PT  - JOURNAL ARTICLE
AU  - Kevin A. Hallgren
AU  - Richard K. Ries
AU  - David C. Atkins
AU  - Kristin Bumgardner
AU  - Peter Roy-Byrne
TI  - Prediction of Suicide Ideation and Attempt Among Substance-Using Patients in Primary Care
AID  - 10.3122/jabfm.2017.02.160264
DP  - 2017 Mar 01
TA  - The Journal of the American Board of Family
                Medicine
PG  - 150--160
VI  - 30
IP  - 2
4099  - http://www.jabfm.org/content/30/2/150.short
4100  - http://www.jabfm.org/content/30/2/150.full
SO  - J Am Board Fam Med2017 Mar 01; 30
AB  - Background: Suicide is a major public health concern, particularly among people who use illicit substances and/or non-prescribed medications.Methods: The present study prospectively assessed the incidence and predictors of suicidal ideation (SI) and suicide attempt (SA) among 868 substance-using patients over 12 months after receiving primary care within seven public primary care clinics.Results: Participants reported a high incidence of SI (25.9%) and SA (7.1%) over the year following primary care visits. Suicidality was elevated in patients who were female; lacked a high school diploma; were unemployed; reported depression, anxiety, hallucinations, concentration difficulty, or violent behavior; used nicotine or stimulants; used the emergency department or mental health services in the past 90 days; reported current quality-of-life impairment in mobility or usual activities; or reported recent SI or lifetime SA at baseline. In multiple regression analyses, only past 30-day SI, any lifetime SA, past 90-day violent behavior, and current impairment due to anxiety or depression at baseline uniquely predicted SI or SA beyond other variables.Conclusions: Results support the need for screening for suicidality among primary care patients who use illicit substances and identify key subgroups of these patients who are at particularly elevated risk for suicidality.