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September 10, 2025The Journal of Rural Health

Evaluation of the Ask Suicide‐Screening Questions (ASQ) tool, Item 9 of the Patient Health Questionnaire (PHQ), pain, and opioid screening to detect suicide risk among rural adult primary care patients

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Authors

MCMary ChristensenSCStacey CulpJCJohn V. Campo

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Overview

This study demonstrates the ASQ and PHQ Item 9's effectiveness in identifying suicide risk in rural adults, suggesting a need for better screening methods.

Key Points

  • The ASQ identified 11.7% of patients at risk for suicide compared to only 3.7% from the PHQ Item 9.
  • Sensitivity for the ASQ was 75.0%, while the PHQ Item 9 had a specificity of 98.1%, with both tools showing clinical potential.
  • This observational analysis across rural primary care settings highlights the utility of the ASQ for suicide risk assessment.
  • Further studies with larger samples are needed to validate findings regarding suicide screening tools in rural populations.

Cite This Study

Christensen et al. (2025) studied this question.

synapsesocial.com/papers/68c23f1fb210217d64794e51https://doi.org/10.1111/jrh.70064
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Reliability and cross-group equivalence of the 8-item version of the Patient Health Questionnaire (PHQ-8) to screen for depression in adults with and without chronic pain: a nationally representative U.S. population study2025
  2. 2The Psychometric Utility of the Four-Item Suicidal Behavior Questionnaire-Revised (SBQ-R) as a Suicide Risk Screening Instrument in a Sample of Nigerians with Severe Mental Disorders2025 · 2 citations
  3. 3Using the PHQ-9 Scale to assess depressive symptoms in patients with schizophrenia: a clinical perspective2025
  4. 4Identifying Core Symptoms of Depression for Hawaii Farmers: A Network Analysis for PHQ-9 Screening Tool2025
  5. 5Suicidality Screening: Ensuring Providers Do Not Miss Adolescents at High Risk through Clinical Decision Support.2025