There is a lack of evidence for the routine screening of patients using a screening instrument (C). GPs should be alert for higher-risk individuals and the possibility of suicide in these patients. There is evidence that detecting and treating depression has a role in suicide prevention.44,45 For example, the incidence of suicide has decreased in older men and women in association with exposure to antidepressants.31,46
- Siu AL, US Preventive Services Task Force. Screening for depression in adults, US Preventive Services Task Force recommendation statement. JAMA 2016;315(4):380–87.
- King M, Semlyen J, Tai SS, et al. A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry 2008;8:70.
- McDermott B, Baigent M, Chanen A, et al. Clinical practice guidelines: Depression in adolescents and young adults. Hawthorn, Vic: beyondblue, 2010.
- Arroll B, Goodyear-Smith F, Kerse N, Fishman T. Effect of the addition of a ‘help’ question to two screening questions on specificity for diagnosis of depression in general practice: Diagnostic validity study. BMJ 2005;331(7521):884.
- Austin MP, Highet N, the Guidelines Expert Advisory Committee. Clinical practice guidelines for depression and related disorders – anxiety, bipolar disorder and puerperal psychosis – in the perinatal period. A guideline for primary care health professionals. Hawthorn, Vic: beyondblue, 2011.
- Gaynes B N, West SL, Ford CA, Frame P, Klein J, Lohr KN. Screening for suicide risk in adults: A summary of the evidence for the US Preventive Services Task Force. Ann Intern Med 2004;140(10):822–35.
- Goldney RD. Suicide prevention: A pragmatic review of recent studies. Crisis 2005;26(3):128–40.
- Hall W, Mant A, Mitchell PB, Rendle VA, Hickie IB. Association between antidepressant prescribing and suicide in Australia, 1991–2000 trend analysis. BMJ 2003;326(7397):1008–12.
- Goldney RD. Suicide prevention. Oxford, UK: Oxford University Press, 2008.
- LeFevre ML, US Preventive Services Task Force. Screening for suicide risk in adolescents, adults, and older adults in primary care: US Preventive Services Task Force recommendation statement. Ann Intern Med 2014;160(10):719–26.
- US Preventive Services Task Force. The guide to clinical preventive services 2014: Recommendations of the US Preventive Services Task Force. Rockville, MD: US Preventive Task Force. 2014. Available at www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/index.html [Accessed 1 November 2015].
- Large MM, Nielssen OB. Suicide in Australia: Meta-analysis of rates and methods of suicide between 1988 and 2007. Med J Aust 2010;192(8):432–37.
- World Health Organization, Department of Reproductive Health and Research London School of Hygiene and Tropical Medicine, South African Medical Research Council. Global and regional estimates of violence against women. Prevalence and health effects of intimate partner violence and non-partner sexual violence. Geneva: WHO, 2013.