While suicides can be a shock to family and friends, some warning signs exist. Often a simple question from a family doctor can be enough to start a person toward help and treatment.
VIDEO ALERT: Additional audio and video resources from Dr. Timothy Lineberry are available here.
A new review in the August issue of Mayo Clinic Proceedings by researchers at Mayo Clinic and the University of Washington, Seattle highlights the opportunity primary care physicians have to establish a successful treatment plan for these patients.
“As doctors, we know patients don’t suddenly consider suicide because we ask if they’ve thought about death,” says Timothy Lineberry, M.D., psychiatrist at Mayo Clinic. “Yet, too often a patient with clear risk factors isn’t asked whether they are having thoughts of suicide.”
People at risk for suicide often are being treated for depression, anxiety or substance misuse. In fact, nearly 45 percent of those dying by suicide saw their primary care physician weeks or days before death.
“A patient with symptoms of depression, severe anxiety or substance misuse should be asked directly about suicide,” Dr. Lineberry says. “Unfortunately, research shows that this happens less than half the time.”
The paper highlights the potential benefits for improving depression treatment and decreasing suicide risk in collaborative care of depression treatment models. In collaborative care, multidisciplinary teams systematically assess patient progress over time, enhance treatment and follow-up and educate patients.
A peer-reviewed journal, Mayo Clinic Proceedings publishes original articles and reviews dealing with clinical and laboratory medicine, clinical research, basic science research and clinical epidemiology. Mayo Clinic Proceedings is published monthly by Mayo Foundation for Medical Education and Research as part of its commitment to the medical education of physicians. The journal has been published for more than 80 years and has a circulation of 130,000 nationally and internationally. Articles are available online at Mayo Clinic Proceedings.
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