USPSTF: Primary-care suicide screening not evidence-based
No correlation between primary-care screenings and suicide prevention in teens and adults.
USPSTF: Not enough evidence supporting primary-care suicide screenings
HealthDay News -- The United States Preventive Task Force (USPSTF) has updated its recommendation on the benefits and harms of suicide screening in primary-care settings, stating that evidence is insufficient to assess the impact of such services.
“In 2010, suicide accounted for more than 1.4 million years of potential life lost before age 85 years, or 4.3% of total years of potential life lost in the United States,” Michael L. LeFevre, MD, MSPH, wrote in a recommendation update published in the Annals of Internal Medicine.
“Past studies estimated that 38% of adults (50% to 70% of older adults) visited their primary care provider within 1 month of dying by suicide. Nearly 90% of suicidal youths were seen in primary care during the previous 12 months,” continued LeFevre.
The USPSTF reviewed four studies that evaluated the accuracy of screening instruments to identify patients at increased risk for suicide. Study populations ranged from adolescents in outpatient care to primary-care patients aged 65 years and older. Each study used a different tool to screen patients for increased suicide risk.
Overall, no evidence was found that linked preventative screenings with decreased suicide risk.
“The USPSTF recognizes that clinical decisions involve more considerations than evidence alone,” wrote LeFevre. “Clinicians should understand the evidence but individualize decision making to the specific patient or situation.”
Here are resources the USPSTF has provided for suicide prevention:
- The Community Preventive Services Task Force provides recommendations on collaborative care approaches to managing depression, mental health parity policy, and home-based depression care for older adults
- The National Strategy for Suicide Prevention, released by U.S. Surgeon General and the National Action Alliance for Suicide includes goals and objectives for action to prevent suicide
- The Suicide Prevention Resource Center, supported by the Substance Abuse and Mental Health Services Administration, offers various resources on suicide prevention