TY  - JOUR
PY  - 2017//
TI  - Prediction of suicide ideation and attempt among substance-using patients in primary care
JO  - Journal of the American Board of Family Medicine
A1  - Hallgren, Kevin A.
A1  - Ries, Richard K.
A1  - Atkins, David C.
A1  - Bumgardner, Kristin
A1  - Roy-Byrne, Peter P.
SP  - 150
EP  - 160
VL  - 30
IS  - 2
N2  - 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>
LA  - en
SN  - 1557-2625
UR  - http://dx.doi.org/10.3122/jabfm.2017.02.160264
ID  - ref1
ER  -