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Updated: May 13, 2026

Individualized rTMS Treatment for Depression using an fMRI-Based Targeting Method
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Published on: August 2, 2021

Suicidal ideation in German primary care.

Jan F Wiborg1, Dorothee Gieseler, Bernd Löwe

  • 1Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf & Schön Clinics Hamburg-Eilbek, Germany. j.wiborg@uke.de

General Hospital Psychiatry
|March 12, 2013
PubMed
Summary
This summary is machine-generated.

Suicidal ideation is common in primary care patients, affecting 11.8%. It is linked to psychopathology, with patients more often receiving psychosocial support and medication than psychotherapy.

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Last Updated: May 13, 2026

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07:12

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Published on: August 2, 2021

Area of Science:

  • Psychiatry
  • General Practice
  • Public Health

Background:

  • Suicidal ideation is a significant concern in primary care settings.
  • Understanding its prevalence and associated factors is crucial for early intervention.

Purpose of the Study:

  • To investigate the prevalence of suicidal ideation among German primary care patients.
  • To identify demographic, psychopathological, and healthcare utilization correlates of suicidal ideation.

Main Methods:

  • Cross-sectional study of 1455 primary care patients across 19 sites.
  • Anonymous screening using the Patient Health Questionnaire (PHQ) to assess suicidal ideation and psychopathology.
  • Data collected on healthcare utilization and patient demographics.

Main Results:

  • 11.8% of patients reported suicidal ideation.
  • Patients with suicidal ideation were younger, more often female, unmarried, and had higher rates of psychopathology and healthcare utilization.
  • Patients with higher frequency of suicidal ideation discussed psychosocial problems more with their GP and used more medication, but were not more likely to be in psychotherapy.

Conclusions:

  • Suicidal ideation is prevalent in primary care and independently associated with depression, anxiety, and somatoform complaints.
  • Primary care patients with suicidal ideation appear to have greater access to psychosocial support from general practitioners (GPs) and medication compared to psychotherapy.
  • The severity of suicidal ideation did not influence access to psychotherapy.