Between-visit changes in suicidal ideation and risk of subsequent suicide attempt.

ABSTRACT:

Background

While clinicians are expected to routinely assess and address suicide risk, existing data provide little guidance regarding the significance of visit-to-visit changes in suicidal ideation.

Methods

Electronic health records from four large healthcare systems identified patients completing the Patient Health Questionnaire or PHQ9 at outpatient visits. For patients completing two questionnaires within 90 days, health system records and state vital records were used to identify nonfatal and fatal suicide attempts. Analyses examined how changes in PHQ9 item 9 responses between visits predicted suicide attempt or suicide death over 90 days following the second visit.

Results

Analyses included 430,701 pairs of item 9 responses for 118,696 patients. Among patients

SUBMITTER: Simon GE 

PROVIDER: S-EPMC5870867 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature