Youth Suicide Prevention Center

At Connecticut Children's, we are committed to reducing youth suicide and supporting those struggling with suicidal thoughts. Our efforts focus on early identification, education, advocacy, and the implementation of evidence-based programs and screening tools.

Through partnerships, quality improvement initiatives, and community outreach, we aim to create safer, healthier communities, reduce stigma, and provide critical support to youth and their families.

For more information and to contact us, complete the form below

If you feel your child is in crisis, or a danger to themselves or others, call 911.

In Connecticut, you can also call 211 or 988 for emergency or crisis intervention. For free, confidential support, call 1.800.273.8255 or text “HOME” to 741741.

How Youth Suicide Screening Saves Lives

1 in 5 patients screened in Connecticut Children’s Emergency Department is at risk for suicide.

Each year, over 2,500 youth—many experiencing active suicidal thoughts—are identified through our screening efforts. Suicide is a leading cause of death among youth aged 10 and older, and early identification is critical to saving lives.

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Research shows that it's safe, and even helpful, to directly ask your child if they're having thoughts of suicide. It can give them a sense of hope.

Steven C. Rogers, MD, MS

Universal Suicide Screening in the Emergency Department

A universal suicide screening program was launched in the Emergency Department (ED) to identify youth at risk for suicide.

 

How it Works 

The screening process follows a two-tiered approach, customized for both patients and staff:

Initial Screening – Conducted by nurses using the Ask Suicide Screening Questions (ASQ).

Further Assessment – If a patient screens positive, a provider conducts a second evaluation using the Columbia Brief Suicide Severity Rating Scale (C-BSSRS).

High-Risk Identification – Patients flagged as high risk or with any concerns receive a more in-depth evaluation by the behavioral health team. 

 

Who Is Screened? 

  • Patients aged 10 and older
  • Medically stable individuals
  • Developmentally able to participate in screening
  • More than 90% of eligible patients are screened upon arrival
     

Impact and Success

  • Helps identify at-risk youth and connect them to care
  • Establishes a nationwide standard for pediatric emergency departments
  • Contributes to best practices in youth suicide prevention

This structured approach ensures that young patients receive the critical support and resources they need, improving outcomes and saving lives.

Students on college campus

Fresh Check Day

Fresh Check Day is an event held on college campuses nationwide, focused on youth mental health and suicide prevention through fun, interactive activities. Discover how this program creates a supportive space for students to connect and find hope. 

Learn More About Fresh Check Day

Connecticut Children’s is a Leader in Youth Suicide Prevention

Connecticut Children’s is a leader in youth suicide prevention, providing training and conducting research. Meet our team and learn about our impact:

Our dedicated team not only identifies youth at risk for suicide but also conducts vital research and provides training to ensure life-saving care and prevention strategies are accessible to all.

Steven C. Rogers, MD, MS
Medical Director, Pediatric Emergency Medicine Physician 

Kevin Borrup, DrPH, JD, MPA
Director of Operations 

Cara During
Assistant Manager, Suicide Prevention

Kristen Volz-Spessard, MS
Program Specialist
Question, Persuade, Refer Gatekeeper Instructor 

Nicholas Marinelli, MPA
Program Specialist of Fresh Check Day

Isabella Baldino, BS
Program Assistant of Fresh Check Day

At Connecticut Children’s, our research is dedicated to early identification, intervention, and the development of protective factors to prevent youth suicide. We are committed to advancing best practices in suicide screening and prevention, with a focus on improving healthcare systems nationwide. Our current research priorities include:

  • Guiding the development of a National Research Agenda on Emergency Mental Healthcare and Suicide Prevention for youth.
  • Developing a tablet-based behavioral health screening tool for use in the Emergency Department to improve screening efficiency and accuracy.
  • Expanding universal suicide screening for adolescents across Connecticut Children’s to ensure every patient at risk is identified and receives timely care.
  • Evaluating the rate of return for at-risk patients within the Emergency Department to better understand follow-up and outcomes for these vulnerable youth.
  • Creating validated safety planning educational modules for patients, caregivers, and providers to equip them with tools for managing suicide risk.
  • Researching the potential associations between obesity and suicide risk, aiming to understand how physical health factors contribute to mental health challenges in youth.

Through these initiatives, we continue to lead in transformative suicide prevention research, helping to shape effective strategies and improve outcomes for youth at risk.

Publications

  • Rogers SC, Sacco SJ, Volz K, Chenard D, Borrup K, Chen K, et al. (2025) Feasibility and importance of universal suicide screening in a pediatric emergency department. PLoS ONE 20(4): e0321934. https://doi.org/10.1371/journal.pone.0321934
  • Publication: Feasibility and importance of universal suicide screening in a pediatric emergency department.
  • Description: This study presents the results from the implementation of a two-year universal suicide-screening program comprised of a clinical pathway that combined the ASQ and C-BSSRS in an urban pediatric ED serving a racially, ethnically, and socioeconomically diverse patient population. The combined screening tool protocol appeared to enhance efficiency while maintaining clinical accuracy. Of the 17,332 unique patients screened, 83.9% were at minimal suicide risk, 7.0% low risk, 2.1% moderate risk, and 7.0% high risk. In the 6 months following screening, low-risk patients returning to the emergency department were 7.1 times more likely to have a suicide attempt than minimal-risk patients, moderate-risk patients were 9.8 times more likely, and high-risk patients were 15.5 times more likely.  Universal screening identified a substantial proportion of pediatric emergency department patients at risk of subsequent suicide attempts, with the likelihood of a subsequent attempt strongly linked to increasing risk levels identified by screening. 

 

Question, Persuade, Refer (QPR) Bystander Intervention Training
QPR is a proven training method for preventing suicide, available to all adults in Connecticut. This training equips participants to recognize warning signs, intervene effectively, and connect those at risk with the appropriate support, empowering them to serve as "gatekeepers" for those in need. 

Training to Establish an Alliance Centered on Hope” (TEACH), is a training grant that offers a bystander intervention training, Question, Persuade, Refer (QPR), to individuals across Connecticut Children’s and throughout Connecticut. QPR teaches three essential steps to potentially save a life from suicide, turning participants into "gatekeepers" within their communities. From this training, participants learn about common causes of suicidal behavior, recognize warning signs, and gain skills to seek help for themselves or someone in crisis.

If you are interested in a training session, please contact TEACH at teachQPR [at] connecticutchildrens.org.

  • Steve Rogers, MD, MS was the recipient of the Principal Investigator of the Year 2025 at the Injury Free Coalition for Kids 30th Annual Conference
    • As Co-PI for Injury Free Coalition for kids- Hartford and member of the national board, he has played a key role in advancing safer, healthier communities. A pediatric emergency physician and certified child passenger safety technician, he brings a multidisciplinary lens to injury prevention, blending clinical care, behavioral health, research, and advocacy. His work focuses on preventing youth suicide and behavioral health crises in emergency settings while advancing injury prevention more broadly. Colleagues describe him as a "constant champion of children" whose leadership has transformed approaches to pediatric mental health and safety.
       
  • Steve Rogers, MD, MS was the recipient of the 2023 Roger J. Tierney Award by the American Association of Suicidology for applied contributions to the field of suicidology
    • The Roger J. Tierney Service Award recognizes time and effort given to advance the association’s principles, growth and development, and/or for applied contributions to the fields of suicidology and crisis intervention.
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Youth Suicide Prevention

If you would like more information, please complete the form.