Impact of screening for risk of suicide: randomised controlled trial

  title={Impact of screening for risk of suicide: randomised controlled trial},
  author={Mike J. Crawford and Lavanya Thana and Caroline Methuen and Pradip Ghosh and Sian V Stanley and Juliette Ross and Fabiana Gordon and Grant Blair and Priya Bajaj},
  journal={British Journal of Psychiatry},
  pages={379 - 384}
Background Concerns have been expressed about the impact that screening for risk of suicide may have on a person's mental health. Aims To examine whether screening for suicidal ideation among people who attend primary care services and have signs of depression increases the short-term incidence of feeling that life is not worth living. Method In a multicentre, single-blind, randomised controlled trial, 443 patients in four general practices were randomised to screening for suicidal ideation or… 
Is suicide assessment harmful to participants? Findings from a randomized controlled trial
Recommendations are made to counter possible negative assessment effects on depressive participants/patients, and nurses and other caregivers are encouraged to talk to patients about suicidal symptoms.
The effects of suicide ideation assessments on urges to self-harm and suicide.
The inclusion of suicidal participants in research interviews rarely increased suicide risk, and changes in self-harm and suicide urges following study assessments were small, infrequent, and were most likely to reflect a decrease in suicidality.
The Importance of Screening Preteens for Suicide Risk in the Emergency Department.
Preteens think about suicide and engage in suicidal behavior at rates that warrant further study, and the importance of screening all preteen patients as young as 10 years old for suicide risk in the ED is highlighted.
Does assessing suicidality frequently and repeatedly cause harm? A randomized control study.
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The high prevalence of suicidal ideation indicates the existence of heavy psychological burden among refugees, and the prevalence of suicide attempts is similar to that in non-refugee populations.
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Primary care data on a clinical sample of individuals who died by suicide and were in recent contact with mental health services is explored in order to investigate the frequency and nature of general practice consultations and gain GPs’ views on patient non-adherence to treatment and service availability for the management of suicidal patients.
The prevalence of suicidal ideation identified by the Edinburgh Postnatal Depression Scale in postpartum women in primary care: findings from the RESPOND trial
Healthcare professionals using the Edinburgh Postnatal Depression Scale should be aware of the significant suicidality that is likely to be present in women endorsing 'yes, quite often' to question 10 of the EPDS, however, suicidal ideation does not appear to predict poor outcomes in women being treated for postnatal depression.
A Randomized Trial to Reduce the Prevalence of Depression and Self-Harm Behavior in Older Primary Care Patients
Practice audit and targeted education of general practitioners reduced the 2-year prevalence of depression and self-harm behavior by 10% compared with control physicians.
Health Care Usage and Suicide Risk Screening within 1 Year of Suicide Death.


Screening for suicidal thoughts in primary care: the views of patients and general practitioners.
GPs and family doctors should screen for suicidal risk among depressed patients and should receive training on how to do this as part of their general training in the assessment and management of mental disorders.
Evaluating iatrogenic risk of youth suicide screening programs: a randomized controlled trial.
No evidence of iatrogenic effects of suicide screening emerged and Screening in high schools is a safe component of youth suicide prevention efforts.
Thinking life is not worth living. A population survey of Great Britain.
Reducing psychiatric morbidity in the population as a whole might also decrease the frequency of suicidal thoughts, and policies which improve social support at a population level might also have a large impact on prevalence of suicidal thought.
Factors influencing the development and amelioration of suicidal thoughts in the general population
Risk factors for suicidal thoughts are similar to those for completed suicide, although the age and gender patterning is different, and further study into explanations for the differences in the epidemiology of suicidal thoughts and suicide is crucial.
Let’s Not Talk About It: Suicide Inquiry in Primary Care
Researchers found that when seeing patients with depressive symptoms, primary care physicians do not consistently inquire about suicidality, and that inquiries into suicidal thinking may be enhanced through advertising or public service messaging that prompts patients to ask for help.
Suicide within 12 months of contact with mental health services: national clinical survey
Several suicide prevention measures in mental health services are implied by these findings, including measures to improve compliance and prevent loss of contact with services.
Suicidal ideation and suicide attempts among ethnic minority groups in England: results of a national household survey
Services need to adapt in order to ensure that people from ethnic minorities receive appropriate psychological and medical care following attempted suicide, particularly among those born in the UK than those who migrated to England as adults.
Screening for depression in primary care with two verbally asked questions: cross sectional study
Two verbally asked questions for screening for depression would detect most cases of depression in general practice, and have the advantage of brevity.
Screening for Suicide Risk: Recommendation and Rationale
The evidence is insufficient to recommend for or against routine screening by primary care clinicians to detect suicide risk in the general population, according to the U.S. Preventive Services Task Force.
Evaluation of suicide prevention: a European approach
Suicide is a major cause of mortality across the world, and so evaluation of suicide prevention is essential to inform policy and practice, and to save lives. However, there are major methodological