Sarah T. Lawrence|James H. Willig|Heidi M. Crane|Jiatao Ye|Inmaculada Aban|William B. Lober|Christa R. Nevin|D. Scott Batey|Michael J. Mugavero|Cheryl B. McCullumsmith|Charles J. Wright|Mari M. Kitahata|James L. Raper|Michael S. Saag|Joseph E. Schumacher
Routine, Self?Administered, Touch?Screen, Computer?Based Suicidal Ideation Assessment Linked to Automated Response Team Notification in an HIV Primary Care Setting
University of Alabama at Birmingham|University of Alabama at Birmingham|University of Washington|University of Alabama at Birmingham|University of Alabama at Birmingham|University of Washington|University of Alabama at Birmingham|University of Alabama at Birmingham|University of Alabama at Birmingham|University of Alabama at Birmingham|University of Alabama at Birmingham|University of Washington|University of Alabama at Birmingham|University of Alabama at Birmingham|University of Alabama at Birmingham
human immunodeficiency virus hiv aids continue associated underrecognized risk suicidal ideation attempted suicide completed suicide suicidal ideation represents important predictor subsequent attempted completed suicide sought implement routine screening suicidal ideation associated conditions using computerized patientreported outcome pro assessmentstwo geographically distinct academic hiv primary care clinics enrolled patients attended scheduled visits december 2005 february 2009 touchscreen computerbased pro assessments implemented routine clinical care substance abuse alcohol consumption depression anxiety assessed 9item patient health questionnaire assesses frequency suicidal ideation preceding 2 weeks response nearly every day triggered automated page predetermined clinic personnel completed detailed selfharm assessmentsoverall 1216 patients 740 university alabama birmingham 476 university washington completed initial pro assessment study period patients predominantly white 646 53 male 959 79 mean age standard deviation 44 10 years among surveyed patients 170 14 endorsed level suicidal ideation whereas 33 3 admitted suicidal ideation nearly every day multivariable analysis suicidal ideation risk lower advancing age odds ratio 074 per 10 years 95 confidence interval ci 058096 increased current substance abuse 188 95 ci 103344 moresevere depression 391 moderate depression 95 ci 212722 2555 severe depression 95 ci 12735130suicidal ideation associated current substance abuse depression use novel technologies incorporate routine selfreported screening suicidal ideation health domains allows timely detection intervention lifethreatening condition