How To Ask New Youth Leadersfasrangry

In my workshops and group coaching programs, I like to share those categories, and then ask the participants to compile their own questions to ask a mentor. Here are some good ones they’ve come up. Haha, that’s hilarious! My youth pastor wrote a rap to help us remember how to evangelize. “Remember 3-3-6-6-9 Comon its 3-3-6-6-9 The first verse as rehearsed is John 3:16 ‘na mean? Tell em all about Gods love, tell em what it means Part 2 me and you, Romans 3:23 Even good people got sin don’t make me say it again Part 3 we receive.

Download ASQ Tool (PDF)
Download Info Sheet (PDF)
Download Summary (PDF)
COVID-19 ADULT Clinical Pathway (PDF)
COVID-19 YOUTH Clinical Pathway (PDF)
Emergency Department (ED/ER)
Inpatient Medical/Surgical Unit
Outpatient Primary Care/Specialty Clinics
Emergency Department (ED/ER)
Inpatient Medical/Surgical Unit
Outpatient Primary Care/Specialty Clinics


This video is provided for general informational purposes only and does not constitute an endorsement by NIMH.

This video is provided for general informational purposes only and does not constitute an endorsement by NIMH.

The Ask Suicide-Screening Questions (ASQ) tool is a brief validated tool for use among both youth and adults. The Joint Commission approves the use of the ASQ for all ages. Additional materials to help with suicide risk screening implementation are available in The Ask Suicide-Screening Questions (ASQ) Toolkit, a free resource for use in medical settings (emergency department, inpatient medical/surgical units, outpatient clinics/primary care) that can help providers successfully identify individuals at risk for suicide. The ASQ toolkit consists of youth and adult versions as some of the materials take into account developmental considerations.

The ASQ is a set of four screening questions that takes 20 seconds to administer. In an NIMH study, a “yes” response to one or more of the four questions identified 97% of youth (aged 10 to 21 years) at risk for suicide. Led by the NIMH, a multisite research study has now demonstrated that the ASQ is also a valid screening tool for adult medical patients. By enabling early identification and assessment of medical patients at high risk for suicide, the ASQ toolkit can play a key role in suicide prevention.


Suicide is a global public health problem and a leading cause of death across age groups worldwide. Suicide is also a major public health concern in the United States, with suicide ranking as the second leading cause of death among young people ages 10-24. According to the Centers for Disease Control and Prevention (CDC), more than 48,000 youths individuals killed themselves in 2018. Even more common than death by suicide are suicide attempts and suicidal thoughts.

How To Ask New Youth Leadersfasrangry

Screening for Suicide Risk

Early detection is a critical prevention strategy. The majority of people who die by suicide visit a healthcare provider within months before their death. This represents a tremendous opportunity to identify those at risk and connect them with mental health resources. Yet, most healthcare settings do not screen for suicide risk. In February 2016, the Joint Commission, the accrediting organization for health care programs in hospitals throughout the United States, issued a Sentinel Event Alert recommending that all medical patients in all medical settings (inpatient hospital units, outpatient practices, emergency departments) be screened for suicide risk. Using valid suicide risk screening tools that have been tested in the medical setting and with youth, will help clinicians accurately detect who is at risk and who needs further intervention.

About the Tool

Beginning in 2008, NIMH led a multisite study to develop and validate a suicide risk screening tool for youth in the medical setting called the Ask Suicide-Screening Questions (ASQ). In 2014 another multisite research study was launched to validate the ASQ among adults. The ASQ consists of four yes/no questions and takes only 20 seconds to administer. Screening identifies individuals that require further mental health/suicide safety assessment.

For medical settings, one of the biggest barriers to screening is how to effectively and efficiently manage the patients that screen positive. Prior to screening for suicide risk, each setting will need to have a plan in place to manage patients that screen positive. The ASQ Toolkit was developed to assist with this management plan and to aid implementation of suicide risk screening and provide tools for the management of patients who are found to be at risk.

Using the Toolkit

The Ask Suicide-Screening Questions (ASQ) toolkit is designed to screen medical patients ages 8 years and above for risk of suicide As there are no tools validated for use in kids under the age of 8 years, if suicide risk is suspected in younger children a full mental health evaluation is recommended instead of screening. The ASQ is free of charge and available in multiple languages.

For screening youth, it is recommended that screening be conducted without the parent/guardian present. Refer to the nursing script for guidance on requesting that the parent/guardian leave the room during screening. If the parent/guardian refuses to leave or the child insists that they stay, conduct the screening with the parent/guardian present. For all patients, any other visitors in the room should be asked to leave the room during screening.

What happens if patients screen positive?

Patients who screen positive for suicide risk on the ASQ should receive a brief suicide safety assessment (BSSA) conducted by a trained clinician (e.g., social worker, nurse practitioner, physician assistant, physician, or other mental health clinicians) to determine if a more comprehensive mental health evaluation is needed. The BSSA should be brief and guides what happens next in each setting. Any patient that screens positive, regardless of disposition, should be given the Patient Resource List.

The ASQ toolkit is organized by the medical setting in which it will be used: emergency department, inpatient medical/surgical unit, and outpatient primary care and specialty clinics. For questions regarding toolkit materials or implementing suicide risk screening, please contact: Lisa Horowitz, PhD, MPH at [email protected] or Debbie Snyder, MSW at [email protected]

Emergency Department (ED/ER)
Inpatient Medical/Surgical Unit
Outpatient Primary Care/Specialty Clinics

Emergency Department (ED/ER)
Inpatient Medical/Surgical Unit
Outpatient Primary Care/Specialty Clinics

*Note: The following materials remain the same across all medical settings. These materials can be used in other settings with youth (e.g. school nursing office, juvenile detention centers).

  • ASQ Information Sheet (PDF HTML)
  • ASQ Tool (PDF HTML)
  • ASQ in other languages
  • Patient Resource List (PDF HTML)
  • Educational Videos (PDF HTML)

Translations of the ASQ Screening Tool

How to ask new youth leadersfasrangry season
  • Arabic (PDF)
  • Chinese (PDF)
  • Dutch (PDF)
  • French (PDF)
  • Hebrew (PDF)
  • Italian (PDF)
  • Japanese (PDF)
  • Korean (PDF)
  • Portuguese (PDF)
  • Russian (PDF)
  • Somali (PDF)
  • Spanish (PDF)
  • Vietnamese (PDF)

Suicide Prevention Resources

How To Ask New Youth Leadersfasrangry Season

National Suicide Prevention Lifeline
1-800-273-TALK (8255)
Spanish/Español: 1-888-628-9454

Crisis Text Line
Text HOME to 741-741


Horowitz, L. M., Bridge, J. A., Teach, S. J., Ballard, E., Klima, J., Rosenstein, D. L., ... & Pao, M. (2012). Ask Suicide-Screening Questions (ASQ): a brief instrument for the pediatric emergency department. Archives of Pediatrics & Adolescent Medicine, 166(12), 1170-1176.

Horowitz, L. M., Snyder, D. J., Boudreaux, E. D., He, J. P., Harrington, C. J., Cai, J., Claassen, C. A., Salhany, J. E., Dao, T., Chaves, J. F., Jobes, D. A., Merikangas, K. R., Bridge, J. A., Pao, M. (2020). Validation of the Ask Suicide-Screening Questions (ASQ) for adult medical inpatients: A brief tool for all ages. Psychosomatics.

Horowitz, L. M., Wharff, E. A., Mournet, A. M., Ross, A. M., McBee-Strayer, S., He, J., Lanzillo, E., White, E., Bergdoll, E., Powell, D. S., Merikangas, K. R., Pao, M., & Bridge, J. A. (2020). Validation and feasibility of the Ask Suicide-Screening Questions (ASQ) among pediatric medical/surgical inpatients. Hospital Pediatrics.

Brahmbhatt, K., Kurtz, B. P., Afzal, K. I., Giles, L. L., Kowal, E. D., Johnson, K. P., ... & Workgroup, P. (2019). Suicide risk screening in pediatric hospitals: Clinical pathways to address a global health crisis. Psychosomatics, 60(1), 1-9.

Horowitz, L., Ballard, E., Teach, S. J., Bosk, A., Rosenstein, D. L., Joshi, P., Dalton, M. E., & Pao, M. (2010). Feasibility of screening patients with nonpsychiatric complaints for suicide risk in a pediatric emergency department: a good time to talk?. Pediatric Emergency Care, 26(11), 787.

Ballard, E. D., Bosk, A., Pao, M., Snyder, D., Bridge, J. A., Wharff, E. A., Teach, S. J., & Horowitz, L. (2012). Patients’ opinions about suicide screening in a pediatric emergency department. Pediatric Emergency Care, 28(1), 34.

Horowitz, L. M., Bridge, J. A., Pao, M., & Boudreaux, E. D. (2014). Screening youth for suicide risk in medical settings: time to ask questions. American Journal of Preventive Medicine, 47(3), S170-S175.

Ross, A. M., White, E., Powell, D., Nelson, S., Horowitz, L., & Wharff, E. (2016). To ask or not to ask? Opinions of pediatric medical inpatients about suicide risk screening in the hospital. The Journal of Pediatrics, 170, 295-300.

Ballard, E. D., Cwik, M., Van Eck, K., Goldstein, M., Alfes, C., Wilson, M. E., ... & Wilcox, H. C. (2017). Identification of at-risk youth by suicide screening in a pediatric emergency department. Prevention Science, 18(2), 174-182.

How To Ask New Youth Leadersfasrangry Program

Thom, R., Hogan, C., & Hazen, E. (2020). Suicide Risk Screening in the Hospital Setting: A Review of Brief Validated Tools.Psychosomatics, 61(1), 1–7.

Newton, A. S., Soleimani, A., Kirkland, S. W., & Gokiert, R. J. (2017). A systematic review of instruments to identify mental health and substance use problems among children in the emergency department. Academic Emergency Medicine, 24(5), 552-568.

It’s a good idea to interview every new youth leader before unleashing them to be a spiritual role model for the teens. If you’re the paid youth director, you’re the one who stands between a potentially harmful adult and the teens, so be very careful with this process. Even if you know the perspective youth worker very well, have a formal meeting anyway where you sit down with the individual and clarify some very important issues.

Your church’s insurance company may have a list of questions they want you to go through with each youth leader, so be sure to check with them if you haven’t already done so. Here are some additional questions I like to ask:


  • When and how did you become a Christian? List any circumstances or people that influenced you to make this decision.
  • How is God working in your life now?
  • How would you describe your spiritual journey and your relationship with God today? What are your struggles (we all have them!)? What’s going well?
  • In what ways has God used your gifts, talents, and abilities to bring glory to Himself? How has that tied in with your heart for student leadership?
  • How well do you know your Bible? Do you feel comfortable teaching it to others?
  • How have you gained the amount of Bible knowledge that you presently possess?
  • Do you have a spiritual accountability partner?
  • Are you open to greater spiritual accountability?


  • Have you ever gone through treatment for alcohol or drug abuse?
  • Have you ever been ticketed for reckless driving or driving under the influence?
  • Have you ever been arrested, detained, or questioned by police for any other illegal actions of any type?
  • Has there been alcohol abuse, drug abuse, physical or sexual abuse in your family background?
  • If yes, what steps have you taken to minimize the impact that those issues will create for you, both now and in the future?
  • Have you ever been treated for any type of psychiatric disorder?
  • Have you ever been accused, charged, or alleged to have committed any act of neglecting, abusing or molesting any child?
  • Is there any circumstance or pattern in your life which would make it inappropriate for you to serve with minors or would compromise the integrity of Alexandria Covenant Church?
  • Do you have any communicable diseases, such as TB, Hepatitis B, HIV, AIDS, etc.?
  • Are you under medication or treatment for any disease or condition?


How to ask new youth leadersfasrangry program
  • How do you decide which movies are acceptable for you to view?
  • Would you feel comfortable recommending all of your music to a student? Why or why not?
  • Please list the dates and activities of other ministry experiences that you have been involved in here at Alexandria Covenant Church.
  • What is your personal vision for ministry at Alexandria Covenant Church? Do you have any ideas of how God might accomplish that through you?
  • Why would you like to join the youth volunteer leadership team.
  • Is there anything else you feel that we need to know about you?

Please note that the none of the answers to these questions will necessarily eliminate someone from serving in our youth ministry. They’re just here to open the dialog and make sure we bring up the issues.

In addition, we also ask each youth leader to find 5 prayer partners, other adults who will commit to praying for them on a regular on-going basis about their ministry to the teenagers. The youth leader turns their prayer partners’ names and contact info in to me so I can add them to our ministry’s prayer mailing list.

How to ask new youth leadersfasrangry online

How To Ask New Youth Leadersfasrangry Online


Each youth leader also submits two references, which we either call and interview, or ask them to fill out a questionnaire about the perspective youth leader.

Do it! No exceptions. No excuses. Make sure the church has a background check on file for you, too! Having worked in two churches where youth leaders were taken to court for inappropriate sexual conduct with youth (one went to prison, the other didn’t), I know first-hand just how critical this is. No one is immune or an exception. Do it now before it’s too late! Seriously. Do it.

A common criticism: It’s been said that this process of interviewing leaders, setting boundaries and expectations is too rigorous. They say, “We’re just thankful to get people to work with the youth! This process is a obstacle — no one will take the time to be so scrutinized.” My response: “It is absolutely an obstacle, one that is totally necessary. If a potential youth leader is either too apathetic toward the ministry and teens to go through the process, or is nervous about being scrutinized, then I don’t want that person on the team in the first place.” Anyone who is passionate about teens is glad to go through it and sees the value in being very careful about which adult leaders are officially established to be spiritual influences and which ones aren’t.

How To Ask New Youth Leadersfasrangry Video

How To Ask New Youth Leadersfasrangry 2019

Posted on February 3, 2009

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