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Related Experiment Video

Updated: Jul 29, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
07:31

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Published on: May 15, 2020

Identifying suicide potential in primary care.

E H Lin1, M Von Korff, E H Wagner

  • 1Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, Washington 98121.

Journal of General Internal Medicine
|January 1, 1989
PubMed
Summary

Primary care physicians play a limited role in suicide prevention. Medical records lack reliable suicide risk signals, and healthcare utilization patterns show minimal differences before suicide events.

Area of Science:

  • Medical Informatics
  • Public Health
  • Psychiatry

Background:

  • Primary care physicians (PCPs) are crucial in suicide prevention efforts.
  • Identifying patients at increased suicide risk through medical records is a key challenge.
  • Understanding healthcare utilization patterns preceding suicide is vital for intervention.

Purpose of the Study:

  • To determine if patient medical records contain signals identifying individuals at increased suicide risk.
  • To analyze if suicide decedents' healthcare utilization patterns differ from controls prior to death.
  • To evaluate the role of PCPs and specialty mental health services in suicide prevention.

Main Methods:

  • Retrospective analysis of medical records data from a Health Maintenance Organization (HMO).

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  • Comparison of suicide decedents with symptomatically depressed and non-depressed control groups.
  • Examination of medical record information for suicidal ideation, psychiatric diagnoses, interpersonal problems, and general medical service utilization.

    • Main Results:

    • Suicidal ideation, specific psychiatric diagnoses, and interpersonal problems were associated with suicide.
    • Medical record information did not reliably differentiate suicide decedents from control groups.
    • No significant differences were observed in general medical service utilization between suicides and controls.
    • Fewer than 20% of suicides involved a PCP visit in the month preceding death.
    • Only 39% of suicides received specialty mental health treatment within 18 months prior to death.

    Conclusions:

    • Current medical record data offers limited ability to reliably identify patients at high risk for suicide.
    • Primary care physicians may not be effectively engaged in suicide prevention for identified at-risk individuals.
    • There is a significant gap in accessing specialty mental health services among individuals who die by suicide.