Enhancing Treatment and Utilization for Depression and Emergent Suicidality (ETUDES) in Pediatric Primary Care

Statement of Problem

Suicide is one of the leading causes of death for adolescents. Rates of suicide and suicide attempts among adolescents have risen dramatically in the past decade, particularly among Black and Hispanic youth. Because many adolescents attend annual well-visits, primary care settings are critical for identifying and treating suicidal youth. However, there are challenges to identifying suicide risk and intervening once that risk is identified. 


The Enhancing Treatment and Utilization for Depression and Emergent Suicidality (ETUDES) Center represents a collaborative effort between investigators at Children’s Hospital of Philadelphia (CHOP), the University of Pittsburgh and several other institutions. The Center is focused on augmenting the capacity of pediatric primary care to identify, refer, and manage youth at risk for suicidal behavior, with a particular emphasis on making sure that the tools we develop are effective and acceptable for youth and families of color. 

In the ETUDES Center, we will evaluate interventions to improve screening, treatment engagement, and safety planning in primary care for youth at risk for suicide, and we will test novel methods for detecting suicide risk. We will also study interventions designed to target known risk factors for depression and suicidal behavior, namely poor sleep, low activity and online victimization. 

To further address the youth suicide crisis, the Center aims to train and support a national cohort of diverse early career scientists, facilitate provider training in suicide assessment and prevention, and serve as a national resource for youth suicide prevention research. Across all Center activities, we will work in close partnership with patients, caregivers, providers and health care leaders. 

Next Steps

We are actively preparing to launch the Center studies and activities and will begin participant enrollment in November 2022. Our ultimate goal is to develop implementation-ready tools for primary care providers that can reduce the rate of adolescent suicide and promote health equity.

For more information about the ETUDES Center, visit https://www.etudes.pitt.edu/.

This project page was last updated in September 2022.

Suggested Citation

Children's Hospital of Philadelphia, PolicyLab. Enhancing Treatment and Utilization for Depression and Emergent Suicidality (ETUDES) in Pediatric Primary Care [Online]. Available at: http://www.policylab.chop.edu. [Accessed: plug in date accessed here]. 

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