@article{ref1,
title="Prediction of suicide ideation and attempt among substance-using patients in primary care",
journal="Journal of the American Board of Family Medicine",
year="2017",
author="Hallgren, Kevin A. and Ries, Richard K. and Atkins, David C. and Bumgardner, Kristin and Roy-Byrne, Peter P.",
volume="30",
number="2",
pages="150-160",
abstract="BACKGROUND: Suicide is a major public health concern, particularly among people who use illicit substances and/or non-prescribed medications. <br><br>METHODS: The present study prospectively assessed the incidence and predictors of suicidal ideation (SI) and suicide attempt (SA) among 868 substance-using patients over 12 months after receiving primary care within seven public primary care clinics. <br><br>RESULTS: Participants reported a high incidence of SI (25.9%) and SA (7.1%) over the year following primary care visits. Suicidality was elevated in patients who were female; lacked a high school diploma; were unemployed; reported depression, anxiety, hallucinations, concentration difficulty, or violent behavior; used nicotine or stimulants; used the emergency department or mental health services in the past 90 days; reported current quality-of-life impairment in mobility or usual activities; or reported recent SI or lifetime SA at baseline. In multiple regression analyses, only past 30-day SI, any lifetime SA, past 90-day violent behavior, and current impairment due to anxiety or depression at baseline uniquely predicted SI or SA beyond other variables. <br><br>CONCLUSIONS: Results support the need for screening for suicidality among primary care patients who use illicit substances and identify key of these patients who are at particularly elevated risk for suicidality.<br><br>© Copyright 2017 by the American Board of Family Medicine.<p /> <p>Language: en</p>",
language="en",
issn="1557-2625",
doi="10.3122/jabfm.2017.02.160264",
url="http://dx.doi.org/10.3122/jabfm.2017.02.160264"
}