
@article{ref1,
title="Treating individuals with suicidal ideation in primary care: patient-level characteristics associated with follow-up in the Collaborative Care Model",
journal="Suicide and life-threatening behavior",
year="2024",
author="Candon, Molly and Wolk, Courtney Benjamin and Kattan Khazanov, Gabriela and Oslin, David W. and Pieri, Matteo F. and Press, Matthew J. and Anderson, Eleanor and Jager-Hyman, Shari",
volume="54",
number="1",
pages="15-23",
abstract="INTRODUCTION: The Collaborative Care Model (CoCM) is an evidence-based approach which embeds behavioral health providers (BHPs) into primary care. Whether patients with suicidal ideation (SI) are willing to engage in CoCM is unclear.  METHODS: Using Patient Health Questionnaire-9 (PHQ-9) administrative data from primary care practices within an urban academic health system, we identified patients with and without SI who were referred to a CoCM BHP. We compared engagement, defined as attendance at ≥1 CoCM visit, across groups.  RESULTS: Between 2018 and 2022, 7391 primary care patients were referred to a CoCM BHP. Eight hundred and ninety-two of these patients reported SI on the PHQ-9 (754 on &quot;several days&quot; during the previous 2 weeks and 138 on &quot;more than half or most days&quot;). Across groups, most patients engaged in CoCM. Patients reporting SI on several days engaged at a lower rate (61.4%) than those reporting SI on more than half or most days (65.9%). Both SI groups engaged at a lower rate than the 6499 patients who did not report SI (67.5%).  CONCLUSION: Most patients referred to a CoCM BHP engaged in ≥1 visit. Rates were lower for patients with SI, with the lowest rate among those reporting SI on several days.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.13012",
url="http://dx.doi.org/10.1111/sltb.13012"
}