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Comprehensive Screening for Suicide Risk in Primary Care
Journal article   Peer reviewed

Comprehensive Screening for Suicide Risk in Primary Care

Guy S Diamond, Joanna L Herres, E Stephanie Krauthamer Ewing, Tita O Atte, Syreeta W Scott, Matt B Wintersteen and Robert J Gallop
American journal of preventive medicine, v 53(1), pp 48-54
Jul 2017
DOI: https://doi.org/10.1016/j.amepre.2017.02.020
PMID: 28410860
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Adolescent Adult Behavioral Medicine - methods Depression - diagnosis Depression - psychology Female Humans Male Primary Health Care - methods Risk Assessment - methods Risk Factors Self-Injurious Behavior Sexual Behavior - psychology Stress, Psychological - diagnosis Stress, Psychological - psychology Substance-Related Disorders - diagnosis Substance-Related Disorders - psychology Suicide - prevention & control Suicide - psychology Violence - psychology Young Adult
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. The study used screening data from 2,513 primary care patients (aged 14-24 years). Data were collected between 2008 and 2012, and were analyzed in 2016. Latent class analysis identified a high and low risk profile. Domains of primary influence included substance use, sexual assault, same-sex behavior, and unsafe sex. The high-risk group was 11 times more likely to have made a suicide attempt, five times more likely to report a history of suicidal ideation and behavior, and three times more likely to report recent suicidal ideation and behavior. Risk behaviors and social stress contribute to the risk for suicide above and beyond depression and should be assessed during routine primary care visits with adolescents. The Behavioral Health Screen can screen all these domains and thus assist primary care providers in assessing for both psychiatric and social stress factors associated with youth suicide.

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18 Record Views
34 citations in Web of Science
36 citations in Scopus

Details

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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