ArticlePsychiatric services (Washington, D.C.)2019
Self-Reported Suicidal Ideation as a Predictor of Suicidal Behavior Among Outpatients With Diagnoses of Psychotic Disorders.
Article in Psychiatric services (Washington, D.C.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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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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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- The association between long working hours, shift work, and suicidal ideation: A systematic review and meta-analyses.Scandinavian journal of work, environment & health · 2024Pooled it
- Suicides in Mood Disorders in Psychiatric Settings in Nordic National Register-Based Studies.Frontiers in psychiatry · 2020Pooled it
- Effectiveness of a Videoconference-Based Cognitive Behavioral Therapy Program for Patients with Schizophrenia: Pilot Randomized Controlled Trial.JMIR formative research · 2025Trial
- The Role of Social Contagion in Initiating Non-Suicidal Self-Injury in Schizophrenia: A Case Report.Actas espanolas de psiquiatria · 2026Article
- Inference on summaries of a model-agnostic longitudinal variable importance trajectory with application to suicide prevention.The annals of applied statistics · 2026Article
- Factors associated with suicidal ideation in junior high school students with autism spectrum disorder in Japan: A cross-sectional observational study.PCN reports : psychiatry and clinical neurosciences · 2026Article
- Profiles of quality of care among individuals with suicidal behaviors.BMC health services research · 2026Article
- The mediating role of major depressive symptoms on academic stress and suicidal ideation among school-going adolescents in Manipur, India.BMC public health · 2025Article
- Geography and risk of suicidal ideation and attempts post outpatient psychiatric visit in commercially insured US adults.Journal of psychiatric research · 2025Article
- Sleep-related drugs utilization and suicide behaviors: a population-based study in China.BMC public health · 2025Article
- Large Language Models Versus Expert Clinicians in Crisis Prediction Among Telemental Health Patients: Comparative Study.JMIR mental health · 2024Article
- Clozapine Use Among People With Psychotic Disorders Who Experience Specific Indications for Clozapine.The Journal of clinical psychiatry · 2024Article
- Managed care updates of subscriber jail release to prompt community suicide prevention: clinical trial protocol.BMC health services research · 2023Article
- Effects of Geography on Risk for Future Suicidal Ideation and Attempts Among Children and Youth.JAACAP open · 2023Article
- From benchmark to bedside: transfer learning from social media to patient-provider text messages for suicide risk prediction.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- An efficient landmark model for prediction of suicide attempts in multiple clinical settings.Psychiatry research · 2023Article
- Near-Suicide Phenomenon: An Investigation into the Psychology of Patients with Serious Illnesses Withdrawing from Treatment.International journal of environmental research and public health · 2023Article
- Effects of social deprivation on risk factors for suicidal ideation and suicide attempts in commercially insured US youth and adults.Scientific reports · 2023Article
- Telehealth-Supported Decision-making Psychiatric Care for Suicidal Ideation: Longitudinal Observational Study.JMIR formative research · 2022Article
- Prediction of suicidal behavior using self-reported suicidal ideation among patients with bipolar disorder.Journal of affective disorders · 2021Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
objectiveIndividuals with psychotic disorders are at high risk of suicidal behavior. The study examined whether response to item 9 of the Patient Health Questionnaire (PHQ-9), which asks about thoughts of death or self-harm, predicts suicidal behavior among outpatients with diagnoses of psychotic disorders.
methodsElectronic health records (EHRs) from seven large integrated health systems were used to identify all outpatient visits by adults with a diagnosis of schizophrenia spectrum psychosis or unspecified psychosis from January 1, 2009, to June 30, 2015, during which a PHQ-9 was completed (N=32,982 visits by 5,947 patients). Suicide attempts over the 90 days following each visit were ascertained from EHRs and insurance claims. Suicide deaths were ascertained from state death certificate files.
resultsRisk of suicide attempt within 90 days of an outpatient visit was .8% among patients reporting no thoughts of death or self-harm and 3.5% among those reporting such thoughts "nearly every day." Over 90 days of follow-up, 47% of suicide attempts occurred among those who reported any recent thoughts of death or self-harm at the sampled visit. Also, 59% of attempts occurred among those reporting thoughts of death or self-harm at the index visit or any visit in the prior year. The number of suicide deaths within 90 days (N=10) was too small to accurately assess the relationship between PHQ-9 item 9 response and subsequent suicide death.
conclusionsAmong outpatients with psychotic disorders, response to item 9 of the PHQ-9 accurately identified those at increased short-term risk of a suicide attempt.
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