Trial reportAnnals of internal medicine2024
Effectiveness of Integrating Suicide Care in Primary Care : Secondary Analysis of a Stepped-Wedge, Cluster Randomized Implementation Trial.
Trial report in Annals of internal medicine, 2024. 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 11 papers.
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.
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.
Sustained Implementation of Patient-Centered Care for Alcohol Misuse
Comparing Two Approaches for Assessment and Safety Planning With Adults at Risk for Suicide
Who cites it
11 citing papers in PubMed.
- Implementing Care for Cannabis and Other Drug Use in Adult Primary Care: Outcomes of a Cluster-Randomized Implementation Trial.American journal of preventive medicine · 2026Trial
- Screening Questionnaire Modifications and Firearm Access Disclosure Among Adults in Primary Care.JAMA network open · 2026Article
- Innovations to improve outcomes and uptake of psychotherapies for mental disorders: a state-of-the-art review.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- Fundamentals of healthcare delivery science for the non-health systems scientist: the final step in translational research for late-life psychiatric and neurocognitive disorders.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026Review
- Mixed features and suicide attempts in youth depression: a six-month follow-up study.BMC psychiatry · 2026Article
- Beliefs about and approaches to youth suicide risk screening and triage in primary care: a qualitative analysis.BMC primary care · 2025Article
- Patterns of sex-specific and age-specific risk indicators of suicide: a population-nested case-control study.BMJ mental health · 2025Article
- Exploring the Impact of the Caring Contacts Intervention on the Stress and Distress of Veterans and Service Members: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- Health Care Use Preceding Suicide by Firearm Compared with Suicide by Other Means - Alaska, Colorado, and Washington, 2020-2022.MMWR. Morbidity and mortality weekly report · 2025Article
- Partnering with Policymakers to Design Suicide Care Research: Maximizing Impact in Adolescent Mental Health Policy.Evidence-based practice in child and adolescent mental health · 2025Article
- Improving Depression Management in Primary Care.Journal of Christian nursing : a quarterly publication of Nurses Christian FellowshipArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundPrimary care encounters are common among patients at risk for suicide.
objectiveTo evaluate the effectiveness of implementing population-based suicide care (SC) in primary care for suicide attempt prevention.
designSecondary analysis of a stepped-wedge, cluster randomized implementation trial. (ClinicalTrials.gov: NCT02675777).
setting19 primary care practices within a large health care system in Washington State, randomly assigned launch dates. PATIENTS: Adult patients (aged ≥18 years) with primary care visits from January 2015 to July 2018.
interventionPractice facilitators, electronic medical record (EMR) clinical decision support, and performance monitoring supported implementation of depression screening, suicide risk assessment, and safety planning. MEASUREMENTS: Clinical practice and patient measures relied on EMR and insurance claims data to compare usual care (UC) and SC periods. Primary outcomes included documented safety planning after population-based screening and suicide risk assessment and suicide attempts or deaths (with self-harm intent) within 90 days of a visit. Mixed-effects logistic models regressed binary outcome indicators on UC versus SC, adjusted for randomization stratification and calendar time, accounting for repeated outcomes from the same site. Monthly outcome rates (percentage per 10 000 patients) were estimated by applying marginal standardization.
resultsDuring UC, 255 789 patients made 953 402 primary care visits and 228 255 patients made 615 511 visits during the SC period. The rate of safety planning was higher in the SC group than in the UC group (38.3 vs. 32.8 per 10 000 patients; rate difference, 5.5 [95% CI, 2.3 to 8.7]). Suicide attempts within 90 days were lower in the SC group than in the UC group (4.5 vs. 6.0 per 10 000 patients; rate difference, -1.5 [CI, -2.6 to -0.4]). LIMITATION: Suicide care was implemented in combination with care for depression and substance use.
conclusionImplementation of population-based SC concurrent with a substance use program resulted in a 25% reduction in the suicide attempt rate in the 90 days after primary care visits. PRIMARY FUNDING SOURCE: National Institute of Mental Health.
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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.