Name
Lesson Learned from Implementation of Suicide Risk Registry in a Pediatric Primary Care network
Description

The Pediatric Physicians’ Organization at Boston Children’s Hospital (PPOC) is the largest association of independent pediatric primary care providers in Massachusetts. The Behavioral Health Integration Program provides QI guidance and technical assistance for BHI to over 100 practice sites. In 2025, nine pediatric practices enrolled in a pilot to implement best practices for suicide screening and intervention and improve care coordination efforts through use of a newly created registry. This program will review qualitative and quantitative data from these pilot practices and insights gained on training all members of a care team to care for suicidal youth.

Content Level
All Audience
Tags
Care management, Pediatrics, Suicide
Session Type
Concurrent
Objective 1
Describe key components of implementing a suicide risk registry pilot within a pediatric primary care network, including dissemination of workflows, training strategies and data collection methods.
Objective 2
Identify sustainable screening, risk stratification, and follow‑up workflows for suicidal youth that align with evidence‑based guidelines and support team‑based care in pediatric primary care settings.
Objective 3
Discuss qualitative and quantitative lessons learned from pilot practices, including care team and patient feedback, workflow adaptations, and implications for scaling suicide risk registries across diverse practice settings.
Content Reference 1

Plax, K., Leshem, E., Dodd, S., Wang, R., Rook, S., Ericson, L., & Solsrud, A. (2024). Pediatric Primary Care Provider Perspectives on Universal Suicide Screening. Journal of primary care & community health, 15, 21501319241271321. https://doi.org/10.1177/21501319241271321

Content Reference 2

Abbott-Smith, S., Ring, N., Dougall, N., & Davey, J. (2023). Suicide prevention: What does the evidence show for the effectiveness of safety planning for children and young people? - A systematic scoping review. Journal of psychiatric and mental health nursing, 30(5), 899–910. https://doi.org/10.1111/jpm.12928

Content Reference 3

Walter, H. J., Vernacchio, L., Trudell, E. K., Bromberg, J., Goodman, E., Barton, J., & Young, G. J. (2019). Five-year outcomes of behavioral health integration in pediatric primary care. Pediatrics, 144(1), e20183243. https://doi.org/10.1542/peds.2018-3243

Content Reference 4

Aguinaldo, L .D., Sullivant, S., Lanzillo E.C., Ross, A., He, J., Bradley-Ewing, A., Bridge, J., Horowitz, L., Wharff, E., (2021) Validation of the ask suicide-screening questions (ASQ) with youth in outpatient specialty and primary care clinics. General Hosptial Psychiatry, 68, 52-58. https://doi.org/10.1016/j.genhosppsych.2020.11.006

Content Reference 5

Horowitz, L. M., Bridge, J. A., Tipton, M. V., Abernathy, T., Mournet, A. M., Snyder, D. J., Lanzillo, E. C., Powell, D., Schoenbaum, M., Brahmbhatt, K., & Pao, M. (2022). Implementing Suicide Risk Screening in a Pediatric Primary Care Setting: From Research to Practice. Academic pediatrics, 22(2), 217–226. https://doi.org/10.1016/j.acap.2021.10.012