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Article ; Online: Zero Suicide International: An opportunity across Asia.

Ahmedani, Brian K / Frank, Cathrine / Zervos, John

2024 , Page(s) 104056

Language	English
Publishing date	2024-04-26
Publishing country	Netherlands
Document type	Editorial
ZDB-ID	2456678-0
ISSN	1876-2026 ; 1876-2018
ISSN (online)	1876-2026
ISSN	1876-2018
DOI	10.1016/j.ajp.2024.104056
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Article ; Online: Evaluating the Prevalence of Four Recommended Practices for Suicide Prevention Following Hospital Discharge.

Chitavi, Salome O / Patrianakos, Jamie / Williams, Scott C / Schmaltz, Stephen P / Ahmedani, Brian K / Roaten, Kimberly / Boudreaux, Edwin D / Brown, Gregory K

Joint Commission journal on quality and patient safety

2024

Abstract: Background: The Joint Commission's National Patient Safety Goal (NPSG) for suicide prevention (NPSG.15.01.01) requires that accredited hospitals maintain policies/procedures for follow-up care at discharge for patients identified as at risk for suicide. ...

Abstract	Background: The Joint Commission's National Patient Safety Goal (NPSG) for suicide prevention (NPSG.15.01.01) requires that accredited hospitals maintain policies/procedures for follow-up care at discharge for patients identified as at risk for suicide. The proportion of hospitals meeting these requirements through use of recommended discharge practices is unknown. Methods: This cross-sectional observational study explored the prevalence of suicide prevention activities among Joint Commission-accredited hospitals. A questionnaire was sent to 1,148 accredited hospitals. The authors calculated the percentage of hospitals reporting implementation of four recommended discharge practices for suicide prevention. Results: Of 1,148 hospitals, 346 (30.1%) responded. The majority (n = 212 [61.3%]) of hospitals had implemented formal safety planning, but few of those (n = 41 [19.3%]) included all key components of safety planning. Approximately a third of hospitals provided a warm handoff to outpatient care (n = 128 [37.0%)] or made follow-up contact with patients (n = 105 [30.3%]), and approximately a quarter (n = 97 [28.0%]) developed a plan for lethal means safety. Very few (n = 14 [4.0%]) hospitals met full criteria for implementing recommended suicide prevention activities at time of discharge. Conclusion: The study revealed a significant gap in implementation of recommended practices related to prevention of suicide postdischarge. Additional research is needed to identify factors contributing to this implementation gap.
Language	English
Publishing date	2024-02-23
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1189890-2
ISSN	1938-131X ; 1549-425X ; 1553-7250 ; 1070-3241 ; 1549-3741
ISSN (online)	1938-131X ; 1549-425X
ISSN	1553-7250 ; 1070-3241 ; 1549-3741
DOI	10.1016/j.jcjq.2024.02.007
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Article ; Online: Correction: Cross-phenotype relationship between opioid use disorder and suicide attempts: new evidence from polygenic association and Mendelian randomization analyses.

Huang, Yunqi / Chen, Dongru / Levin, Albert M / Ahmedani, Brian K / Frank, Cathrine / Li, Miaoxin / Wang, Qiang / Gui, Hongsheng / Sham, Pak-Chung

Molecular psychiatry

2023

Language	English
Publishing date	2023-12-12
Publishing country	England
Document type	Published Erratum
ZDB-ID	1330655-8
ISSN	1476-5578 ; 1359-4184
ISSN (online)	1476-5578
ISSN	1359-4184
DOI	10.1038/s41380-023-02341-3
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Zs.A 4812: Show issues

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Article ; Online: Reduced Disruption in Psychotherapy Visits Among Older Adults During the COVID-19 Pandemic.

Patel, Shivali R / Yeh, Hsueh-Han / Eke-Usim, Angela / Ahmedani, Brian K / Rossom, Rebecca C / Miller-Matero, Lisa / Simon, Gregory E / Penfold, Robert B / Owen-Smith, Ashli / Beebani, Ganj / Akinyemi, Esther

The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry

2024 Volume 32, Issue 5, Page(s) 644–645

MeSH term(s)	Humans ; Aged ; COVID-19 ; Pandemics ; Psychotherapy
Language	English
Publishing date	2024-01-03
Publishing country	England
Document type	Letter
ZDB-ID	1278145-9
ISSN	1545-7214 ; 1064-7481
ISSN (online)	1545-7214
ISSN	1064-7481
DOI	10.1016/j.jagp.2023.12.023
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Article ; Online: Challenges in Research on Suicide Prevention.

Coffey, C Edward / Ahmedani, Brian K / Coffey, M Justin

JAMA

2019 Volume 321, Issue 11, Page(s) 1105

MeSH term(s)	Health Services Research ; Suicide/prevention & control
Language	English
Publishing date	2019-03-15
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	2958-0
ISSN	1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
ISSN (online)	1538-3598
ISSN	0254-9077 ; 0002-9955 ; 0098-7484
DOI	10.1001/jama.2018.21951
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Article ; Online: Suicide Deaths Before and During the Coronavirus Disease 2019 Pandemic: An Interrupted Time-series Study.

Rossom, Rebecca C / Penfold, Robert B / Owen-Smith, Ashli A / Simon, Greg E / Ahmedani, Brian K

Medical care

2022 Volume 60, Issue 5, Page(s) 357–360

Abstract: Introduction: With stressors that are often associated with suicide increasing during the coronavirus disease 2019 (COVID-19) pandemic, there has been concern that suicide mortality rates may also be increasing. Our objective was to determine whether ... ...

Abstract	Introduction: With stressors that are often associated with suicide increasing during the coronavirus disease 2019 (COVID-19) pandemic, there has been concern that suicide mortality rates may also be increasing. Our objective was to determine whether suicide mortality rates increased during the COVID-19 pandemic. Methods: We conducted an interrupted time-series study using data from January 2019 through December 2020 from 2 large integrated health care systems. The population at risk included all patients or individuals enrolled in a health plan at HealthPartners in Minnesota or Henry Ford Health System in Michigan. The primary outcome was change in suicide mortality rates, expressed as annualized crude rates of suicide death per 100,000 people in 10 months following the start of the pandemic in March 2020 compared with the 14 months prior. Results: There were 6,434,675 people at risk in the sample, with 55% women and a diverse sample across ages, race/ethnicity, and insurance type. From January 2019 through February 2020, there was a slow increase in the suicide mortality rate, with rates then decreasing by 0.45 per 100,000 people per month from March 2020 through December 2020 (SE=0.19, P=0.03). Conclusions: Overall suicide mortality rates did not increase with the pandemic, and in fact slightly declined from March to December 2020. Our findings should be confirmed across other settings and, when available, using final adjudicated state mortality data.
MeSH term(s)	COVID-19 ; Ethnicity ; Female ; Humans ; Interrupted Time Series Analysis ; Male ; Pandemics ; Suicide
Language	English
Publishing date	2022-02-27
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	411646-x
ISSN	1537-1948 ; 0025-7079
ISSN (online)	1537-1948
ISSN	0025-7079
DOI	10.1097/MLR.0000000000001700
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Zs.MO 63: Show issues

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Article ; Online: Cross-phenotype relationship between opioid use disorder and suicide attempts: new evidence from polygenic association and Mendelian randomization analyses.

Huang, Yunqi / Chen, Dongru / Levin, Albert M / Ahmedani, Brian K / Frank, Cathrine / Li, Miaoxin / Wang, Qiang / Gui, Hongsheng / Sham, Pak-Chung

Molecular psychiatry

2023 Volume 28, Issue 7, Page(s) 2913–2921

Abstract: Clinical epidemiological studies have found high co-occurrence between suicide attempts (SA) and opioid use disorder (OUD). However, the patterns of correlation and causation between them are still not clear due to psychiatric confounding. To investigate ...

Abstract	Clinical epidemiological studies have found high co-occurrence between suicide attempts (SA) and opioid use disorder (OUD). However, the patterns of correlation and causation between them are still not clear due to psychiatric confounding. To investigate their cross-phenotype relationship, we utilized raw phenotypes and genotypes from >150,000 UK Biobank samples, and genome-wide association summary statistics from >600,000 individuals with European ancestry. Pairwise association and a potential bidirectional relationship between OUD and SA were evaluated with and without controlling for major psychiatric disease status (e.g., schizophrenia, major depressive disorder, and alcohol use disorder). Multiple statistical and genetics tools were used to perform epidemiological association, genetic correlation, polygenic risk score prediction, and Mendelian randomizations (MR) analyses. Strong associations between OUD and SA were observed at both the phenotypic level (overall samples [OR = 2.94, P = 1.59 ×10
MeSH term(s)	Humans ; Suicide, Attempted ; Depressive Disorder, Major/genetics ; Depressive Disorder, Major/psychology ; Genome-Wide Association Study ; Mendelian Randomization Analysis ; Phenotype
Language	English
Publishing date	2023-06-20
Publishing country	England
Document type	Journal Article
ZDB-ID	1330655-8
ISSN	1476-5578 ; 1359-4184
ISSN (online)	1476-5578
ISSN	1359-4184
DOI	10.1038/s41380-023-02124-w
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Article ; Online: Stability of Suicide Risk Prediction Models During Changes in Health Care Delivery.

Simon, Gregory E / Cruz, Maricela / Shortreed, Susan M / Sterling, Stacy A / Coleman, Karen J / Ahmedani, Brian K / Yaseen, Zimri S / Mosholder, Andrew D

Psychiatric services (Washington, D.C.)

2023 Volume 75, Issue 2, Page(s) 139–147

Abstract: Objective: The authors aimed to use health records data to examine how the accuracy of statistical models predicting self-harm or suicide changed between 2015 and 2019, as health systems implemented suicide prevention programs.: Methods: Data from ... ...

Abstract	Objective: The authors aimed to use health records data to examine how the accuracy of statistical models predicting self-harm or suicide changed between 2015 and 2019, as health systems implemented suicide prevention programs. Methods: Data from four large health systems were used to identify specialty mental health visits by patients ages ≥11 years, assess 311 potential predictors of self-harm (including demographic characteristics, historical risk factors, and index visit characteristics), and ascertain fatal or nonfatal self-harm events over 90 days after each visit. New prediction models were developed with logistic regression with LASSO (least absolute shrinkage and selection operator) in random samples of visits (65%) from each calendar year and were validated in the remaining portion of the sample (35%). Results: A model developed for visits from 2009 to mid-2015 showed similar classification performance and calibration accuracy in a new sample of about 13.1 million visits from late 2015 to 2019. Area under the receiver operating characteristic curve (AUC) ranged from 0.840 to 0.849 in the new sample, compared with 0.851 in the original sample. New models developed for each year for 2015-2019 had classification performance (AUC range 0.790-0.853), sensitivity, and positive predictive value similar to those of the previously developed model. Models selected similar predictors from 2015 to 2019, except for more frequent selection of depression questionnaire data in later years, when questionnaires were more frequently recorded. Conclusions: A self-harm prediction model developed with 2009-2015 visit data performed similarly when applied to 2015-2019 visits. New models did not yield superior performance or identify different predictors.
MeSH term(s)	Humans ; Suicide ; Risk Factors ; Self-Injurious Behavior/epidemiology ; Self-Injurious Behavior/psychology ; Suicide Prevention ; Delivery of Health Care
Language	English
Publishing date	2023-08-17
Publishing country	United States
Document type	Journal Article
ZDB-ID	1220173-x
ISSN	1557-9700 ; 1075-2730
ISSN (online)	1557-9700
ISSN	1075-2730
DOI	10.1176/appi.ps.20230172
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Article ; Online: Suicide attempts after bariatric surgery: comparison to a nonsurgical cohort of individuals with severe obesity.

Miller-Matero, Lisa R / Yeh, Hsueh-Han / Ahmedani, Brian K / Rossom, Rebecca C / Harry, Melissa L / Daida, Yihe G / Coleman, Karen J

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

2023 Volume 19, Issue 12, Page(s) 1458–1466

Abstract: Background: The rate of suicide is higher among individuals following bariatric surgery compared with the general population; however, it is not clear whether risk is associated with bariatric surgery beyond having severe obesity.: Objective: To ... ...

Abstract	Background: The rate of suicide is higher among individuals following bariatric surgery compared with the general population; however, it is not clear whether risk is associated with bariatric surgery beyond having severe obesity. Objective: To compare the risk of a suicide attempt among those who had bariatric surgery versus a nonsurgical cohort with severe obesity. Setting: Aggregate count data were collected from 5 healthcare systems. Methods: Individuals were identified in the surgical cohort if they underwent bariatric surgery between 2009 and 2017 (n = 35,522) and then were compared with a cohort of individuals with severe obesity who never had bariatric surgery (n = 691,752). Suicide attempts were identified after study enrollment date using International Classification of Diseases, Ninth and Tenth Editions (ICD-9 and ICD-10) diagnosis codes from 2009 to 2021. Results: The relative risk of a suicide attempt was 64% higher in the cohort with bariatric surgery than that of the nonsurgical cohort (2.2% versus 1.3%; relative risk = 1.64; 95% CI, 1.53-1.76). Within the cohort with bariatric surgery, suicide attempts were more common among the 18- to 39-year age group (P < .001), women (P = .002), Hawaiian-Pacific Islanders (P < .001), those with Medicaid insurance (P < .001), and those with a documented mental health condition at baseline (in the previous 2 years; P < .001). Conclusions: The relative risk of suicide attempts was higher among those who underwent bariatric surgery compared with a nonsurgical cohort, though absolute risk remained low. Providers should be aware of this increased risk. Screening for suicide risk after bariatric surgery may be useful to identify high-risk individuals.
MeSH term(s)	Humans ; Female ; Obesity, Morbid/complications ; Obesity, Morbid/surgery ; Obesity, Morbid/psychology ; Suicide, Attempted ; Obesity/surgery ; Bariatric Surgery/adverse effects ; Risk
Language	English
Publishing date	2023-09-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	2274243-8
ISSN	1878-7533 ; 1550-7289
ISSN (online)	1878-7533
ISSN	1550-7289
DOI	10.1016/j.soard.2023.08.013
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Article ; Online: Predicting suicide death after emergency department visits with mental health or self-harm diagnoses.

Simon, Gregory E / Johnson, Eric / Shortreed, Susan M / Ziebell, Rebecca A / Rossom, Rebecca C / Ahmedani, Brian K / Coleman, Karen J / Beck, Arne / Lynch, Frances L / Daida, Yihe G

General hospital psychiatry

2024 Volume 87, Page(s) 13–19

Abstract: Objective: Use health records data to predict suicide death following emergency department visits.: Methods: Electronic health records and insurance claims from seven health systems were used to: identify emergency department visits with mental ... ...

Abstract	Objective: Use health records data to predict suicide death following emergency department visits. Methods: Electronic health records and insurance claims from seven health systems were used to: identify emergency department visits with mental health or self-harm diagnoses by members aged 11 or older; extract approximately 2500 potential predictors including demographic, historical, and baseline clinical characteristics; and ascertain subsequent deaths by self-harm. Logistic regression with lasso and random forest models predicted self-harm death over 90 days after each visit. Results: Records identified 2,069,170 eligible visits, 899 followed by suicide death within 90 days. The best-fitting logistic regression with lasso model yielded an area under the receiver operating curve of 0.823 (95% CI 0.810-0.836). Visits above the 95th percentile of predicted risk included 34.8% (95% CI 31.1-38.7) of subsequent suicide deaths and had a 0.303% (95% CI 0.261-0.346) suicide death rate over the following 90 days. Model performance was similar across subgroups defined by age, sex, race, and ethnicity. Conclusions: Machine learning models using coded data from health records have moderate performance in predicting suicide death following emergency department visits for mental health or self-harm diagnosis and could be used to identify patients needing more systematic follow-up.
MeSH term(s)	Humans ; Mental Health ; Emergency Room Visits ; Suicide/psychology ; Self-Injurious Behavior/epidemiology ; Emergency Service, Hospital
Language	English
Publishing date	2024-01-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	392299-6
ISSN	1873-7714 ; 0163-8343
ISSN (online)	1873-7714
ISSN	0163-8343
DOI	10.1016/j.genhosppsych.2024.01.009
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