TY - JOUR PY - 2024// TI - Treating individuals with suicidal ideation in primary care: patient-level characteristics associated with follow-up in the Collaborative Care Model JO - Suicide and life-threatening behavior A1 - Candon, Molly A1 - Wolk, Courtney Benjamin A1 - Kattan Khazanov, Gabriela A1 - Oslin, David W. A1 - Pieri, Matteo F. A1 - Press, Matthew J. A1 - Anderson, Eleanor A1 - Jager-Hyman, Shari SP - 15 EP - 23 VL - 54 IS - 1 N2 - 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 "several days" during the previous 2 weeks and 138 on "more than half or most days"). 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.
Language: en
LA - en SN - 0363-0234 UR - http://dx.doi.org/10.1111/sltb.13012 ID - ref1 ER -