ImportanceScreening adolescents in emergency departments (EDs) for suicidal risk is a recommended... more ImportanceScreening adolescents in emergency departments (EDs) for suicidal risk is a recommended strategy for suicide prevention. Comparing screening measures on predictive validity could guide ED clinicians in choosing a screening tool.ObjectiveTo compare the Ask Suicide-Screening Questions (ASQ) instrument with the Computerized Adaptive Screen for Suicidal Youth (CASSY) instrument for the prediction of suicidal behavior among adolescents seen in EDs, across demographic and clinical strata.Design, Setting, and ParticipantsThe Emergency Department Study for Teens at Risk for Suicide is a prospective, random-series, multicenter cohort study that recruited adolescents, oversampled for those with psychiatric symptoms, who presented to the ED from July 24, 2017, through October 29, 2018, with a 3-month follow-up to assess the occurrence of suicidal behavior. The study included 14 pediatric ED members of the Pediatric Emergency Care Applied Research Network and 1 Indian Health Service E...
Issue: Noting high rates of burnout, depression, and suicidality among medical students, academic... more Issue: Noting high rates of burnout, depression, and suicidality among medical students, academic medical communities are trying to identify preventive and curricular measures that protect and promote student well-being. To date, the effectiveness of these efforts is unclear. In addition, evidence increasingly suggests that the major drivers of distress appear to be factors within the social, learning, and work environments. Specific to medical schools in the United States, neither the Liaison Committee on Medical Education nor the Commission on Osteopathic College Accreditation include accreditation standards regarding well-being curricula and, as such, these curricula are not well-integrated into students' medical school experience. Current accreditation standards also do not specifically require institutions to assess or address systemic factors of the learning environment that negatively affect student well-being. Evidence: This paper proposes expanding current Liaison Commi...
Risk of bias assessment checklist. Summary of risk of bias assessment results within accepted stu... more Risk of bias assessment checklist. Summary of risk of bias assessment results within accepted studies (PDF 16Â kb)
Objective Alarming rates of anxiety and burnout in pre-clinical health profession trainees are no... more Objective Alarming rates of anxiety and burnout in pre-clinical health profession trainees are now challenged by additional COVID-19 stressors. This study explored COVID-related stressors among first-year medical, physician assistant, nurse practitioner, and veterinary medical students. The authors examined associations between resilience, news monitoring, and COVID stress. Methods Students completed an online questionnaire that included the Brief Resilience Scale at their matriculation in August 2019. Survey results were linked to demographic information collected by all schools. A follow-up survey in May 2020 included original questions on COVID-19 stressors and news monitoring. Statistical analyses included descriptive statistics and multivariable linear regression models. Results Across schools, 74% (266/360) provided consent for the 2019 survey, and 76% (201/264) responded to COVID-19 questions in the follow-up 2020 survey. Students were “extremely” or “very” concerned about fa...
International Journal of Adolescent Medicine and Health, 1988
Health status was assessed in 282 adolescents from Sri Lanka, ages 14 to 23, using a self adminis... more Health status was assessed in 282 adolescents from Sri Lanka, ages 14 to 23, using a self administered questionnaire. These adolescents were selected from both urban and rural schools. Nine out of ten of these students felt positive about their general health, family support, and life in general. Feelings of being down or depressed were reported by 37% of the students. Suicidal ideation was noted in, 11% and a history of planned suicide was reported by 5% of the population. Over two thirds of all the students (70%) indicated an interest in talking to a counselor about their feelings of being down or depressed. One out of seven students (14.3%) indicated having been sexually active at least once. A specific birth control method was being used by 8% of the students. Over half of the students (54%) wanted more information about birth control. These findings provide additional information about adolescent health issues in Sri Lanka. The desire for additional support with feelings of being down and depressed and interest in more information about reproductive health issues can serve as a basis for designing preventive health services for this population.
ImportanceScreening adolescents in emergency departments (EDs) for suicidal risk is a recommended... more ImportanceScreening adolescents in emergency departments (EDs) for suicidal risk is a recommended strategy for suicide prevention. Comparing screening measures on predictive validity could guide ED clinicians in choosing a screening tool.ObjectiveTo compare the Ask Suicide-Screening Questions (ASQ) instrument with the Computerized Adaptive Screen for Suicidal Youth (CASSY) instrument for the prediction of suicidal behavior among adolescents seen in EDs, across demographic and clinical strata.Design, Setting, and ParticipantsThe Emergency Department Study for Teens at Risk for Suicide is a prospective, random-series, multicenter cohort study that recruited adolescents, oversampled for those with psychiatric symptoms, who presented to the ED from July 24, 2017, through October 29, 2018, with a 3-month follow-up to assess the occurrence of suicidal behavior. The study included 14 pediatric ED members of the Pediatric Emergency Care Applied Research Network and 1 Indian Health Service E...
Issue: Noting high rates of burnout, depression, and suicidality among medical students, academic... more Issue: Noting high rates of burnout, depression, and suicidality among medical students, academic medical communities are trying to identify preventive and curricular measures that protect and promote student well-being. To date, the effectiveness of these efforts is unclear. In addition, evidence increasingly suggests that the major drivers of distress appear to be factors within the social, learning, and work environments. Specific to medical schools in the United States, neither the Liaison Committee on Medical Education nor the Commission on Osteopathic College Accreditation include accreditation standards regarding well-being curricula and, as such, these curricula are not well-integrated into students' medical school experience. Current accreditation standards also do not specifically require institutions to assess or address systemic factors of the learning environment that negatively affect student well-being. Evidence: This paper proposes expanding current Liaison Commi...
Risk of bias assessment checklist. Summary of risk of bias assessment results within accepted stu... more Risk of bias assessment checklist. Summary of risk of bias assessment results within accepted studies (PDF 16Â kb)
Objective Alarming rates of anxiety and burnout in pre-clinical health profession trainees are no... more Objective Alarming rates of anxiety and burnout in pre-clinical health profession trainees are now challenged by additional COVID-19 stressors. This study explored COVID-related stressors among first-year medical, physician assistant, nurse practitioner, and veterinary medical students. The authors examined associations between resilience, news monitoring, and COVID stress. Methods Students completed an online questionnaire that included the Brief Resilience Scale at their matriculation in August 2019. Survey results were linked to demographic information collected by all schools. A follow-up survey in May 2020 included original questions on COVID-19 stressors and news monitoring. Statistical analyses included descriptive statistics and multivariable linear regression models. Results Across schools, 74% (266/360) provided consent for the 2019 survey, and 76% (201/264) responded to COVID-19 questions in the follow-up 2020 survey. Students were “extremely” or “very” concerned about fa...
International Journal of Adolescent Medicine and Health, 1988
Health status was assessed in 282 adolescents from Sri Lanka, ages 14 to 23, using a self adminis... more Health status was assessed in 282 adolescents from Sri Lanka, ages 14 to 23, using a self administered questionnaire. These adolescents were selected from both urban and rural schools. Nine out of ten of these students felt positive about their general health, family support, and life in general. Feelings of being down or depressed were reported by 37% of the students. Suicidal ideation was noted in, 11% and a history of planned suicide was reported by 5% of the population. Over two thirds of all the students (70%) indicated an interest in talking to a counselor about their feelings of being down or depressed. One out of seven students (14.3%) indicated having been sexually active at least once. A specific birth control method was being used by 8% of the students. Over half of the students (54%) wanted more information about birth control. These findings provide additional information about adolescent health issues in Sri Lanka. The desire for additional support with feelings of being down and depressed and interest in more information about reproductive health issues can serve as a basis for designing preventive health services for this population.
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Papers by Margaret Rea