ArticleDepression and anxiety2017
Between-visit changes in suicidal ideation and risk of subsequent suicide attempt.
Article in Depression and anxiety, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 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.
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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
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review.The American journal of psychiatry · 2021Pooled it
- Investigating NF-κB as a biomarker for suicidal ideation in depression in a pilot case-control study.Discover mental health · 2026Article
- Inference on summaries of a model-agnostic longitudinal variable importance trajectory with application to suicide prevention.The annals of applied statistics · 2026Article
- A multimethod validation of the frequency of suicidal ideation inventory for adolescents in Peru.Child and adolescent psychiatry and mental health · 2026Article
- Assessment and analysis of factors influencing suicidal ideation in young adults: a large cohort study using an elastic network logistic regression model.BMC psychiatry · 2025Article
- Predicting risk of suicidal behavior from insurance claims data vs. linked data from insurance claims and electronic health records.Pharmacoepidemiology and drug safety · 2024Article
- Differential Methylation Analysis of Suicidal Ideation Severity in Schizophrenia with the Illumina MethylationEPIC Array.Healthcare (Basel, Switzerland) · 2022Article
- Directly or Indirectly? The Role of Social Support in the Psychological Pathways Underlying Suicidal Ideation in People with Bipolar Disorder.International journal of environmental research and public health · 2022Article
- Screening Pediatric Medical Patients for Suicide Risk: Is Depression Screening Enough?The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021Article
- Reconciling Statistical and Clinicians' Predictions of Suicide Risk.Psychiatric services (Washington, D.C.) · 2021Article
- Improving pragmatic clinical trial design using real-world data.Clinical trials (London, England) · 2019Article
- Patterns and predictors of persistence of suicide ideation: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).Journal of abnormal psychology · 2018Article
- Predicting Suicide Attempts and Suicide Deaths Following Outpatient Visits Using Electronic Health Records.The American journal of psychiatry · 2018Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundWhile clinicians are expected to routinely assess and address suicide risk, existing data provide little guidance regarding the significance of visit-to-visit changes in suicidal ideation.
methodsElectronic health records from four large healthcare systems identified patients completing the Patient Health Questionnaire or PHQ9 at outpatient visits. For patients completing two questionnaires within 90 days, health system records and state vital records were used to identify nonfatal and fatal suicide attempts. Analyses examined how changes in PHQ9 item 9 responses between visits predicted suicide attempt or suicide death over 90 days following the second visit.
resultsAnalyses included 430,701 pairs of item 9 responses for 118,696 patients. Among patients reporting thoughts of death or self-harm "nearly every day" at the first visit, risk of suicide attempt after the second visit ranged from approximately 2.0% among those reporting continued thoughts "nearly every day" down to 0.5% among those reporting a decrease to "not at all." Among those reporting thoughts of death or self-harm "not at all" at the first visit, risk of suicide attempt following the second visit ranged from approximately 0.2% among those continuing to report such thoughts "not at all" up to 1.2% among those reporting an increase to "nearly every day".
conclusionsResolution of suicidal ideation between visits does imply a clinically important reduction in short-term risk, but prior suicidal ideation still implies significant residual risk. Onset of suicidal ideation between visits does not imply any special elevation compared to ongoing suicidal ideation. Risk is actually highest for patients repeatedly reporting thoughts of death or self-harm.
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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.