General Hospital Psychiatry
Volume 26, Issue 5 , Pages 337-345, September 2004

Preventing suicide in primary care patients: the primary care physician's role

  • Herbert C. Schulberg, Ph.D., M.S.Hyg.

      Affiliations

    • Corresponding Author InformationCorresponding author. Tel.: +1 914 997 5798; fax: +1 914 997 8650.
    • Weill Medical College, Cornell University, White Plains, NY 10605, USA
  • ,
  • Martha L. Bruce, Ph.D., M.P.H.

      Affiliations

    • Weill Medical College, Cornell University, White Plains, NY 10605, USA
  • ,
  • Pamela W. Lee, M.A.

      Affiliations

    • Weill Medical College, Cornell University, White Plains, NY 10605, USA
  • ,
  • John W. Williams Jr., M.D., MHSc.

      Affiliations

    • Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC 27705, USA
    • Division of General Internal Medicine, Duke University, Durham, NC 27705, USA
  • ,
  • Allen J. Dietrich, M.D.

      Affiliations

    • Dartmouth Medical School, Hanover, NH 03755, USA

Received 29 March 2004; accepted 28 June 2004.

Abstract 

Suicide is a critical public health problem that primary care physicians potentially can help address given that distressed patients frequently visit them in the weeks and months preceding the successful suicide. This article considers factors placing the patient at high risk for successful suicide and clinical assessment techniques available to the primary care physician. Patients who wish to harm themselves but still lack an articulated plan for doing so can be treated by the primary care physician with the monitoring assistance of a depression care manager and appropriate consultation by a mental health specialist.

Keywords: Prevalence, Risk factors, Assessment, Management

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PII: S0163-8343(04)00088-X

doi:10.1016/j.genhosppsych.2004.06.007

General Hospital Psychiatry
Volume 26, Issue 5 , Pages 337-345, September 2004