biostudies-literatureAngerhofer Richards JNIMH NIH HHS1471-1481https://www.ebi.ac.uk/biostudies/studies/S-EPMC12005173biostudies-literatureUnknown177(11)<h4>Background</h4>Primary care encounters are common among patients at risk for suicide.<h4>Objective</h4>To evaluate the effectiveness of implementing population-based suicide care (SC) in primary care for suicide attempt prevention.<h4>Design</h4>Secondary analysis of a stepped-wedge, cluster randomized implementation trial. (ClinicalTrials.gov: NCT02675777).<h4>Setting</h4>19 primary care practices within a large health care system in Washington State, randomly assigned launch dates.<h4>Patients</h4>Adult patients (aged ≥18 years) with primary care visits from January 2015 to July 2018.<h4>Intervention</h4>Practice facilitators, electronic medical record (EMR) clinical decision support, and performance monitoring supported implementation of depression screening, suicide risk assessmentAnnals of internal medicineEffectiveness of Integrating Suicide Care in Primary Care : Secondary Analysis of a Stepped-Wedge, Cluster Randomized Implementation Trial.PMC12005173U01 MH114087Cruz MLee AKAngerhofer Richards JAhmedani BKSimon GEStewart CRyan TCfalseEffectiveness of Integrating Suicide Care in Primary Care : Secondary Analysis of a Stepped-Wedge, Cluster Randomized Implementation Trial.<h4>Background</h4>Primary care encounters are common among patients at risk for suicide.<h4>Objective</h4>To evaluate the effectiveness of implementing population-based suicide care (SC) in primary care for suicide attempt prevention.<h4>Design</h4>Secondary analysis of a stepped-wedge, cluster randomized implementation trial. (ClinicalTrials.gov: NCT02675777).<h4>Setting</h4>19 primary care practices within a large health care system in Washington State, randomly assigned launch dates.<h4>Patients</h4>Adult patients (aged ≥18 years) with primary care visits from January 2015 to July 2018.<h4>Intervention</h4>Practice facilitators, electronic medical record (EMR) clinical decision support, and performance monitoring supported implementation of depression screening, suicide risk assessment2024-01-01T00:00:00Z2024 Nov2026-06-02T06:40:29.267Z2025-07-08T03:12:54.838ZS-EPMC120051733934869510.7326/m24-002410.7326/M24-0024