ArticleInternational journal of general medicine2011
Suicide ideation, plans, and attempts among general practice patients with chronic health conditions in Puerto Rico.
Article in International journal of general medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Characterizing the phenomenology of passive suicidal ideation: a systematic review and meta-analysis of its prevalence, psychiatric comorbidity, correlates, and comparisons with active suicidal ideation.Psychological medicine · 2020Pooled it
- Social determinants of depression and suicidal behaviour in the Caribbean: a systematic review.BMC public health · 2017Pooled it
- Natural disasters and SARS-CoV-2: potential risk factors for exacerbating mental health conditions among veterans.Discover mental health · 2025Article
- Correlates for the severity of suicidal risk in participants with common mental disorders with comorbid chronic medical conditions in rural primary healthcare settings in India.Indian journal of psychiatry · 2023Article
- Knowledge, attitudes, and experiences in suicide assessment and management: a qualitative study among primary health care workers in southwestern Uganda.BMC psychiatry · 2022Article
- Suicidal behaviours among Chinese adolescents exposed to suicide attempt or death.Epidemiology and psychiatric sciences · 2018Article
- Gender-Specific Factors Associated with Suicide Attempts among the Community-Dwelling General Population with Suicidal Ideation: the 2013 Korean Community Health Survey.Journal of Korean medical science · 2016Article
- Serious Suicide Attempts: Evidence on Variables for Manage and Prevent this Phenomenon.Community mental health journal · 2016Article
- Suicidality in non-treatment seeking young adults with subsyndromal gambling disorder.The Psychiatric quarterly · 2014Article
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7 authors.
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Abstract
backgroundLittle is known about suicidal ideation among general practice patients in Puerto Rico. In this study we examined the rates, severity, and correlates of suicidal ideation, plans, and attempts among general practice patients with chronic illnesses. This is important in targeting appropriate interventions and management approaches to minimize and prevent suicide.
methodsWe screened patients with chronic physical conditions at general practices. Suicidal ideation was assessed with the suicidality module of the Mini International Neuropsychiatric Interview. Major depression was assessed with the Patient Health Questionnaire depression module. The relationship between sociodemographic factors, depression and suicidal ideation was examined with multiple logistic regression analysis. Among the subgroup that acknowledged suicidal ideation, we used multinomial logistic regression analysis to estimate simultaneously the multivariate associations of depression and sociodemographic factors with suicidality risk levels.
resultsOf the 2068 patients screened, 15.4% acknowledged recent suicidal ideation. Among this group, 8.6% reported passive ideation, 3.7% active ideation without a plan, and 3.1% active ideation with a plan or attempt. According to multivariate logistic regression, suicidal ideation was higher among patients with moderately severe depression and severe depression than for those with milder symptoms. Patients aged 64 years or younger were over one and a half times more likely to acknowledge suicidal ideation than those aged 65 years and older. Compared with patients having a college degree, those with lower education had a twofold higher risk of suicidal ideation. Multinomial logistic regression analysis indicated that severe depression was associated with a higher likelihood of having a suicide plan or attempt.
conclusionThe findings of this study suggest that public health strategies focusing on the systematic identification of patients with increased depression severity and the implementation of evidence-based depression treatments are relevant for minimizing and preventing suicidal behavior among general practice patients with chronic health conditions.
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