@article{ref1,
title="Prevalence of suicidal ideation and other suicide warning signs in veterans attending an urgent care psychiatric clinic",
journal="Comprehensive psychiatry",
year="2014",
author="McClure, Janet R. and Criqui, Michael H. and Macera, Caroline A. and Ji, Ming and Nievergelt, Caroline M. and Zisook, Sidney",
volume="60",
number="",
pages="149-155",
abstract="BACKGROUND: Suicide prevention in the clinical setting is focused on evaluating risk in the coming hours to days, yet little is known about which factors increase acute risk. <br><br>PURPOSE: To determine the prevalence of factors that may serve as warnings of heightened acute risk. <br><br>METHODS: Veterans attending an urgent care psychiatric clinic (n=473) completed a survey on suicidal ideation and other acute risk warning signs. <br><br>RESULTS: More than half the sample (52%) reported suicidal ideation during the prior week. Of these, more than one-third (37%) had active ideation which included participants with a current suicide plan (27%) and those who had made preparations to carry out their plan (12%). Other warning signs were also highly prevalent, with the most common being: sleep disturbances (89%), intense anxiety (76%), intense agitation (75%), hopelessness (70%), and desperation (70%). Almost all participants (97%) endorsed at least one warning sign. Participants with depressive syndrome and/or who screened positive for post-traumatic stress disorder endorsed the largest number of warning signs. Those with both depressive syndrome and post-traumatic stress disorder were more likely to endorse intense affective states than those with either disorder alone. All p-values for group comparisons are <.008. <br><br>CONCLUSION: Our major findings are the strikingly high prevalence of past suicidal ideation, suicide attempts, current suicidal ideation and intense affective states in veterans attending an urgent care psychiatric clinic; and the strong associations between co-occurring post-traumatic stress disorder and depressive syndrome with intense affective states.<p /> <p>Language: en</p>",
language="en",
issn="0010-440X",
doi="10.1016/j.comppsych.2014.09.010",
url="http://dx.doi.org/10.1016/j.comppsych.2014.09.010"
}