Suicide Screening in a Primary Care Setting at a Veterans Affairs Medical Center

Seven-hundred and three patients from a general medical outpatient clinic at a Veterans Affairs hospital completed the SCREENER, a brief self-report questionnaire that screens for psychi atric disorders. The authors found that 7.3% of the patients had suicidal ideation. The younger and white patient...

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Bibliographic Details
Published in:Psychosomatics (Washington, D.C.) D.C.), 1996-09, Vol.37 (5), p.413-424
Main Authors: Lish, Jennifer D., Zimmerman, Mark, Farber, Neil J., Lush, David T., Kuzma, Mary Ann, Plescia, Gary
Format: Article
Language:English
Subjects:
Adult and adolescent clinical studies
Aged
Attitude to Health
Biological and medical sciences
Depressive Disorder - diagnosis
Depressive Disorder - psychology
Female
Humans
Male
Medical sciences
Middle Aged
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Self-Assessment
Suicide
Suicide - prevention & control
Surveys and Questionnaires
Veterans - psychology
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Summary:Seven-hundred and three patients from a general medical outpatient clinic at a Veterans Affairs hospital completed the SCREENER, a brief self-report questionnaire that screens for psychi atric disorders. The authors found that 7.3% of the patients had suicidal ideation. The younger and white patients were at increased risk. The risk was increased twelvefold in those patients with subjectively fair or poor mental health, sevenfold in the patients with a history of mental health treatment, and fourfold in the patients with fair or poor perceived physical health. When major depression was controlled for, anxiety and substance abuse disorders continued to show an association with suicidal ideation. The suicidal patients made more visits to their primary care physician. Screening patients for anxiety disorders and drug abuse, as well as depression, is a better approach for identifying suicidal ideation in primary care settings than screening for depression alone and may help prevent suicide and suicide attempts.
ISSN:0033-3182
1545-7206
DOI:10.1016/S0033-3182(96)71528-1