( 2021) highlight how evidence-based screening can be implemented within ED and primary care settings. The articles in this issue address different points in the care process or clinical pathway. This special issue describes innovative approaches to quality improvement in suicide prevention services. This process can include documentation of outcomes, with refinements to interventions and the care process model implemented as part of continuing quality assurance processes (J. Moreover, because of the diversity of settings in which suicidal youth are seen, it is important to consider if approaches for responding to acute suicide risk should be adapted or tailored for the specific needs of the service settings or targeted populations. Asarnow et al., 2020 Tunno et al., 2021, in this special issue. Because of the strong relationship between trauma and suicide risk, especially among youth seen in emergency department settings, it is important for brief intervention approaches and other suicide prevention efforts to be trauma-informed (J.R. Across the age span, brief interventions have shown promise in addressing acute risk for suicidal behaviors and in facilitating linkage to treatment (Doupnik et al., 2020). Unfortunately, there is a dearth of evidence-based interventions for suicidal young people (Substance Abuse and Mental Health Services Administration, 2020). In particular, in emergency department settings, it is not uncommon for youth with mental health issues to not be seen by a mental health professional (Kalb et al., 2019), or for suicidal youth to not receive therapy following their discharge (Asarnow et al., 2011). Nonetheless, a significant proportion of youth experiencing suicidal thoughts or behaviors do not receive medical treatment (Ivey-Stephenson et al., 2020) or have contact with a mental health professional. Rates of suicide attempts are also high, with 18.8% of high school students in 2019 reporting that they seriously considered suicide, and 8.9% reporting that they attempted suicide in the last year. Web-based Injury Statistics Query and Reporting System (WISQARS), 2021). Moreover, in the year 2018, the rates of suicide among adolescent girls ages 12 to 17 were the highest in 20 years (Centers for Disease Control and Prevention. For details about services, including confidential counseling, please visit One Source EAP.From 2003 to 2018, the rates of suicide among young people in the United States ages 12 to 17 doubled (Centers for Disease Control and Prevention. If you’re an RWJBarnabas Health employee, know that our EAP is here for you and your family. Allow plenty of time to adjust to the new realities. You may feel better for a while and then have a “relapse.” This is normal. Balance time alone with time with others.
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