title: Does every allusion to possible suicide require the same response?
abstract: Assess patients with major depression or substance abuse for suicide ideation, as they are at elevated risk for self-harm. Severity of suicide ideation is associated with suicide risk. Its assessment, therefore, should proceed sequentially from passive to active suicide ideation, to a specific detailed plan, including intention to harm oneself, reasons for living, and impulse control. Primary care patients at mild to moderate risk for suicide can be effectively treated in primary care settings; however, patients at high risk should be referred to mental health specialists given their need for intensive treatments and frequent monitoring.
authors.affiliation: Weill Medical College of Cornell University, 21 Bloomingdale Road, White Plains, NY 10605, USA. praue@med.cornell.edu
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Raue
authors.forename: Ellen L
authors.initials: EL
authors.lastname: Brown
authors.forename: Barnett S
authors.initials: BS
authors.lastname: Meyers
authors.forename: Herbert C
authors.initials: HC
authors.lastname: Schulberg
authors.forename: Martha L
authors.initials: ML
authors.lastname: Bruce
mesh_terms: D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D006801:Humans; D010821:Physicians, Family; D011320:Primary Health Care; D018570:Risk Assessment; D013405:Suicide / Q000523:psychology; D000092864:Suicide Prevention