Resource Tag: PRIMARY CARE (MEDICINE)

In health systems with strongly developed primary care, such as in the Netherlands, effectively engaging primary care professionals (PCPs) in suicide prevention is a key strategy. As part of the national Suicide Prevention Action Network (SUPRANET), a program was offered to PCPs in six regions in the Netherlands in 2017–2018 to more effectively engage them […]

Objective The purpose of this study was to evaluate the feasibility and impact of a suicide risk screening program in a rural West Virginia primary care practice. Methods Patients presenting for routine and sick visits were asked to participate in electronic suicide risk screening using the Ask Suicide-Screening Questions tool; screen positive individuals were assessed […]

Background Suicide is a global health issue. There are a number of evidence-based practices for suicide screening, assessment, and intervention that are not routinely deployed in usual care settings. The goal of this study is to develop and test implementation strategies to facilitate evidence-based suicide screening, assessment, and intervention in two settings where individuals at […]

Primary care providers have an important role in suicide prevention, knowing that among people who die by suicide, 83% have visited a primary care provider in the prior year, and 50% have visited that provider within 30 days of their death, rather than a psychiatrist. The psychosocial impact of the coronavirus disease 2019 pandemic poses […]

Primary care providers (PCPs) have an important role in suicide prevention, knowing that among people who die by suicide, 83% have visited a PCP in the prior year, and 50% have visited that provider within 30 days of their death, rather than a psychiatrist.  The psychosocial impact of the COVID-19 pandemic poses increased risk for […]

Background We aimed to describe primary care management at the time of a suicide attempt (SA) and after the SA. Methods An observational (cross-sectional) study was conducted among 166 sentinel GPs within France (a non-gatekeeping country) between 2013 and 2017 for all GP’s patients who attempted suicide. Measurements: frequency of patients 1) managed by the […]

Objectives To examine temporal trends in sex and age specific incidence of self harm in children and adolescents, clinical management patterns, and risk of cause specific mortality following an index self harm episode at a young age. Main outcome measures In the first phase, temporal trends in sex and age specific annual incidence were examined. In the […]

AIM: To examine rates of contact with primary and mental health care prior to suicide in men and women and across a range of age categories. METHOD: The authors performed a systematic review of 44 studies from 2000 to 2017 of which 36 reported rates on contact with primary health care and 14 reported on […]

The case vignette illustrates that “new standards” for the assessment and management of suicidal patients are expected to affect clinical practice in the next year or two. These standards will influence the delivery of care in psychiatric inpatient and outpatient services, emergency departments, and primary care settings and will directly affect psychiatrists, emergency physicians, family […]

Objectives: Failure to adapt to limitations in control may place older adults at risk for suicidal behavior. The present study examined the relation between control strategies, depressive symptoms, and suicidal ideation in older adults with health-related limitations. Methods: Cross-sectional study of 50 older adult (aged 65–94) primary care patients with health-related limitations. Results: Compensatory primary […]

Background: Suicide rates in older men are higher than in the general population, yet their utilization of mental health services is lower. Aims: This study aimed to describe: (a) what primary care providers (PCPs) can do to prevent late-life suicide, and (b) older men’s attitudes toward discussing suicide with a PCP. Method:Thematic analysis of interviews focused on depression and […]

Problem-solving deficits and poor health–related quality of life are associated with suicide risk; yet, little is known about the interrelations between these variables. In 220 primary care patients, we examined the potential mediating role of physical and mental health–related quality of life on the relation between social problem–solving ability and suicidal behavior. Participants completed the […]

Direct and indirect communication through the electronic medical record play a vital role in helping medical home primary care teams implement suicide prevention efforts. The purpose of this study is to examine how communication related to suicide prevention occurs among primary care team members working within a group of clinics in the Veterans Health Administration […]

In late August, 2017 the Chief Coroner released a sombre statistic – 606 people in New Zealand died by suicide in the past 12 months; an increase for the third consecutive year and almost double the road toll.1 Age-standardised rates by ethnicity reveal that Māori die by suicide at approximately twice the rate of non-Māori.2 Young people […]

The educational section of this Toolkit contains a primer presented in five modules. The first two modules are background material that may be of interest to the entire staff. The third module provides an understanding of general prevention practices that should be implemented to benefit the entire patient population and should be read and discussed by […]

There is uncertainty regarding possible benefits of screening for depression in family practice, as well as the most effective treatment approach when depression is identified. Here, we examined whether screening patients for depression in primary care, and then treating them with different modalities, was better than treatment-as-usual (TAU) alone. In conclusion, these findings from this controlled […]

Background: Suicidal thoughts are common among young people presenting to face-to-face and online mental health services. The early detection and rapid response to these suicidal thoughts and other suicidal behaviors is a priority for suicide prevention and early intervention efforts internationally. Establishing how best to use new and emerging technologies to facilitate person-centered systematic assessment and […]

KEY POINTS Screening tools, including but not limited to the Patient Health Questionnaire 9 and the Columbia Suicide Severity Rating Scale, may identify individuals at risk and in need of further assessment. The suicide risk assessment involves a clinical judgment based on an individualized evaluation of various risk and protective factors for suicide. There exist […]

Introduction Suicide is a major public health problem and a complex clinical challenge. Assessment and early identification could be enhanced with screening tools that look beyond depression. The purpose of this study was to identify profiles of risk behaviors and social stress associated with suicidal ideation and behavior using the Behavioral Health Screen. Methods The […]

Context Most previous studies have examined suicide risk in relation to a single physical disease. Objectives To estimate relative risk across a range of physical diseases, to assess the confounding effect of clinical depression and effect modification by sex and age, and to examine physical illness multimorbidity. Design Nested case-control study. Setting Family practices in England (n = 224) registered with […]

Objective: The aim of this study was to evaluate the type, severity and progression of psychiatric pathologies in a sample of 372 outpatients (age range 18–65 years) referred by their primary general practitioners (GPs) to an Urgent Referral Team (URT) based in a psychiatric hospital in Aberdeen, Scotland. This team offers immediate appointments (1- to […]

Suicide is a public health problem and a leading cause of death. The number of people thinking seriously about suicide, making plans, and attempting suicide is surprisingly high. In total, primary care clinicians write more prescriptions for antidepressants than mental health clinicians and see patients more often in the month before their death by suicide. […]

Highlights ¥ We examined anxiety sensitivity and negative affect and psychopathology among Latinos. ¥ Anxiety sensitivity and negative affect interaction related to suicide. ¥ Anxiety sensitivity and negative affect interaction related to social anxiety. ¥ Anxiety sensitivity and negative affect interaction related to anxious arousal.