ArticleJournal of general internal medicine2014
Health care contacts in the year before suicide death.
Article in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 314 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Suicide Prevention Training for Primary Care Providers-in-training
Evaluating Effectiveness and Implementation of a Risk Model for Suicide Prevention Across Health Systems
Who cites it
314 citing papers in PubMed, 4 syntheses or guidelines pooled it, 660 citations in OpenAlex.
- A systematic review of suicide risk management strategies in primary care settings.Frontiers in psychiatry · 2024Pooled it
- A systematic review of suicidal ideation and behaviors among adults with spinal cord injury.The journal of spinal cord medicine · 2023Pooled it
- Suicide Screening Tools for Pediatric Emergency Department Patients: A Systematic Review.Frontiers in psychiatry · 2022Pooled it
- People Who Die by Suicide Without Receiving Mental Health Services: A Systematic Review.Frontiers in public health · 2021Pooled it
- Examining BRITEpath, a Digital Intervention for Reducing Adolescent Suicide Risk in Primary Care: A Randomized-Controlled Trial.Suicide & life-threatening behavior · 2026Trial
- User-Reported Mechanisms of Change on a Suicide Prevention Website: Single-Arm Pragmatic Trial.JMIR formative research · 2025Trial
- Effectiveness of Integrating Suicide Care in Primary Care : Secondary Analysis of a Stepped-Wedge, Cluster Randomized Implementation Trial.Annals of internal medicine · 2024Trial
- Acceptability of Long Versus Short Firearm Safety Education Videos in the Emergency Department: A Pilot Randomized Controlled Trial.Annals of emergency medicine · 2023Trial
- Effectiveness of man therapy to reduce suicidal ideation and depression among working-age men: A randomized controlled trial.Suicide & life-threatening behavior · 2023Trial
- Adolescent suicide assessment and management in primary care.BMC pediatrics · 2022Trial
- Trial
- Tailored Activation of Middle-Aged Men to Promote Discussion of Recent Active Suicide Thoughts: a Randomized Controlled Trial.Journal of general internal medicine · 2020Trial
- Developing and pilot testing a suicide prevention "badge buddy" to improve suicide prevention practices.Psychological services · 2026Article
- Risk Alert System to Facilitate Universal Suicide Risk Screening in Emergency Care: Protocol for a Prediction Model and Software Development Study Using a Co-Design Approach.JMIR research protocols · 2026Article
- Physical Health Conditions Among Suicide Decedents: National Violent Death Reporting System, U.S., 2020-2023.American journal of preventive medicine · 2026Article
- Rural and Non-Rural Pediatric Health Care Providers' Youth Suicide Prevention Beliefs, Attitudes, Training, and Practices.Evidence-based practice in child and adolescent mental health · 2026Article
- Enhancing Care for Youth at Elevated Suicide Risk: Impact of the Assessing and Managing Suicide Risk (AMSR) Training.The journal of behavioral health services & research · 2026Article
- Clinician profiles of suicide prevention attitudes and confidence and their association with reported suicide prevention practices.Psychological services · 2026Article
- Analysis of health infrastructure and suicide rates in Brazil: a nationwide ecological spatial-temporal study, 2009-2023.Lancet regional health. Americas · 2026Article
- Personalizing Suicide Risk Assessment: Machine Learning Extraction of Cross-Modal Interactions Between Psychosocial and Demographic Factors in Veterans.medRxiv : the preprint server for health sciences · 2026Article
254 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
Authors and funding
13 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundSuicide prevention is a public health priority, but no data on the health care individuals receive prior to death are available from large representative United States population samples.
objectiveTo investigate variation in the types and timing of health services received in the year prior to suicide, and determine whether a mental health condition was diagnosed.
designLongitudinal study from 2000 to 2010 within eight Mental Health Research Network health care systems serving eight states.
participantsIn all, 5,894 individuals who died by suicide, and were health plan members in the year before death. MAIN MEASURES: Health system contacts in the year before death. Medical record, insurance claim, and mortality records were linked via the Virtual Data Warehouse, a federated data system at each site. KEY
resultsNearly all individuals received health care in the year prior to death (83 %), but half did not have a mental health diagnosis. Only 24 % had a mental health diagnosis in the 4-week period prior to death. Medical specialty and primary care visits without a mental health diagnosis were the most common visit types. The individuals more likely to make a visit in the year prior to death (p < 0.05) tended to be women, individuals of older age (65+ years), those where the neighborhood income was over $40,000 and 25 % were college graduates, and those who died by non-violent means.
conclusionsThis study indicates that opportunities for suicide prevention exist in primary care and medical settings, where most individuals receive services prior to death. Efforts may target improved identification of mental illness and suicidal ideation, as a large proportion may remain undiagnosed at death.
Indexed as
Identifiers
What OpenQuestion holds
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.