Incidence and predictors of suicide attempts among primary-care patients with depressive disorders: A 5-year prospective study.

No previous study has prospectively investigated incidence and risk factors for suicide attempts among primary care patients with depression. Of the primary care patients with depressive disorders, one-tenth attempted suicide in 5 years. However,risk of suicidal acts was almost exclusively confined to MDEs, with or without concurrent active substance abuse. Suicide prevention among primary care patients with depression should focus on active treatment of major depressive disorder and co-morbid substance use, and awareness of suicide risk.

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