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Psychometric Evidence of Suicide Risk Assessment Tools for Children and Adolescents

A Systematic Review

Bibliographic Data

ID17560262
AuthorsRika Sarfika (0000-0001-7066-568X, Universitas Andalas, Indonesia, corresponding author), Christina Yeni Kustanti (0000-0002-9914-6127, Sekolah Tinggi Ilmu Kesehatan Bethesda Yakkum, Indonesia), I Made Moh Yanuar Saifudin (0000-0002-1549-6403, Universitas Tanjungpura, Indonesia), Ferry Efendi (0000-0001-7988-9196, Universitas Airlangga, Indonesia), Khatijah Lim Abdullah (0000-0002-7185-6004, Sunway University, Malaysia)
Year2026
Publication date2026-04-08
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Behavioral Development (JOURNAL)
Journal identifiersISSN: 0165-0254 • E-ISSN: 1464-0651
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/01650254261430618
OpenAlexW7152142613
LanguageEN
References cited58

Numerous suicide risk assessment tools exist, but their psychometric quality, diagnostic accuracy and cultural applicability for youth are unclear. This review aims to synthesise the evidence on the psychometric performance and clinical feasibility of suicide risk assessment instruments for children and adolescents. A systematic review was conducted in accordance with the Cochrane Handbook and reported following the PRISMA 2020 guidelines and was prospectively registered in PROSPERO (CRD42024569168). Seven databases were searched from inception to July 2024, without language restrictions, for observational studies evaluating psychometric or diagnostic properties of suicide risk instruments in populations aged .90) across emergency, inpatient, outpatient and primary-care settings. ASQ and SBQ-R currently provide the most robust evidence for brief suicide risk assessment in children and adolescents. Integrating these validated tools into routine nursing, school, and primary-care practice may strengthen early identification and referral pathways. These findings support global mental health priorities, including Sustainable Development Goals (SDGs)

MEDLINE · Mental health · Observational study · Poison control · Referral · Risk assessment · Suicide prevention · Systematic review · COVID-19 and Mental Health · Gun Ownership and Violence Research · Human Factors and Ergonomics · Suicide and Self-Harm Studies

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