Suicide risk remission in collaborative care: a large-scale observational study
IntroductionPrimary care settings represent a critical opportunity for suicide prevention, as many individuals who die by suicide visit primary care providers in their final month of life. The Collaborative Care Model (CoCM) offers a structured approach to behavioral health treatment in primary care...
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| Format: | Article |
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Frontiers Media S.A.
2025-07-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1584753/full |
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| author | Carol Hardy Virna Little Brandn Green |
| author_facet | Carol Hardy Virna Little Brandn Green |
| author_sort | Carol Hardy |
| collection | DOAJ |
| description | IntroductionPrimary care settings represent a critical opportunity for suicide prevention, as many individuals who die by suicide visit primary care providers in their final month of life. The Collaborative Care Model (CoCM) offers a structured approach to behavioral health treatment in primary care, but research on its effectiveness for suicide risk management is limited. This study examined how clinical variables (days enrolled, clinical touchpoints, psychiatric consultations) relate to suicide risk outcomes in CoCM, and how these relationships are moderated by initial depression severity.MethodsData from 3,599 patients with suicide risk flags who completed CoCM treatment were analyzed using ordinal logistic regression. Changes in suicide risk level from intake to discharge were categorized as improved, unchanged, or regressed.ResultsLonger enrollment (OR=1.432, p<.001) and more clinical touchpoints (OR=2.584, p<.001) predicted improved outcomes. Higher baseline depression scores predicted poorer outcomes (OR=0.741, p<.001) but showed significant interaction with days enrolled. More psychiatric consultations (OR=0.813, p<.001) were associated with risk regression, likely reflecting appropriate escalation of complex cases.DiscussionCoCM shows promise for suicide risk management in primary care, with sustained engagement and frequent clinical contact improving outcomes. Results suggest treatment intensity should be tailored to initial depression severity. |
| format | Article |
| id | doaj-art-04d0169103cd49da9d174cb3ffffeae5 |
| institution | Kabale University |
| issn | 1664-0640 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj-art-04d0169103cd49da9d174cb3ffffeae52025-08-20T03:28:18ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-07-011610.3389/fpsyt.2025.15847531584753Suicide risk remission in collaborative care: a large-scale observational studyCarol Hardy0Virna Little1Brandn Green2JG Research & Evaluation, Bozeman, MT, United StatesConcert Health, San Diego, CA, United StatesJG Research & Evaluation, Bozeman, MT, United StatesIntroductionPrimary care settings represent a critical opportunity for suicide prevention, as many individuals who die by suicide visit primary care providers in their final month of life. The Collaborative Care Model (CoCM) offers a structured approach to behavioral health treatment in primary care, but research on its effectiveness for suicide risk management is limited. This study examined how clinical variables (days enrolled, clinical touchpoints, psychiatric consultations) relate to suicide risk outcomes in CoCM, and how these relationships are moderated by initial depression severity.MethodsData from 3,599 patients with suicide risk flags who completed CoCM treatment were analyzed using ordinal logistic regression. Changes in suicide risk level from intake to discharge were categorized as improved, unchanged, or regressed.ResultsLonger enrollment (OR=1.432, p<.001) and more clinical touchpoints (OR=2.584, p<.001) predicted improved outcomes. Higher baseline depression scores predicted poorer outcomes (OR=0.741, p<.001) but showed significant interaction with days enrolled. More psychiatric consultations (OR=0.813, p<.001) were associated with risk regression, likely reflecting appropriate escalation of complex cases.DiscussionCoCM shows promise for suicide risk management in primary care, with sustained engagement and frequent clinical contact improving outcomes. Results suggest treatment intensity should be tailored to initial depression severity.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1584753/fullsuicide preventioncollaborative caresuicide care pathwaysuicide remissionsuicide treatmentdepression |
| spellingShingle | Carol Hardy Virna Little Brandn Green Suicide risk remission in collaborative care: a large-scale observational study Frontiers in Psychiatry suicide prevention collaborative care suicide care pathway suicide remission suicide treatment depression |
| title | Suicide risk remission in collaborative care: a large-scale observational study |
| title_full | Suicide risk remission in collaborative care: a large-scale observational study |
| title_fullStr | Suicide risk remission in collaborative care: a large-scale observational study |
| title_full_unstemmed | Suicide risk remission in collaborative care: a large-scale observational study |
| title_short | Suicide risk remission in collaborative care: a large-scale observational study |
| title_sort | suicide risk remission in collaborative care a large scale observational study |
| topic | suicide prevention collaborative care suicide care pathway suicide remission suicide treatment depression |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1584753/full |
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