Trial reportAnnals of family medicine
Suicidal ideation and risk levels among primary care patients with uncomplicated depression.
Trial report in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012Pooled it
- Yield of practice-based depression screening in VA primary care settings.Journal of general internal medicine · 2012Trial
- The wish to die and 5-year mortality in elderly primary care patients.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2010Trial
- Reducing suicidal ideation and depression in older primary care patients: 24-month outcomes of the PROSPECT study.The American journal of psychiatry · 2009Trial
- Mental Health Symptoms Among Chinese College Students Following the Lifting of COVID-19 Restrictions: A Serial Cross-Sectional Study in Guangdong Province, China.Healthcare (Basel, Switzerland) · 2026Article
- Profiles of Intolerance of Uncertainty Among 108,540 Adolescents: Associations with Sociodemographic Variables and Mental Health.Child psychiatry and human development · 2025Article
- Prevalence and associated factors of suicidal ideation among college students during the COVID-19 pandemic in China: a 3-wave repeated survey.BMC psychiatry · 2022Article
- Sleep disturbance predicts suicidal ideation during COVID-19 pandemic: A two-wave longitudinal survey.Journal of psychiatric research · 2021Article
- Association between Suicidal Ideation and Causes of Primary Care Visits: A Cross-Sectional Study to Identify Patients with Suspected Suicidal Ideation.Psychiatry investigation · 2020Article
- Depression recognition and capacity for self-report among ethnically diverse nursing homes residents: Evidence of disparities in screening.Journal of clinical nursing · 2017Observational
- Psychiatric Emergencies: Assessing and Managing Suicidal Ideation.The Medical clinics of North America · 2017Review
- Mental health, migration stressors and suicidal ideation among Latino immigrants in Spain and the United States.European psychiatry : the journal of the Association of European Psychiatrists · 2016Article
- Suicidality in primary care patients who present with sadness and anhedonia: a prospective European study.BMC psychiatry · 2016Article
- Depression and clinical progression in spinocerebellar ataxias.Parkinsonism & related disorders · 2016Article
- Suicidal ideation among individuals with dysvascular lower extremity amputation.Archives of physical medicine and rehabilitation · 2015Article
- Electronic protocol for suicide risk management in research participants.Journal of psychosomatic research · 2015Article
- Associations between impulsivity, aggression, and suicide in Chinese college students.BMC public health · 2014Article
- Suicide risk management: development and analysis of a telephone-based approach to patient safety.Translational behavioral medicine · 2011Article
- Prevalence and correlates of suicidal ideation during pregnancy.Archives of women's mental health · 2011Article
- Suicide ideation, plans, and attempts among general practice patients with chronic health conditions in Puerto Rico.International journal of general medicine · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe investigated the prevalence, severity, and course of passive and active suicidal ideation occurring in primary care patients with an uncomplicated depressive disorder.
methodsWe studied suicidal ideation experienced by patients recruited in 60 primary care practices participating in a randomized controlled trial of depression management. Risk levels associated with suicidal ideation and plans were determined by a 2-stage procedure using pertinent items of the Patient Health Questionnaire-9, the Hopkins Symptom Checklist-20, and the Cornell structured assessment interview and management algorithm.
resultsOf the 761 patients whom physicians judged in need of treatment for a clinical depression, 405 (53%) were experiencing uncomplicated dysthymia, major depression, or both. Among these depressed patients, about 90% had no risk or a low risk of self-harm based on the presence and nature of suicidal ideation; the rest had an intermediate risk. Almost all patients who were initially classified at the no or low risk levels remained at these levels during the subsequent 6 months. The incidence of suicidal ideation at a risk level requiring the physician's immediate attention in this no- or low-risk subgroup was 1.1% at 3 months and 2.6% at 6 months.
conclusionsAlmost all patients with uncomplicated dysthymia, major depression, or both acknowledging suicidal ideation of the minimal risk type when initially assessed maintained this minimal risk status during the subsequent 6 months.
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