Identifying Suicidal Ideation in General Medical Patients
JAMAPublished 14 December 1994
Lisa Cooper-Patrick
Citations134
SJR quartileQ1
SJR score5.35
SNIP10.71
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
If the results from the four-item screen are reproduced in a clinical setting, general medical patients with a high likelihood for suicidal ideation may be identified with a brief screening questionnaire that would have greater sensitivity than would be achieved by assessing suicidal Ideation only in those patients who meet criteria for a distinct psychiatric disorder.
Abstract
If the results from the four-item screen are reproduced in a clinical setting, general medical patients with a high likelihood for suicidal ideation may be identified with a brief screening questionnaire. This screen would have greater sensitivity than would be achieved by assessing suicidal ideation only in those patients who meet criteria for a distinct psychiatric disorder.
Keywords
PsychologySocial Sciences
Archives of General PsychiatryNational Institute of Mental Health Diagnostic Interview Schedule
5,278 Citations1981Lee N. Robins
A new interview schedule allows lay interviewers or clinicians to make psychiatric diagnoses according to DSM-III criteria, Feighner criteria, and Research Diagnostic Criteria.
Annals of Internal MedicineClinical Epidemiology: A Basic Science for Clinical Medicine.
3,508 Citations1991
Clinical Epidemiology is a book dedicated to H.L. Mencken, Kurt Vonnegut, Jr., Douglas Adams, and the Emperor's New Clothes and Physicians and others who wish to recognize key clinical epidemiologic features of the diagnosis and management of patients will benefit from reading.
Journal of Consulting and Clinical PsychologyAssessment of suicidal intention: The Scale for Suicide Ideation.
2,468 Citations1979Aaron T. Beck, Mária Kovács +1 more
The British Journal of PsychiatryA Hundred Cases of Suicide: Clinical Aspects
1,289 Citations1974B. M. Barraclough, Jane Bunch +2 more
Two recent American studies have shown more than 90 per cent of suicides to be mentally ill before their death, and the familiar clinical observation that suicidal thoughts disappear when the illness is successfully treated provide a strong case for a medical policy of prevention.
Archives of General PsychiatryThe De Facto US Mental Health Services System
877 Citations1978Darrel A. Regier
This study analyzes available epidemiological data and recent mental health services research findings to estimate the percent of the population with a mental disorder and the proportion utilizing various types of specialty mental health and general medical treatment settings.
American Journal of PsychiatryMental disorders and comorbidity in suicide
862 Citations1993Markus Henriksson, Hillevi Aro +5 more
The majority of suicide victims suffered from comorbid mental disorders, and needs to be taken into account when analyzing the relationship between suicide and mental disorders and in planning treatment strategies for suicide prevention in clinical practice.
The British Journal of PsychiatrySuicidal Feelings in the General Population: A Prevalence Study
814 Citations1974Eugene S. Paykel, J. K. Myers +2 more
Subjects experiencing suicidal feelings in the last year reported more minor psychiatric symptoms, particularly of depression, were more socially isolated, less religious, and to a lesser extent had experienced more stressful events and more somatic illness.
The British Journal of PsychiatrySuicide and Primary Affective Disorders
725 Citations1970Samuel B. Guzé, Eli Robins
The following data indicate that the suicide risk amongPrimary affective disorders, depressive or manic episodes in patients who have been psychiatrically well previously, or who have had episodes of mania or depression without other psychiatric illnesses, is over thirty times greater than that of the population without these disorders.
JAMAService Utilization and Social Morbidity Associated With Depressive Symptoms in the Community
721 Citations1992Jim Johnson
Estimates of population attributable risk indicated that physicians actually provided services to more persons with depressive symptoms than to persons with formally defined conditions of depressive disorders.
New England Journal of MedicineSuicidal Ideation and Suicide Attempts in Panic Disorder and Attacks
606 Citations1989Myrna M. Weissman, Gerald L. Klerman +2 more
It is concluded that panic disorder and attacks are associated with an increased risk of suicidal ideation and suicide attempts, and Physicians working in general medical settings and emergency departments should be alert to this problem.
Elsevier eBooksEpidemiologic Field Methods in Psychiatry
467 Citations1985
A comparison of the DIS and the SADS-L with a DIS/DSM-III-Based Physician Reevaluation and a Problems in the Definition and Measurement of Prevalence and Incidence of Psychiatric Disorders is presented.
American Journal of Public HealthAggression, substance use, and suicidal behaviors in high school students.
376 Citations1993Carol Z. Garrison, Robert E. McKeown +2 more
The results suggest that suicidal behaviors are not infrequent occurrences among adolescents and that they often coexist with other high-risk behaviors.
Journal of Consulting and Clinical PsychologyPrediction of eventual suicide in psychiatric inpatients by clinical ratings of hopelessness.
355 Citations1989Aaron T. Beck, Gary Brown +1 more
Archives of Internal MedicineDepression in Medical Outpatients
351 Citations1990Eliseo J. Pérez‐Stable
Receiver operating characteristic curves of two self-report depression scales suggest that these scales may assist physicians in recognizing depressed outpatients.
Psychological MedicineRecognition, management and outcome of psychological disorders in primary care: a naturalistic follow-up study
293 Citations1990Johan Ormel, Wim van den Brink +5 more
Recognized cases were more likely to receive mental health interventions from their GP and had better outcomes in terms of both psychopathology and social functioning and initial severity, psychological reasons for encounter, recency of onset, diagnostic category, and psychiatric comorbidity were related to both better recognition and outcome.
Social Psychiatry and Psychiatric EpidemiologyAn epidemiologic investigation of potential risk factors for suicide attempts
293 Citations1990Kenneth R. Petronis, Jack Samuels +2 more
Analysis of data from the Epidemiologic Catchment Area surveys in the United States found that educational achievement was inversely associated with risk of suicide attempt, and multivariable conditional logistic regression results were obtained by applying a conventional epidemiologic strategy with poststratification of subjects into homogeneous risk sets.
American Journal of PsychiatryTHE COMMUNICATION OF SUICIDAL INTENT: A STUDY OF 134 CONSECUTIVE CASES OF SUCCESSFUL (COMPLETED) SUICIDE
293 Citations1959Eli Robins, Seymour Gassner +3 more
The frequency of expression of suicidal ideas was not significantly related to age, sex, marital state, religion, whether living alone or not, clinical diagnosis, occupational status, income, or education, and Chronic alcoholics had a somewhat greater tendency to make the specific statement that they intended to commit suicide.
Archives of General PsychiatryPsychiatric Disorders in Primary Care
292 Citations1985Larry G. Kessler
The need for careful evaluation of the psychiatric status of primary care patients is demonstrated, with 35% of the study group exhibited at least one Research Diagnostic Criteria disorder, and almost two thirds of these individuals had significant changes in diagnostic status based on SADS-L data.
BiometricsConfidence Intervals for the Ratio of Two Binomial Proportions
283 Citations1984P. A. R. Koopman
Suicide and Life-Threatening BehaviorToward a Predictive Model of Suicidal Ideation and Behavior: Some Preliminary Data in College Students
246 Citations1987Ronald L. Bonner, Alexander R. Rich
The results of a multiple-regression analysis, forward-inclusion algorithm, indicated that a predictive equation consisting of loneliness, irrational beliefs, and low adaptive reasons for living best accounted for suicidal behavior scores.
PubMedSuicide attempts in the Epidemiologic Catchment Area Study.
235 Citations1988Eve K. Mościcki, Patrick W. O’Carroll +4 more
The findings of this study contribute to an understanding of suicide and suicidal behavior in general populations, outside the clinical setting.
The British Journal of PsychiatryDepressive Disorder in Primary Care
204 Citations1987C. V. R. Blacker, A. W. Clare
A significant but poorly served population of patients suffering from depressive disorders which are by no means minor in degree are identified.
The International Journal of Psychiatry in MedicineThe Epidemiology of Depression in Medical Care
200 Citations1988Wayne Katon
Several interventions are suggested to improve the diagnostic acumen of primary care physicians, including aggressive medical testing and treatment that carries the risk of iatrogenic injury.
Suicide and Life-Threatening BehaviorGender Differences in the Psychosocial Correlates of Suicidal Ideation Among Adolescents
181 Citations1992Alexander R. Rich, Joyce Kirkpatrick‐Smith +2 more
Fear of social disapproval, more anger and impulsivity, and less help-seeking behavior among males are offered as potential variables to explain the observed gender differences in the psychosocial correlates of suicidal ideation.
Medical CareThe Effects of Psychological Distress and Psychological Well-Being on Use of Medical Services
170 Citations1992Willard G. Manning, Kenneth B. Wells
In the absence of statistical control for general and physical health status, worse mental health status—whether assessed by a global self-report measure or its two component parts, psychological well-being and psychological distress—significantly increased the use of both inpatient and outpatient general medical services.
American Journal of Public HealthPsychiatric diagnoses of medical service users: evidence from the Epidemiologic Catchment Area Program.
167 Citations1987Larry G. Kessler, Barbara J. Burns +6 more
The high rates of affective disorders among women and of substance abuse among male medical service users underscore the need to increase the ability of general medical practitioners to recognize and manage or refer these conditions.
PubMedHopelessness, depression, and suicide intent.
164 Citations1980Richard D. Wetzel, Thomas Margulies +2 more
The British Journal of PsychiatryCharacteristics of Suicide Attempters in a Population-Based Sample of Dutch Adolescents
128 Citations1990C. W. M. Kienhorst, Erik Wilde +3 more
Attempters more frequently lived with a single parent, in children's homes or foster homes, were disproportionately of female sex, reported more deaths of friends or relatives, and more often had an unemployed father.
Annals of Internal MedicineThe Physician's Responsibility for Suicide. II. Errors of Omission
128 Citations1975George E. Murphy
The Journal of Nervous and Mental DiseaseBorderline Personality Disorder in Young Swedish Suicides
126 Citations1991Bo Runeson, Jan Beskow
General Hospital PsychiatryPrimary health care providers' recognition and diagnosis of mental disorders in their patients
120 Citations1988Jonathan F. Borus, Mary J. Howes +3 more
This study compared an HMO's primary providers' direct assessments of the current emotional disorders of patients just seen for an outpatient medical visit with those of mental health professionals assessing the same patients with the Structured Clinical Interview for DSM III R (SCID).
Suicide and Life-Threatening BehaviorConcurrent Validity of a Stress–Vulnerability Model of Suicidal Ideation and Behavior: A Follow‐Up Study
101 Citations1987Alexander R. Rich, Ronald L. Bonner
A follow-up study to test the concurrent validity of a stress-vulnerability model of suicidal ideation and behavior found that the linear combination of current suicide ideation, hopelessness, dysfunctional cognitions, and few reasons for living explained 56% of the variance in self-predicted future suicide probability.
Annals of Internal MedicineFocal Nodular Hyperplasia of the Liver and Intrahepatic Hemorrhage in Young Women on Oral Contraceptives
100 Citations1975John Q. Stauffer, M. W. LAPINSKI +2 more
Focal nodular hyperplasia of the liver may occur with increased frequency in young women who have been taking oral contraceptives, and large nodules should be resected, and continued use of oral contraceptives is contraindicated.
Acta Psychiatrica ScandinavicaClinical correlates of intent in attempted suicide
90 Citations1991Emad Hamdi, Yusra Amin +1 more
The seriousness of suicide attempts was evaluated in 62 consecutive referrals in 2 general hospitals and the majority of cases had a low to moderate intention to die, as measured by the Suicide Intent Scale (SIS).
Journal of Studies on AlcoholSuicide attempts and alcoholism.
89 Citations1988Michie N. Hesselbrock, Victor Hesselbrock +2 more
Alcoholic suicide attempters were found to have multiple psychiatric diagnoses and more severe psychiatric symptoms than nonattempters, and tended to have a parental history of alcoholism and began abusing alcohol at an early age.
Suicide and Life-Threatening BehaviorA Prospective Investigation of Suicidal Ideation in College Students: A Test of a Model
83 Citations1988Ronald L. Bonner, Alexander R. Rich
A linear, compensatory model of suicide ideation was found and the combination of alienation, deficient adaptive resources, and life stress best predicted ideation scores.
Acta Psychiatrica ScandinavicaSuicide and attempted suicide in general practice, 1979–1986
78 Citations1989René F. W. Diekstra, M. van Egmond
It is concluded that GPs cannot play an important role in the prevention of suicidal behaviour and that suicide and suicide attempt are relatively rare events in general practice.
Journal of Affective DisordersSecular trends in psychiatric diagnoses of suicide victims
63 Citations1991Gabrielle A. Carlson, Charles L. Rich +2 more
Post-mortem psychiatric diagnoses are compared in two cohorts of male suicides from St. Louis (1956-1957) and San Diego (1981-1982) and similar structured interviews and diagnostic criteria had been used in both assessments, finding depression occurs more frequently in younger ages.
Acta Psychiatrica ScandinavicaSimilarities in diagnostic comorbidity between suicide among young people in Sweden and the United States
63 Citations1992Charles L. Rich, Bo Runeson
It is concluded that the characteristics associated with BPD identify similar young persons who committed suicide in Sweden and the United States.
Suicide and Life-Threatening BehaviorPresuicide Attempt Communications Between Parasuicides and Consulted Caregivers
49 Citations1992David Coombs, Howard L. Miller +4 more
The data suggest that professional caregivers and especially nonpsychiatric physicians should be more sensitive and responsive to the signs and symptoms of suicidality.
Journal of Consulting and Clinical PsychologySuicide, hopelessness, and social desirability: A test of an interactive model.
49 Citations1989Ronald R. Holden, James D. Mendonça +1 more
Findings are interpreted to mean that a sense of general capability buffers the link of hopelessness to suicidal behavior and for improving prediction of persons at risk.
Journal of General Internal MedicineIdentifying suicide potential in primary care
44 Citations1989Elizabeth Lin, Michael Von Korff +1 more
Medical records data for suicides and for symptomatically depressed and non-depressed enrollees of an HMO were compared and suicidal ideation and behavior, selected psychiatric diagnoses, and interpersonal problems were associated with suicide.
American Journal of PsychiatryTHE COMMUNICATION OF SUICIDAL INTENT PRIOR TO PSYCHIATRIC HOSPITALIZATION: A STUDY OF 87 PATIENTS
35 Citations1961W. Bradford DeLong, Eli Robins
The great majority of communications were not perceived as a means of manipulating the environment for ulterior reasons, but seemed rather to be expressions of hopelessness and despair.
JAMAYouth Suicide: The Physician's Role in Suicide Prevention
34 Citations1990Susan J. Blumenthal
The percentage of youth who visit health care professionals prior to their suicide has not been well documented, but it is generally believed that most young people have exhibited warning signs to family, friends, teachers, and physicians, suggesting that the clinician may have important opportunities to detect suicidal behavior and intervene appropriately to prevent these tragedies.
Annual Review of MedicineSuicide: Risk Factors and Prevention in Medical Practice
30 Citations1992Randall D. Buzan, Michael Weissberg
The epidemiology of suicide in the general population, in psychiatric patients, and in medical/surgical patients is reviewed and the essential role of the primary care physician in preventing suicide is examined.
Social Science & Medicine (1967)A medical approach to suicide prevention
28 Citations1972B. M. Barraclough
Suicide is an important cause of death, particularly in the younger section of the population, and, therefore, an important public health problem, deserving the attention of those responsible for a nation's health.
American Journal of PsychiatryThe Psychopathology of Suicide: A Clinical Model Approach
13 Citations1979Jerome A. Motto
The author hypothesizes that certain types of persons at high risk for suicide constitute definable clinical models, that the process of arriving at a suicidal outcome involves elements unique to each model, and that these elements can be considered manifestations of psychopathology.