Suicide rates among youths in foster care are among the highest in the United States. Despite this fact, many foster-care agencies do not perform universal suicide-risk assessments as part of routine care. This commentary includes an argument for the importance of implementing universal suicide-risk assessments for youths in foster care. Important contextual information that prevents behavioral-health clinicians from implementing universal suicide screenings of youths in foster care is discussed. Several possible strategies for implementing universal suicide-risk assessments are offered; the pros and cons of each strategy are discussed. The perspectives of multiple stakeholders should be included in the consideration of universal suicide screening for youths in foster care, including behavioral-health providers, primary-care doctors, supervisors, directors of agencies, foster parents, and case managers. Although each of these stakeholders can improve suicide prevention, youths in foster care may not have regular access to each stakeholder. Case managers may be the optimal stakeholders for implementing universal suicide screening because of their frequent access to youths in foster care; therefore, case managers should receive training in suicide-risk assessment and prevention strategies.

中文翻译：

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寄养中的自杀：高度优先的安全问题。

在寄养家庭中，年轻人的自杀率是美国最高的。尽管如此，许多寄养机构并不作为常规护理的一部分进行普遍的自杀风险评估。这篇评论包括一个论点，即对寄养家庭中的年轻人实施普遍的自杀风险评估很重要。讨论了重要的背景信息，这些信息可防止行为健康临床医生对寄养机构中的年轻人实施普遍的自杀筛查。提供了几种实施普遍自杀风险评估的可能策略；讨论了每种策略的利弊。应考虑多方利益相关者的观点，以考虑对寄养家庭中的青年进行普遍自杀筛查，包括行为健康提供者，初级保健医生，主管，机构主管，养父母和案件管理员。尽管这些利益相关者中的每一个都可以改善自杀预防，但是寄养中的年轻人可能无法定期与每个利益相关者接触。案例管理者可能是实施普遍自杀筛查的最佳利益相关者，因为他们经常与年轻人接触寄养。因此，案件经理应接受自杀风险评估和预防策略方面的培训。