Reevaluating Suicide Risk Screening in Preadolescents: Beyond Safety Toward Strategic Integration - 04/09/25

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Résumé |
We read with great interest the recent article by Hennefield et al. , titled “Asking Preadolescents About Suicide Is Not Associated With Increased Suicidal Thoughts.” 1 The study’s nuanced design and rigorous analysis provide reassuring evidence that repeated suicide-risk screening—whether monthly in lower-risk or weekly in higher-risk 8- to 12-year-olds—does not appear to induce suicidal ideation in this vulnerable population. This finding helps to dismantle long-standing hesitation in pediatric practice regarding the potential iatrogenic effects of introducing suicide-related language during mental health screening. However, the implications of this research stretch beyond the issue of safety, inviting broader discussion on how such screenings might be strategically deployed within real-world pediatric care systems.
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| This research was funded by the Futian Healthcare Research Project, Shenzhen (No. FTWS2023059, FTWS2023063), the Natural Science Foundation of Shenzhen Science and Technology Innovation Commission No. JCYJ20240813161201002, JCYJ20220530142015035), the District of Shenzhen City clinical key specialty construction fund(0998H), and the Science and Technology Plan Project in the Field of Social Development of Zhuhai City (No.2320004000106) |
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| The authors thank all the colleagues who helped in the preparation of this article. |
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| Disclosure: Zhenzhuang Zou, Jiaying Liu, Li Fu, Bo Huang, and Shaohua Wang have reported no biomedical financial interests or potential conflicts of interest. |
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| All statements expressed in this column are those of the authors and do not necessarily reflect the opinions of the Journal of the American Academy of Child and Adolescent Psychiatry . See the Guide for Authors for information about the preparation and submission of Letters to the Editor. |
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