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Term Description

Form description: The ASQ is a set of four screening questions that takes 20 seconds to administer.
In an NIMH study (https://pubmed.ncbi.nlm.nih.gov/23027429/), a "yes" response to one or more of the four questions identified 97% of youth (aged 10 to 21 years) at risk for suicide. Led by the NIMH, a multisite research study has now demonstrated that the ASQ is also a valid screening tool for adult medical patients. By enabling early identification and assessment of medical patients at high risk for suicide, the ASQ toolkit can play a key role in suicide prevention.
How it is scored:
1. No to all Questions #1-#4 - Negative screen - No intervention is necessary at this time. NOTE: Clinical judgment can always override a negative screen.
Yes to any of Questions #1-#4 and...
2. Yes to Question #5 - Acute positive screen (imminent/acute risk identified) -
• Patient requires a STAT/urgent safety/full mental health evaluation. Patient cannot leave until evaluated
for safety.
• Keep patient in sight. Remove dangerous objects from room (if possible).
• Alert clinician responsible for patient's care.
3. No to Question #5 - Non-acute positive screen (potential risk identified) -
• Patient needs a brief suicide safety assessment to determine if a full mental health evaluation is needed (and when).
• If adult patient, or parent/guardian of youth patient, refuses the brief suicide safety assessment, document the refusal. Patient can be permitted to leave, unless there are other safety concerns. Follow-up call is recommended.
• Alert clinician responsible for patient's care.

Reference Information

TypeSourceReference
ArticleNational Institute of Mental HealthAsk Suicide-Screening Questions (ASQ): a brief instrument for the pediatric emergency department Link
Original FormNational Institute of Mental HealthAsk Suicide-Screening Questions (ASQ) Toolkit Link

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINCNameR/O/CCardinalityExample UCUM Units
115564-7Ask Suicide-Screening Questions (ASQ) Tool
Indent115565-4Ask the Patient:
Indent115566-2In the past few weeks, have you wished you were dead?1..1
Indent115567-0In the past few weeks, have you felt that you or your family would be better off if you were dead?1..1
Indent115568-8In the past week, have you been having thoughts about killing yourself?1..1
Indent115569-6Have you ever tried to kill yourself?1..1
Indent115570-4If yes, when was the most recent attempt?1..1
Indent115571-2Are you having thoughts of killing yourself right now?1..1
Indent115572-0If yes, describe briefly:1..1

LOINC Names Get Info

Fully-Specified Name
Ask Suicide-Screening Questions (ASQ) Tool:-:Pt:^Patient:-:ASQ
Long Common Name
Ask Suicide-Screening Questions Tool [ASQ]

Part Model Get Info

  • Component
    Ask Suicide-Screening Questions (ASQ) Tool
    LP453153-1
    • Analyte
      Ask Suicide-Screening Questions (ASQ) Tool
      LP453153-1
      • Component Numerator
        Ask Suicide-Screening Questions (ASQ) Tool
        LP453153-1
        • Component Numerator Core
          Ask Suicide-Screening Questions (ASQ) Tool
          LP453153-1
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    -
    LP6769-6
  • Time
    Pt
    LP6960-1
  • System
    ^Patient
    LP310005-6
    • System Core
      NULL
       
    • Super System
      Patient
      LP6985-8
  • Scale
    -
    LP7747-1
  • Method
    ASQ
    LP156493-1

Basic Attributes

Class
PANEL.SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.83
Last Updated
Version 2.83 (ADD)
Order vs. Observation
Order
Panel Type
Panel

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=115564-7
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/115564-7