TY - JOUR
AU - C. Haas
AU - P. Sterner
AU - P. Younesi
AU - E. Wang
AU - G. Pitschel-Walz
AU - J. Gensichen
AU - M. Bühner
AU - K. Lukaschek
A1 - 
AB - Suicidal ideation affects 10% of primary care patients. Although guidelines recommend screening, few tools are suitable for use in this setting, and protective factors are often overlooked. This study aimed to develop a brief questionnaire to assess suicidality in primary care. The Suicide Prevention for Primary Care Questionnaire (SuPr-10) was validated in 521 participants with a PHQ-9 score ≥ 6 across six subsamples. Its structure was analyzed using exploratory and confirmatory factor analysis, item analysis, and psychometric evaluation. Diagnostic accuracy was assessed via logistic regression and ROC analysis, and patient acceptance was measured in a follow-up survey. A two-factor structure with ten items was identified: I. protective scale (ω = .817) and II. risk scale (ω = .928), showing strong correlations with suicidality (r = -.529, .854) and depression (r = -.736, .626) scales. SuPr-10 showed acceptable discriminatory ability for identifying individuals with a history of suicide attempts (AUC = .765; 83% sensitivity, 56% specificity). It provides a structured assessment of suicidal tendencies and protective factors in primary care patients with depressive symptoms, supporting clinical decision-making and resource-focused communication. These findings are based on a clinically enriched, German-speaking sample, do not imply prospective prediction of suicidal behavior, and require validation in broader primary care populations.
AD - Institute of General Practice and Family Medicine, University Hospital, LMU Munich, Munich, Germany. carolin.haas@unibw.de.; Graduate Program "POKAL - Predictors and Outcomes in Primary Care Depression Care" (DFG-GrK 2621), Munich, Germany. carolin.haas@unibw.de.; Institute of Psychology, University of the Bundeswehr Munich, Neubiberg, Germany. carolin.haas@unibw.de.; Psychological Methods and Assessment, Department of Psychology, LMU Munich, Munich, Germany.; Institute of General Practice and Family Medicine, University Hospital, LMU Munich, Munich, Germany.; Graduate Program "POKAL - Predictors and Outcomes in Primary Care Depression Care" (DFG-GrK 2621), Munich, Germany.; Department of Psychiatry and Psychotherapy, LMU University Hospital, Munich, Germany.; Division of Occupational Dermatology, Department of Dermatology, Ruprecht-Karls University Heidelberg, Heidelberg, Germany.
AN - 42236508
BT - Sci Rep
C5 - Measures
CP - 1
DA - 06/2026
DO - 10.1038/s41598-026-54258-w
DP - NLM
ET - 20260603
IS - 1
JF - Sci Rep
LA - eng
N2 - Suicidal ideation affects 10% of primary care patients. Although guidelines recommend screening, few tools are suitable for use in this setting, and protective factors are often overlooked. This study aimed to develop a brief questionnaire to assess suicidality in primary care. The Suicide Prevention for Primary Care Questionnaire (SuPr-10) was validated in 521 participants with a PHQ-9 score ≥ 6 across six subsamples. Its structure was analyzed using exploratory and confirmatory factor analysis, item analysis, and psychometric evaluation. Diagnostic accuracy was assessed via logistic regression and ROC analysis, and patient acceptance was measured in a follow-up survey. A two-factor structure with ten items was identified: I. protective scale (ω = .817) and II. risk scale (ω = .928), showing strong correlations with suicidality (r = -.529, .854) and depression (r = -.736, .626) scales. SuPr-10 showed acceptable discriminatory ability for identifying individuals with a history of suicide attempts (AUC = .765; 83% sensitivity, 56% specificity). It provides a structured assessment of suicidal tendencies and protective factors in primary care patients with depressive symptoms, supporting clinical decision-making and resource-focused communication. These findings are based on a clinically enriched, German-speaking sample, do not imply prospective prediction of suicidal behavior, and require validation in broader primary care populations.
PY - 2026
SN - 2045-2322
ST - Development and validation of the SuPr-10 questionnaire for suicidality assessment in primary care patients with depressive symptoms
T1 - Development and validation of the SuPr-10 questionnaire for suicidality assessment in primary care patients with depressive symptoms
T2 - Sci Rep
TI - Development and validation of the SuPr-10 questionnaire for suicidality assessment in primary care patients with depressive symptoms
U1 - Measures
U3 - 10.1038/s41598-026-54258-w
VL - 16
VO - 2045-2322
Y1 - 2026
ER -