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Related Experiment Videos

Suicidal ideation in primary care

M Olfson1, M M Weissman, A C Leon

  • 1Department of Psychiatry, College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA.

Journal of General Internal Medicine
|August 1, 1996
PubMed
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In primary care, 2.44% of patients reported suicidal ideation, with most receiving no mental health care. A simple screening question effectively identified individuals at high risk, highlighting the need for integrated mental health services.

Area of Science:

  • Primary Care Medicine
  • Psychiatry
  • Public Health

Background:

  • Suicidal ideation is a critical public health concern.
  • Early identification of suicidal ideation in primary care settings is essential for timely intervention.
  • Understanding the prevalence and associated factors of suicidal ideation in primary care is crucial for developing effective screening and treatment strategies.

Purpose of the Study:

  • To determine the prevalence of suicidal ideation among adult primary care patients.
  • To identify clinical characteristics and sociodemographic factors associated with suicidal ideation in this population.
  • To evaluate the utility of a single self-report screening item for detecting suicidal ideation.

Main Methods:

  • A cross-sectional analysis of 2,749 adult primary care patients from diverse practice settings.

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  • Data collected through self-administered questionnaires and structured interviews, including sociodemographic information, treatment history, and clinical data.
  • A single item screening question: "feeling suicidal" was used to assess suicidal ideation in the past month.

    • Main Results:

    • 2.44% of patients reported suicidal ideation in the past month; 58.2% of these patients received no mental health care.
    • Significant risk factors included poor physical health, poor emotional health, marital distress, and recent mental health-related work loss.
    • In a specific sample, major depression, generalized anxiety disorder, and drug abuse/dependence were strongly associated with suicidal ideation.
    • The screening item identified 10 out of 12 patients who had a recent plan to end their life.

    Conclusions:

    • Suicidal ideation in primary care is significantly linked to underlying mental disorders and functional impairment.
    • A simple self-report question can effectively detect suicidal ideation in primary care patients.
    • These findings underscore the importance of integrating mental health screening and services within primary care settings.