ArticleAnnals of family medicine
Let's not talk about it: suicide inquiry in primary care.
Article 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 63 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.
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Who cites it
63 citing papers in PubMed, 1 synthesis or guideline pooled it, 167 citations in OpenAlex.
- Raising Suicide in Medical Appointments-Barriers and Facilitators Experienced by Young Adults and GPs: A Mixed-Methods Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Trial
- Ethical and methodological challenges slowing progress in primary care-based suicide prevention: Illustrations from a randomized controlled trial and guidance for future research.Journal of psychiatric research · 2022Trial
- Tailored Activation of Middle-Aged Men to Promote Discussion of Recent Active Suicide Thoughts: a Randomized Controlled Trial.Journal of general internal medicine · 2020Trial
- The effect of targeted and tailored patient depression engagement interventions on patient-physician discussion of suicidal thoughts: a randomized control trial.Journal of general internal medicine · 2014Trial
- Targeted versus tailored multimedia patient engagement to enhance depression recognition and treatment in primary care: randomized controlled trial protocol for the AMEP2 study.BMC health services research · 2013Trial
- Getting to "no": strategies primary care physicians use to deny patient requests.Archives of internal medicine · 2010Trial
- Physician personality characteristics and inquiry about mood symptoms in primary care.Journal of general internal medicine · 2008Trial
- Suicide inquiry in primary care: creating context, inquiring, and following up.Annals of family medicineTrial
- Artificial Intelligence in suicide prevention: promise, peril, and clinical implications for clinical practice.Dialogues in clinical neuroscience · 2027Review
- Anxiety is associated with increased risk of suicidality in Parkinson's disease.Journal of Parkinson's disease · 2026Article
- Suicidal ideation as a risk factor for suicide: Insights from hypertension screening.Journal of affective disorders · 2026Article
- "Suicide's very abstract": A qualitative analysis of risk assessment training recommendations from family physicians.Qualitative research in medicine & healthcare · 2024Article
- Effectiveness of a virtual patient simulation training on improving provider engagement in suicide safer care.Community mental health journal · 2024Article
- Fatigue on Waking, Insomnia, and Workplace Relationship Problems May Help to Detect Suicidal Ideation among New Middle-Aged Primary Care Patients: A 6-Month Prospective Study in Japan.International journal of environmental research and public health · 2023Article
- Nudging General Practitioners to explore suicidal thoughts among depressed patients.BMC primary care · 2023Article
- Changes in Attitudes and Confidence in the Integration of Psychiatry in Other Areas of Medicine.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2022Article
- Provider opinions of the acceptability of Ask Suicide-Screening Questions (ASQ) Tool and the ASQ Brief Suicide Safety Assessment (BSSA) for universal suicide risk screening in community healthcare: Potential barriers and necessary elements for future implementation.The journal of behavioral health services & research · 2022Article
- Improving Suicide Prevention in Primary Care for Differing Levels of Behavioral Health Integration: A Review.Frontiers in medicine · 2022Review
- Psychometric properties of the Suicidal Ideation Attributes Scale (SIDAS) in a longitudinal sample of people experiencing non-affective psychosis.BMC psychiatry · 2021Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
purposeThe purpose of this study was to ascertain physician characteristics associated with exploring suicidality in patients with depressive symptoms and the influence of patient antidepressant requests.
methodsPrimary care physicians were randomly recruited from 4 sites in northern California and Rochester, NY; 152 physicians participated (53%-61% of those approached). Standardized patients portraying 2 conditions (major depression and adjustment disorder) and 3 antidepressant request types (brand specific, general, or none) made unannounced visits to these physicians between May 2003 and May 2004. We examined factors associated with physician exploration of suicidality.
resultsSuicide was explored in 36% of 298 encounters. Exploration was more common when the patient portrayed major depression (vs adjustment disorder) (P = .03), with an antidepressant request (vs no request) (P=.02), in academic settings (P <.01), and among physicians with personal experience with depression (P <.01). The random effects logistic model revealed a significant physician variance component with rho = 0.57 (95% confidence interval, 0.45-0.68) indicating that there were additional, unspecified physician factors determining the tendency to explore suicide risk. These factors are unrelated to physician specialty (family medicine or internal medicine), sex, communication style, or perceived barriers to or confidence in treating depression.
conclusionsWhen seeing patients with depressive symptoms, primary care physicians do not consistently inquire about suicidality. Their inquiries into suicidal thinking may be enhanced through advertising or public service messaging that prompts patients to ask for help. Research is needed to further elucidate physician characteristics associated with the assessment of suicidality.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.