TY - JOUR
AU - C. Hardy
AU - V. Little
AU - B. Green
A1 - 
AB - INTRODUCTION: Primary 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. METHODS: Data 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. RESULTS: Longer 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. DISCUSSION: CoCM 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.
AD - JG Research & Evaluation, Bozeman, MT, United States.; Concert Health, San Diego, CA, United States.
AN - 40761596
BT - Front Psychiatry
C5 - Education & Workforce
DO - 10.3389/fpsyt.2025.1584753
DP - NLM
ET - 20250721
JF - Front Psychiatry
LA - eng
N2 - INTRODUCTION: Primary 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. METHODS: Data 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. RESULTS: Longer 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. DISCUSSION: CoCM 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.
PY - 2025
SN - 1664-0640 (Print); 1664-0640
SP - 1584753
ST - Suicide risk remission in collaborative care: a large-scale observational study
T1 - Suicide risk remission in collaborative care: a large-scale observational study
T2 - Front Psychiatry
TI - Suicide risk remission in collaborative care: a large-scale observational study
U1 - Education & Workforce
U3 - 10.3389/fpsyt.2025.1584753
VL - 16
VO - 1664-0640 (Print); 1664-0640
Y1 - 2025
ER -