Youngest age of patient to receive the ASQ
What is 12?
This is needed from the patient before the nurse can disclose their ASQ information (on questions 1-4) to their guardians
What is consent?
This is the second leading cause of death in adolescents aged 15-19
What is suicide?
Names of the MHCL RNs leading the Head2Toe program?
What is Sonia Arruda and Emma Papernick
An ineligibility reason for not administering ASQ to a patient
What is:
cognitive impairment, language barrier, developmental delay, sleeping, sedated, other, down within 3 mths, mental health admission
Number of questions on the ASQ questionnaire
What is 5?
Whom do you ask to administer the ASQ if your patient speaks French and you do not?
What is french nurse on the team?
This is a risk factor for suicide
What is:
male, trauma, substance use, major life change, mental illness, discrimination, previous attempt, loss, impulsivity, significant hopelessness, bullying
Name of the team who consults youth whose medical condition is affecting their mental health
What is MHCL?
Also: Mental Health Consultation Liaison Team, BNCL, Consultation Liaison, Behavioural Neuroscience Consultation Liaison
This needs to be removed from the patient’s room if they screen positive on question 5
What is their belongings?
Also: anything unsafe such as sharps, long cords, excessive linen
Number of hours since admission that ASQ should be administered
What is 4?
Instead of saying, “He committed suicide”, we say..
What is "he suicided"?
Also: "died by suicide", "ended his life by suicide"
This is a protective factor for suicide
What is:
hope, spirituality, protective environment, supportive relationships, good coping skills
Team member that must be notified of patient’s positive ASQ result
What is doctor/MRP?
This is the location on EPIC where ASQ can be documented
What is daily care and safety flowsheet?
also: admission navigator, summary handoff screen
Number of hours MHCL RN has to see a patient who screened positive on questions 1-4 on the ASQ
What is 24 hours?
You need to ask parents this when you are about to administer the ASQ on their child
What is "Please step out of room"?
This is an example of a chronic health condition that increases the risk for suicide
What is:
chronic pain; cancer; degenerative neurological disease; or chronic obstructive pulmonary disease
When your patient screens positive on question 5, “Are you having thoughts about killing yourself right now”, you will need to put this person in their room
What is a sitter?
Also: health care aid, constant observer
How often ASQ assessment needs to be repeated for a patient, at least every ___ months
What is 3 months?
Number of hours MHCL psychiatrist has to see a patient who screened positive on question 5 on the ASQ
What is 4 hours?
This important skill helps the patient feel heard for their thoughts and emotions
What is validation?
Also: empathy
This mental health condition does not necessarily equate with suicide
What is self-harm?
(also depression)
The acronym “ASQ” stands for
What is Ask Suicide-Screening Questions?
The four medical and surgical units where the ASQ is administered
What is 4N, 4W, 5E, 4E?