Laura Suarez1, Scott R Beach2, Shannon V Moore1, Carol A Mastromauro1, James L Januzzi3, Christopher M Celano1, Trina E Chang1, Jeff C Huffman1. 1. Harvard Medical School, Boston, MA (LS, SRB, SVM, CAM, JLJ, CMC, TEC, JCH); Department of Psychiatry, Massachusetts General Hospital, Boston, MA (LS, SRB, SVM, CAM, CMC, TEC, JCH). 2. Harvard Medical School, Boston, MA (LS, SRB, SVM, CAM, JLJ, CMC, TEC, JCH); Department of Psychiatry, Massachusetts General Hospital, Boston, MA (LS, SRB, SVM, CAM, CMC, TEC, JCH). Electronic address: sbeach1@partners.org. 3. Harvard Medical School, Boston, MA (LS, SRB, SVM, CAM, JLJ, CMC, TEC, JCH); Division of Cardiology, Massachusetts General Hospital, Boston, MA (JLJ).
Abstract
BACKGROUND: The risk of suicide is elevated in patients with cardiac disease in comparison with the general population. OBJECTIVE: In distressed cardiac inpatients, we explored the use of Item 9 of the Patient Health Questionnaire-9, which inquires about thoughts of death or suicide, and a detailed suicide evaluation (DSE) triggered by positive responses to Item 9 as means of assessing suicide. METHODS: Among cardiac inpatients endorsing current emotional distress, we recorded the prevalence of positive responses to Item 9, gathered information about outcomes and time spent completing the DSE, and examined the frequency of imminent suicidality identified by the DSE among Item 9-positive patients. RESULTS: Among 366 patients, 77 (21%) answered affirmatively to Item 9. All DSEs were successfully completed but consumed 17 clinician hours. Among the 71 patients receiving the DSE, 2 (0.5% of total sample; 2.8% of Item 9-positive patients) were imminently suicidal (i.e., had intent or plan). CONCLUSION: Nearly 1 in 4 patients had a positive response to Item 9, but very few had imminent suicidality; the DSE was easy to use and acceptable to patients but time consuming. A more narrowly focused alternative to Item 9 may more accurately predict imminent suicidality and reduce the burden of further detailed suicide screening.
BACKGROUND: The risk of suicide is elevated in patients with cardiac disease in comparison with the general population. OBJECTIVE: In distressed cardiac inpatients, we explored the use of Item 9 of the Patient Health Questionnaire-9, which inquires about thoughts of death or suicide, and a detailed suicide evaluation (DSE) triggered by positive responses to Item 9 as means of assessing suicide. METHODS: Among cardiac inpatients endorsing current emotional distress, we recorded the prevalence of positive responses to Item 9, gathered information about outcomes and time spent completing the DSE, and examined the frequency of imminent suicidality identified by the DSE among Item 9-positive patients. RESULTS: Among 366 patients, 77 (21%) answered affirmatively to Item 9. All DSEs were successfully completed but consumed 17 clinician hours. Among the 71 patients receiving the DSE, 2 (0.5% of total sample; 2.8% of Item 9-positive patients) were imminently suicidal (i.e., had intent or plan). CONCLUSION: Nearly 1 in 4 patients had a positive response to Item 9, but very few had imminent suicidality; the DSE was easy to use and acceptable to patients but time consuming. A more narrowly focused alternative to Item 9 may more accurately predict imminent suicidality and reduce the burden of further detailed suicide screening.
Authors: C M Celano; E E Beale; C A Mastromauro; J G Stewart; R A Millstein; R P Auerbach; C A Bedoya; J C Huffman Journal: Psychol Med Date: 2016-11-23 Impact factor: 7.723
Authors: Jeff C Huffman; Eleanor E Beale; Scott R Beach; Christopher M Celano; Arianna M Belcher; Shannon V Moore; Laura Suarez; Parul U Gandhi; Shweta R Motiwala; Hanna Gaggin; James L Januzzi Journal: Contemp Clin Trials Date: 2015-07-10 Impact factor: 2.226
Authors: Jeff C Huffman; Julia K Boehm; Scott R Beach; Eleanor E Beale; Christina M DuBois; Brian C Healy Journal: J Psychiatr Res Date: 2016-03-07 Impact factor: 4.791
Authors: Yin Wu; Brooke Levis; Kira E Riehm; Nazanin Saadat; Alexander W Levis; Marleine Azar; Danielle B Rice; Jill Boruff; Pim Cuijpers; Simon Gilbody; John P A Ioannidis; Lorie A Kloda; Dean McMillan; Scott B Patten; Ian Shrier; Roy C Ziegelstein; Dickens H Akena; Bruce Arroll; Liat Ayalon; Hamid R Baradaran; Murray Baron; Charles H Bombardier; Peter Butterworth; Gregory Carter; Marcos H Chagas; Juliana C N Chan; Rushina Cholera; Yeates Conwell; Janneke M de Man-van Ginkel; Jesse R Fann; Felix H Fischer; Daniel Fung; Bizu Gelaye; Felicity Goodyear-Smith; Catherine G Greeno; Brian J Hall; Patricia A Harrison; Martin Härter; Ulrich Hegerl; Leanne Hides; Stevan E Hobfoll; Marie Hudson; Thomas Hyphantis; Masatoshi Inagaki; Nathalie Jetté; Mohammad E Khamseh; Kim M Kiely; Yunxin Kwan; Femke Lamers; Shen-Ing Liu; Manote Lotrakul; Sonia R Loureiro; Bernd Löwe; Anthony McGuire; Sherina Mohd-Sidik; Tiago N Munhoz; Kumiko Muramatsu; Flávia L Osório; Vikram Patel; Brian W Pence; Philippe Persoons; Angelo Picardi; Katrin Reuter; Alasdair G Rooney; Iná S Santos; Juwita Shaaban; Abbey Sidebottom; Adam Simning; Lesley Stafford; Sharon Sung; Pei Lin Lynnette Tan; Alyna Turner; Henk C van Weert; Jennifer White; Mary A Whooley; Kirsty Winkley; Mitsuhiko Yamada; Andrea Benedetti; Brett D Thombs Journal: Psychol Med Date: 2019-07-12 Impact factor: 10.592
Authors: Annabelle M Mournet; Jarrod T Smith; Jeffrey A Bridge; Edwin D Boudreaux; Deborah J Snyder; Cynthia A Claassen; David A Jobes; Maryland Pao; Lisa M Horowitz Journal: J Acad Consult Liaison Psychiatry Date: 2021-02-12