Evidence map›Paper›PMID 38970006›Full record

ArticleBMC primary care2024

Change in suicidal ideation, depression, and anxiety following collaborative care in the community.

Gabriela Kattan Khazanov, Courtney Benjamin Wolk, Emily Lorenc, Molly Candon, Matteo F Pieri, David W Oslin, Matthew J Press, Eleanor Anderson, Emilie Famiglio, Shari Jager-Hyman

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Gabriela Kattan KhazanovPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. gabriela.khazanov@va.gov.
Courtney Benjamin WolkPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Emily LorencPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Molly CandonPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Matteo F PieriPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
David W OslinPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Matthew J PressPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Eleanor AndersonPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Emilie FamiglioPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Shari Jager-HymanPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Funding

Leveraging behavioral economics and implementation science to engage suicidal patients in mental health treatmentR21MH123851 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI JAGER-HYMAN, SHARI, WOLK, COURTNEY LYNN BENJAMIN · 2021 to 2022
$447k
NIMH NIH HHS R21 MH123851NIMH NIH HHS R21MH123851
6 · The paper itself

Abstract

backgroundThe Collaborative Care Model (CoCM) increases access to mental health treatment and improves outcomes among patients with mild to moderate psychopathology; however, it is unclear how effective CoCM is for patients with elevated suicide risk.

methodsWe examined data from the Penn Integrated Care program, a CoCM program including an intake and referral management center plus traditional CoCM services implemented in primary care clinics within a large, diverse academic medical system. In this community setting, we examined: (1) characteristics of patients with and without suicidal ideation who initiated CoCM, (2) changes in suicidal ideation (Patient Health Questionnaire-9 [PHQ-9] item 9), depression (PHQ-9 total scores), and anxiety (Generalized Anxiety Disorder Scale-7 scores) from the first to last CoCM visit overall and across demographic subgroups, and (3) the relationship between amount of CoCM services provided and degree of symptom reduction.

resultsFrom 2018 to 2022, 3,487 patients were referred to CoCM, initiated treatment for at least 15 days, and had completed symptom measures at the first and last visit. Patients were 74% female, 45% Black/African American, and 45% White. The percentage of patients reporting suicidal ideation declined 11%-7% from the first to last visit. Suicidal ideation severity typically improved, and very rarely worsened, during CoCM. Depression and anxiety declined significantly among patients with and without suicidal ideation and across demographic subgroups; however, the magnitude of these declines differed across race, ethnicity, and age. Patients with suicidal ideation at the start of CoCM had higher depression scores than patients without suicidal ideation at the start and end of treatment. Longer CoCM episodes were associated with greater reductions in depression severity.

conclusionsSuicidal ideation, depression, and anxiety declined following CoCM among individuals with suicidal ideation in a community setting. Findings are consistent with emerging evidence from clinical trials suggesting CoCM's potential for increasing access to mental healthcare and improving outcomes among patients at risk for suicide.

Indexed as

AnxietyDepressionSuicidal IdeationAdultDelivery of Health Care, IntegratedFemaleHumansMaleMiddle AgedPrimary Health CareYoung AdultCollaborative careCommunity careDepressionIntegrated carePrimary careSuicidal ideationSuicide

Identifiers

PMID38970006
PMCPMC11225270

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.