Am J Psychiatry 159:909-916, June 2002
© 2002 American Psychiatric Association
Contact With Mental Health and Primary Care Providers Before Suicide: A Review of the Evidence
Jason B. Luoma, M.A.,
Catherine E. Martin, M.A., and
Jane L. Pearson, Ph.D.
OBJECTIVE: This study examined rates of contact with primary care and mental health care professionals by individuals before they died by suicide. METHOD: The authors reviewed 40 studies for which there was information available on rates of health care contact and examined age and gender differences among the subjects. RESULTS: Contact with primary care providers in the time leading up to suicide is common. While three of four suicide victims had contact with primary care providers within the year of suicide, approximately one-third of the suicide victims had contact with mental health services. About one in five suicide victims had contact with mental health services within a month before their suicide. On average, 45% of suicide victims had contact with primary care providers within 1 month of suicide. Older adults had higher rates of contact with primary care providers within 1 month of suicide than younger adults. CONCLUSIONS: While it is not known to what degree contact with mental health care and primary care providers can prevent suicide, the majority of individuals who die by suicide do make contact with primary care providers, particularly older adults. Given that this pattern is consistent with overall health-service-seeking, alternate approaches to suicide-prevention efforts may be needed for those less likely to be seen in primary care or mental health specialty care, specifically young men.
This article has been cited by other articles:
|
|
|
|
 
S. D. Vannoy, T. Fancher, C. Meltvedt, J. Unutzer, P. Duberstein, and R. L. Kravitz
Suicide Inquiry in Primary Care: Creating Context, Inquiring, and Following Up
Ann. Fam. Med,
January 1, 2010;
8(1):
33 - 39.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. A. Edelstein, M. J. Heisel, D. R. McKee, R. R. Martin, L. P. Koven, P. R. Duberstein, and P. C. Britton
Development and Psychometric Evaluation of the Reasons for Living--Older Adults Scale: A Suicide Risk Assessment Inventory
Gerontologist,
December 1, 2009;
49(6):
736 - 745.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C.-M. Chang, S.-C. Liao, H.-C. Chiang, Y.-Y. Chen, K.-C. Tseng, Y.-L. Chau, H.-J. Chang, and M.-B. Lee
Gender differences in healthcare service utilisation 1 year before suicide: national record linkage study
The British Journal of Psychiatry,
November 1, 2009;
195(5):
459 - 460.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. de Groot, K. van der Meer, and H. Burger
A survey of Dutch GPs' attitudes towards help seeking and follow-up care for relatives bereaved by suicide
Fam. Pract.,
October 1, 2009;
26(5):
372 - 376.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. Schmutte, M. O'Connell, M. Weiland, S. Lawless, and L. Davidson
Stemming the Tide of Suicide in Older White Men: A Call to Action
American Journal of Men's Health,
September 1, 2009;
3(3):
189 - 200.
[Abstract]
[PDF]
|
|
|
|
|
|
|
P. Qin, P. B. Mortensen, and C. B. Pedersen
Frequent Change of Residence and Risk of Attempted and Completed Suicide Among Children and Adolescents
Arch Gen Psychiatry,
June 1, 2009;
66(6):
628 - 632.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
U. Hegerl, L. Wittenburg, and the European Alliance Against Depression Consortiu
Focus on Mental Health Care Reforms in Europe: The European Alliance Against Depression: A Multilevel Approach to the Prevention of Suicidal Behavior
Psychiatr Serv,
May 1, 2009;
60(5):
596 - 599.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Bessant, E. A. King, and R. Peveler
Characteristics of suicides in recent contact with NHS Direct
The Psychiatrist,
March 1, 2008;
32(3):
92 - 95.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. Clayton and T. Auster
Strategies for the Prevention and Treatment of Suicidal Behavior
Focus,
January 1, 2008;
6(1):
15 - 21.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. Sudak, A. Roy, H. Sudak, A. Lipschitz, J. Maltsberger, and H. Hendin
Deficiencies in Suicide Training in Primary Care Specialties: A Survey of Training Directors
Acad Psychiatry,
October 1, 2007;
31(5):
345 - 349.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. D. Feldman, P. Franks, P. R. Duberstein, S. Vannoy, R. Epstein, and R. L. Kravitz
Let's Not Talk About It: Suicide Inquiry in Primary Care
Ann. Fam. Med,
September 1, 2007;
5(5):
412 - 418.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. D. Gibbons, K. Hur, D. K. Bhaumik, and J. J. Mann
The Relationship Between Antidepressant Prescription Rates and Rate of Early Adolescent Suicide
Am J Psychiatry,
November 1, 2006;
163(11):
1898 - 1904.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
The Psychiatry Clerkship: A Position Statement on the Length of the Psychiatry Clerkship
Acad Psychiatry,
April 1, 2006;
30(2):
103 - 103.
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. C. Schulberg, P. W. Lee, M. L. Bruce, P. J. Raue, J. J. Lefever, J. W. Williams Jr, A. J. Dietrich, and P. A. Nutting
Suicidal Ideation and Risk Levels Among Primary Care Patients With Uncomplicated Depression
Ann. Fam. Med,
November 1, 2005;
3(6):
523 - 528.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. J. Mann, A. Apter, J. Bertolote, A. Beautrais, D. Currier, A. Haas, U. Hegerl, J. Lonnqvist, K. Malone, A. Marusic, et al.
Suicide Prevention Strategies: A Systematic Review
JAMA,
October 26, 2005;
294(16):
2064 - 2074.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. P. Loebel
Practical Geriatrics: Completed Suicide in Late Life
Psychiatr Serv,
March 1, 2005;
56(3):
260 - 262.
[Full Text]
[PDF]
|
|
|
|
|
|
|
I. Lantto, K. Viilo, H. Hakko, T. Sarkioja, V. B. Meyer-Rochow, P. Rasanen, and M. Timonen
Survival Time After Last Hospitalization Among Suicide Victims in Northern Finland
Psychiatr Serv,
July 1, 2004;
55(7):
821 - 823.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. N. Gaynes, S. L. West, C. A. Ford, P. Frame, J. Klein, and K. N. Lohr
Screening for Suicide Risk in Adults: A Summary of the Evidence for the U.S. Preventive Services Task Force
Ann Intern Med,
May 18, 2004;
140(10):
822 - 835.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. M. BERTOLOTE, A. FLEISCHMANN, D. DE LEO, and D. WASSERMAN
Suicide and mental disorders: do we know enough?
The British Journal of Psychiatry,
November 1, 2003;
183(5):
382 - 383.
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. Center, M. Davis, T. Detre, D. E. Ford, W. Hansbrough, H. Hendin, J. Laszlo, D. A. Litts, J. Mann, P. A. Mansky, et al.
Confronting Depression and Suicide in Physicians: A Consensus Statement
JAMA,
June 18, 2003;
289(23):
3161 - 3166.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. FREEDENTHAL
Primary Care and Suicide Prevention
Am J Psychiatry,
May 1, 2003;
160(5):
1012 - 1013.
[Full Text]
|
|
|
|
|
|
|
Do Patients Who Are Contemplating Suicide Visit the Doctor?
Journal Watch Women's Health,
August 20, 2002;
2002(820):
8 - 8.
[Full Text]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 2002
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
