eighty percent of
eligible patients were
screened at their
nephrology clinic visit,
and 80% of those
patients with a score
greater than or equal
to five received an
intervention.
64.5%
decreased GAD-7
anxiety scores upon
rescreening.
61%
decreased PHQ-9
depression scores
upon rescreening.
better individualize interventions,
the team added three questions to the
original GAD-7 screening. Additionally,
a multidisciplinary team developed a
stepped intervention protocol for anxiety
and depression depending on scores.
Emergency department
screenings
Children's Hospital of Philadelphia instituted
a routine behavioral health
screening of every adolescent in the
emergency department. They codesigned
a new screening tailored specifically
to ED patients, integrating it
with the EHR and a web-based software
platform, and developed multifaceted
interventions for positive screens. More
than 300 behavioral health screens are
completed each month in the ED, with
approximately one-third of screenings
revealing symptoms of moderate to severe
depression or suicidal ideation.

Children's Hospitals Today - Summer 2024

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Contents
Children's Hospitals Today - Summer 2024 - Cover1
Children's Hospitals Today - Summer 2024 - Cover2
Children's Hospitals Today - Summer 2024 - Contents
Children's Hospitals Today - Summer 2024 - 2
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Children's Hospitals Today - Summer 2024 - Cover3
Children's Hospitals Today - Summer 2024 - Cover4
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