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1: Universal Screening - Validated Screening Tools

Screening and Evaluation » Screening
1: Universal screening and validated Screening Tools

With regard to universal screening, we suggest the use of a validated screening tool to identify individuals at risk for suicide-related behavior.

Strength:

Weak for

Category:

ReviewedNew-added

Grades and Definitions

Strong for
or "We recommend offering this option …"
Weak for
or "We suggest offering this option …"
No recommendation
or "There is insufficient evidence …"
Weak against
or "We suggest not offering this option …"
Strong against
or "We recommend against offering this option …"

Categories and Definitions

Evidence Reviewed* Recommendation Category* Definition*
Reviewed New-added New recommendation following review of the evidence
New-replaced Recommendation from previous CPG that has been carried over to the updated CPG that has been changed following review of the evidence
Not changed Recommendation from previous CPG that has been carried forward to the updated CPG where the evidence has been reviewed but the recommendation is not changed
Amended Recommendation from the previous CPG that has been carried forward to the updated CPG where the evidence has been reviewed and a minor amendment has been made
Deleted Recommendation from the previous CPG that has been removed based on review of the evidence
Not reviewed Not changed Recommendation from previous CPG that has been carried forward to the updated CPG, but for which the evidence has not been reviewed
Amended Recommendation from the previous CPG that has been carried forward to the updated CPG where the evidence has not been reviewed and a minor amendment has been made
Deleted Recommendation from the previous CPG that has been removed because it was deemed out of scope for the updated CPG
*Adapted from the NICE guideline manual (2012): The guidelines manual. London: National Institute for Health and Care Excellence;2012. and Martinez Garcia L, McFarlane E, Barnes S, Sanabria AJ, Alonso-Coello P, Alderson P. Updated recommendations: An assessment of NICE clinical guidelines. Implement Sci. 2014;9:72.

Recommendation Resources

Many different validated tools exist to identify those who are at elevated risk of dying by suicide. To choose which screening tool best fits the needs of your health care system and the populations you serve, consider the following: setting, validation samples, cost, time to administer.

Manuals

This section includes links to recommended manuals and information about universal screening and validated screening tools

Cover graphic for report -- The Joint Commission: Suicide Prevention Resources to support Joint Commission Accredited organizations implementation of NPSG 15.01.01, revised November 2018 Suicide Prevention Resources to Support Joint Commission Accredited Organizations This resource developed by the Joint Commission includes a list of validated/evidence-based screening tools (see pages 7-11).
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Webinars

This section includes links to recommended webinars about universal screening and validated screening tools.

CPG Webinar Evidence-Based Practice in Suicide Risk Screening and Evaluation: Why, What, How and When? Presented by Dr. Nazanin Bahraini
CPG Webinar VA Suicide Risk Identification Strategy (Risk ID): Utilizing the CPG to Inform Standardized Suicide Risk Screening and Evaluation Presented by Suzanne McGarity, PhD
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Articles

This section includes links to recommended articles about universal screening and validated screening tools.

Bahraini, N., Brenner, L. A., Barry, C., Hostetter, T., Keusch, J., Post, E. P., Kessler, C., Smith, C., & Matarazzo, B. B. (2020). Assessment of Rates of Suicide Risk Screening and Prevalence of Positive Screening Results Among US Veterans After Implementation of the Veterans Affairs Suicide Risk Identification Strategy. JAMA network open, 3(10). e2022531. https://doi.org/10.1001/jamanetworkopen.2020.22531
Roaten, K., Johnson, C., Genzel, R., Khan, F., & North, C. S. (2018). Development and Implementation of a Universal Suicide Risk Screening Program in a Safety-Net Hospital System. Joint Commission journal on quality and patient safety, 44(1). 4-11. https://doi.org/10.1016/j.jcjq.2017.07.006
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