TITLE

Practical Suicide-Risk Management for the Busy Primary Care Physician

AUTHOR(S)
MCDOWELL, ANNA K.; LINEBERRY, TIMOTHY W.; BOSTWICK, J. MICHAEL
PUB. DATE
August 2011
SOURCE
Mayo Clinic Proceedings;Aug2011, Vol. 86 Issue 8, p792
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Suicide is a public health problem and a leading cause of death. The number of people thinking seriously about suicide, making plans, and attempting suicide is surprisingly high. In total, primary care clinicians write more prescriptions for antidepressants than mental health clinicians and see patients more often in the month before their death by suicide. Treatment of depression by primary care physicians is improving, but opportunities remain in addressing suicide-related treatment variables. Collaborative care models for treating depression have the potential both to improve depression outcomes and decrease suicide risk. Alcohol use disorders and anxiety symptoms are Important comorbid conditions to identify and treat. Management of suicide risk includes understanding the difference between risk factors and warning signs, developing a suicide risk assessment, and practically managing suicidal crises.
ACCESSION #
64431802

 

Related Articles

  • Recognizing and Effectively Treating Depression. Lecrubier, Yves // CNS Spectrums: The International Journal of Neuropsychiatric Med;Jul2008 Supplement 11, Vol. 13 Issue 7, p5 

    In 2004, more people died in Europe from suicide than from road accidents. The lifetime prevalence of major depression is 20% for women and 10% for men. Depression is a leading cause of disability and decreased quality of life. In spite of this, numerous studies have shown that only ~50% of...

  • 'A coal face option': GPs' perspectives on the rise in antidepressant prescribing. Macdonald, Sara; Morrison, Jill; Maxwell, Margaret; Munoz--Arroyo, Rosalia; Power, Andrew; Smith, Michael; Sutton, Matt; Wilson, Philip // British Journal of General Practice;Sep2009, Vol. 59 Issue 566, p658 

    The article presents views from general practitioners (GP) about the reasons for the increase of antidepressant prescribing in Scotland. A number of linked factors were suggested, including the message from campaigns, such as The Defeat Depression Campaign, which sought to raise awareness of...

  • Depression Diagnoses and Antidepressant Use in Primary Care Practices. Ornstein, Steven; Stuart, Gail; Jenknis, Ruth // Journal of Family Practice;Jan2000, Vol. 49 Issue 1, p68 

    BACKGROUND: * We examined the pharmacologic management and follow-up of adults with newly diagnosed depression, and the use of antidepressants among patients not diagnosed with depression in primary care practice. A total of 389 physicians in 39 practices in the Practice Partner Research Network...

  • Does a depression intervention result in improved outcomes for patients presenting with physical symptoms? Keeley, Robert D.; Smith, Jeffrey L.; Nutting, Paul A.; Dickinson, L. Miriam; Dickinson, Perry; Rost, Kathryn M.; Miriam Dickinson, L; Perry Dickinson, W // JGIM: Journal of General Internal Medicine;Jun2004, Vol. 19 Issue 6, p615 

    Objective: To investigate the effects of exclusively physical presentation of depression on 1). depression management and outcomes under usual care conditions, and 2). the impact of an intervention to improve management and outcomes.Design and Setting: Secondary...

  • Let's Not Talk About It: Suicide Inquiry in Primary Care. Feldman, Mitchell D.; Franks, Peter; Duberstein, Paul R.; Vannoy, Steven; Epstein, Ronald; Kravitz, Richard L. // Annals of Family Medicine;Sep/Oct2007, Vol. 5 Issue 5, p412 

    The article cites a study that determined physician characteristics associated with exploring suicidality in patients with depressive symptoms. Primary care physicians were randomly recruited from four sites in Northern California and Rochester, New York. It was found that suicide was explored...

  • Social inequalities in depression and suicidal ideation among older primary care patients. Gilman, Stephen; Bruce, Martha; Have, Thomas; Alexopoulos, George; Mulsant, Benoit; Reynolds, Charles; Cohen, Alex // Social Psychiatry & Psychiatric Epidemiology;Jan2013, Vol. 48 Issue 1, p59 

    Purpose: Depression and suicide are major public health concerns, and are often unrecognized among the elderly. This study investigated social inequalities in depressive symptoms and suicidal ideation among older adults. Methods: Data come from 1,226 participants in PROSPECT (Prevention of...

  • Patients' beliefs about depression and how they relate to duration of antidepressant treatment. Use of a US measure in a UK primary care population. Lynch, Jeannette; Kendrick, Tony; Moore, Michael; Johnston, Olwyn; Smith, Peter W. F. // Primary Care Mental Health;Jul2006, Vol. 4 Issue 3, p207 

    Background Patients have a wide range of explanations for their depression and it is not known how these beliefs influence subsequent behaviour and hence outcome. Research question What are patients' beliefs about depression and do they relate to duration of antidepressant treatment? Design of...

  • TREATING DEPRESSION IN ALCOHOLICS. Douglas, Montgomery B.; Fleming, Michael F. // Journal of Family Practice;Jun1996, Vol. 42 Issue 6, p565 

    The article discusses research being done on the treatment of depression in alcoholics. It references a study by B. J. Mason et al published in the 1996 issue of the "Journal of the American Medical Association." Antidepressants are believed to be effective in the reduction of risk of relapse....

  • From paper to patient: How do you translate science into clinical practice? Matson, Gary A.; Ashton, Adam Keller; D'Mello, Dale A.; Dantz, Bezalel; Hefner, Jaye; Leon, F. George; Montano, C. Brendan; Pradko, James F.; Sussman, Norman; Winsberg, Bertrand // Journal of Family Practice;Dec2003 Supplement, Vol. 52 Issue 12, pS40 

    This article seeks to establish an interactive dialogue with clinicians regarding the diagnosis and treatment of mental depression patients in practice. The goal is, over time, to create an in-clinic application of the American Psychiatric Association's guidelines, which directs physicians to...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics