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Let’S Not Talk About It: Suicide Inquiry In Primary Care, Mitchell D. Feldman, Peter Franks, Paul R. Duberstein, Steven D. Vannoy, Ronald Epstein, Richard L. Kravitz
Let’S Not Talk About It: Suicide Inquiry In Primary Care, Mitchell D. Feldman, Peter Franks, Paul R. Duberstein, Steven D. Vannoy, Ronald Epstein, Richard L. Kravitz
Steven D Vannoy
ABSTRACT PURPOSE The purpose of this study was to ascertain physician characteristics associated with exploring suicidality in patients with depressive symptoms and the influence of patient antidepressant requests. METHODS Primary care physicians were randomly recruited from 4 sites in northern California and Rochester, NY; 152 physicians participated (53%-61% of those approached). Standardized patients portraying 2 conditions (major depres- sion and adjustment disorder) and 3 antidepressant request types (brand specific, general, or none) made unannounced visits to these physicians between May 2003 and May 2004. We examined factors associated with physician exploration of suicidality. RESULTS Suicide was explored in 36% of …