Managing suicide risk in primary care: Practice recommendations for behavioral health consultants.

Bryan, Craig J.; Corso, Kent A.; Neal-Walden, Tracy A.; Rudd, M. David

doi:10.1037/a0011141

Cited by 29 publications

(26 citation statements)

References 43 publications

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“…In terms of the effect of the PCBH model on the symptoms of the participants, as assessed with the HAD, or functioning, as assessed with the DUKE, the current results are in line with those gained in international studies (e.g., Bryan, Corso et al, 2009;Stein et al, 2011;Strosahl et al, 2012). We found that ratings of anxiety and depression were low even prior to the preassessment, a fact that may be explained by the PCBH model being focused on prevention.…”

Section: Discussionsupporting

confidence: 88%

“…Researchers have found that there are rapid, radical changes in clients with different types of psychiatric diagnoses in the first few sessions, and raised the possibility that a rapid response predicts long-term improvement in functioning as well as reduced recidivism (Bryan, Morrow, et al, 2009;Strosahl et al, 2012). In line with these results, the PCBH model has been shown to be effective in increasing the client's level of functioning in the case of various problems, including depression, stress, anxiety, and lifestyle concerns (e.g., Bryan, Corso, Neal-Walden, & Rudd, 2009;Roy-Byrne, Katon, Cowley, & Russo, 2001;Stein et al, 2011).…”

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confidence: 67%

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Primary Care Behavioral Health Model: Perspectives of Outcome, Client Satisfaction, and Gender

Angantyr¹,

Rimner²,

Nordén³

et al. 2015

soc behav pers

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We examined clients' satisfaction and gender differences in relation to the outcome parameters of the Primary Care Behavioral Health model of integrated care. The model has been shown to be effective in minimizing symptoms and increasing levels of functioning with regard to different mental health concerns. Participants were 54 clients (22 men and 32 women) who received a psychology consultation in accordance with the model, at 1 of 3 primary care centers located in southwest Sweden. Results indicated minimized symptoms and increased levels of functioning and clients felt a high degree of satisfaction with the consultations with the psychologists. There were no gender differences found regarding treatment results or satisfaction with the treatment.

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Section: Discussionsupporting

confidence: 88%

mentioning

confidence: 67%

Primary Care Behavioral Health Model: Perspectives of Outcome, Client Satisfaction, and Gender

Angantyr¹,

Rimner²,

Nordén³

et al. 2015

soc behav pers

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“…27 Further, given the present findings, it may be prudent to make oneself familiar with recommendations for treating suicide risk. 28 Such treatment plans have been more successful than no-suicide contracts in preventing suicidal behaviours. 29 What is clear, given the present data, is that depression/suicide screening should be a standard domain in patient evaluations.…”

mentioning

confidence: 99%

Depression and catastrophizing predict suicidal ideation in tertiary care patients with interstitial cystitis/bladder pain syndrome

Tripp

Nickel

Krsmanovic

et al. 2016

CUAJ

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Introduction: We sought to evaluate psychosocial factors as predictors of suicidal ideation (SI) in a tertiary care outpatient sample of women suffering from interstitial cystitis/bladder pain syndrome (IC/BPS). Methods: The patients are women managed at tertiary care centres (n=190). Controls were recruited from the community (n=117). Both groups completed questionnaires on demographics, pain (McGill Pain Questionnaire), IC/BPS symptoms, and psychological variables. Univariate and multivariate hierarchical regression modelling was conducted to examine the strength of associations and unique effects of psychosocial variables on patient SI. Results: Compared to 6% in healthy controls, 23% of patients endorsed SI in the past two weeks. Correlations between SI, depression, and catastrophizing across controls and cases show that for controls, SI is associated with greater pain (0.31; p<0.01) and depression only (0.59; p<0.01). For tertiary care centre cases, SI is associated with pain (0.24; p<0.01), depression (0.64; p<0.01), and catastrophizing (0.35; p<0.01). Regression analyses indicated that psychosocial variables accounted for a significant amount of variance over and above IC/BPS symptoms. Catastrophizing (i.e., helplessness) about pain and depression were significant univariate predictors of SI, but only depression predicted SI in multivariable analyses. Conclusions: Limitations of this study include its cross-sectional design and primarily correlation-based statistics. The present study is the first to implicate multiple psychosocial risk factors over and above IC/BPS-specific symptoms and patient pain experience in SI in women with IC/BPS. Depression in particular is uniquely important in predicting suicidality. These results support a multidisciplinary, proactive approach to IC/BPS involving not only treatment of disease symptoms, but also early detection/treatment of associated psychosocial problems.

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“…, Bryan et al . ). Previous work has been unable to determine the balance of benefits and harms of screening for suicide risk in primary care settings, but has recommended that general practitioners (GPs) should be alert to suicidal ideation among patients exhibiting depression and other well‐established risk factors such as previous suicide attempts, history of self‐harm or substance misuse and chronic physical health issues (Schulberg et al .…”

Section: Introductionmentioning

confidence: 97%

“…Research into suicide prevention in primary care is relatively sparse (Schulberg et al 2004, Mann et al 2005, Bajaj et al 2008, Bryan et al 2009, Kendall & Wiles 2010, Saini et al 2010, O'Connor et al 2013. The identification and management of suicidal ideation in primary care is a central component of suicide prevention policies (Department of Health [DH] 2012).…”

Section: Introductionmentioning

confidence: 99%

General practitioners’ perspectives on primary care consultations for suicidal patients

Saini

Chantler

Kapur

2015

Health Soc Care Community

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Little is known about general practitioners' (GPs') perspectives, management of and interactions with suicidal patients prior to the patient's suicide. The aims of the study were to explore GPs' interpretations of patient communication and treatment in primary care leading up to suicide and to investigate the relationship between GPs and mental health services prior to a patient's suicide. Thirty-nine semi-structured interviews with GPs of people who had died by suicide were conducted as part of a retrospective study. Interviews were transcribed verbatim and analysed using a thematic approach. The following themes emerged from GP interviews: (i) GP interpretations of suicide attempts or self-harm; (ii) professional isolation; and (iii) GP responsibilities versus patient autonomy. GPs recruited for the study may have different views from GPs who have never experienced a patient suicide or who have experienced the death of a patient by suicide who was not under the care of specialist services. Our findings may not be representative of the rest of the United Kingdom, although many of the issues identified are likely to apply across services. This study highlighted the following recommendations for future suicide prevention in general practice: increasing GP awareness of suicide-related issues and improving training and risk assessment skills; removing barriers to accessing therapies and treatments needed in primary care; improving liaison and collaboration between services to provide better patient outcomes; and increasing awareness in primary care about why patients may not want treatments offered by focusing on each individual's situational context.

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Managing suicide risk in primary care: Practice recommendations for behavioral health consultants.

Cited by 29 publications

References 43 publications

Primary Care Behavioral Health Model: Perspectives of Outcome, Client Satisfaction, and Gender

Primary Care Behavioral Health Model: Perspectives of Outcome, Client Satisfaction, and Gender

Depression and catastrophizing predict suicidal ideation in tertiary care patients with interstitial cystitis/bladder pain syndrome

General practitioners’ perspectives on primary care consultations for suicidal patients

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