Introduction
Suicide is a major public health problem and a complex clinical challenge. Assessment
and early identification could be enhanced with screening tools that look beyond depression.
The purpose of this study was to identify profiles of risk behaviors and social stress
associated with suicidal ideation and behavior using the Behavioral Health Screen.
Methods
The study used screening data from 2,513 primary care patients (aged 14–24 years).
Data were collected between 2008 and 2012, and were analyzed in 2016.
Results
Latent class analysis identified a high and low risk profile. Domains of primary influence
included substance use, sexual assault, same-sex behavior, and unsafe sex. The high-risk
group was 11 times more likely to have made a suicide attempt, five times more likely
to report a history of suicidal ideation and behavior, and three times more likely
to report recent suicidal ideation and behavior.
Conclusions
Risk behaviors and social stress contribute to the risk for suicide above and beyond
depression and should be assessed during routine primary care visits with adolescents.
The Behavioral Health Screen can screen all these domains and thus assist primary
care providers in assessing for both psychiatric and social stress factors associated
with youth suicide.
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Article Info
Publication History
Published online: April 11, 2017
Identification
Copyright
© 2017 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
