1DpwC8F

Suicide Risk
Title
Population
Recommendation
Screening for Suicide Risk
General population
No recommendation.
Grade: I (Insufficient Evidence)
Risk Assessment
The strongest risk factors for attempted suicide include mood disorders or other mental disorders, comorbid substance
abuse disorders, history of deliberate self-harm, and a history of suicide attempts. Deliberate self-harm refers to intentionally
initiated acts of self-harm with a nonfatal outcome (including self-poisoning and self-injury). Suicide risk is assessed along a
continuum ranging from suicidal ideation alone (relatively less severe) to suicidal ideation with a plan (more severe). Suicidal
ideation with a specific plan of action is associated with a significant risk for attempted suicide.
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Screening Tests
There is limited evidence on the accuracy of screening tools to identify suicide risk in the primary care setting, including
tools to identify those at high risk. The characteristics of the most commonly used screening instruments (Scale for Suicide
Ideation, Scale for Suicide Ideation–Worst, and the Suicidal Ideation Questionnaire) have not been validated to assess
suicide risk in primary care settings.
Interventions
Balance of Benefits and
Harms
Other Relevant USPSTF
Recommendations
There is insufficient evidence to determine if treatment of persons at high risk for suicide reduces suicide attempts or
mortality.
There is no evidence that screening for suicide risk reduces suicide attempts or mortality. There is insufficient evidence to
determine if treatment of persons at high risk reduces suicide attempts or mortality. There are no studies that directly address
the harms of screening and treatment for suicide risk.
As a result, the USPSTF could not determine the balance of benefits and harms of screening for suicide risk in the primary
care setting.
The USPSTF has also made recommendations on screening for alcohol misuse, depression, and illicit drug use. These
recommendations are available at http://www.uspreventiveservicestaskforce.org/.
For a summary of the evidence systematically reviewed in making this recommendation, the full recommendation statement, and supporting documents,
please go to http://www.uspreventiveservicestaskforce.org/.