OBJECTIVE The purpose of this study was to evaluate the feasibility and impact of a suicide risk screening program in a rural West Virginia primary care practice. METHODS Patients presenting for routine and sick visits were asked to participate in electronic suicide risk screening using the Ask Suicide-Screening Questions tool; screen positive individuals were assessed with the Ask Suicide-Screening Questions Brief Suicide Safety Assessment. Screening program feasibility was evaluated by the proportion of patients consenting to participate, participant Ask Suicide-Screening Questions and Brief Suicide Safety Assessment completion rates, and response to a question asking whether primary care providers should ask about suicide. Screening impact was evaluated quasi-experimentally by comparing electronic medical record documentation of suicide risk screening, assessment, and risk determination in practice patients before and after implementing the screening program. RESULTS Over half of the patients approached agreed to participate in a research study about suicide (N = 196; 57.7%). Feasibility of the screening program was demonstrated by the high completion rates for the Ask Suicide-Screening Questions (99.0%) and the Brief Suicide Safety Assessment (100.0%) among study participants. Additionally, 95.4% (N = 187) of participants agreed primary care providers should screen patients for suicide. Suicide screening rates rose significantly between the baseline and intervention phases (5.8% to 61.0%; X2 = 200.61, P < 0.001), as did suicide risk detection rates (0.7% to 6.2%; X2 = 12.58, P < 0.001). CONCLUSION Suicide risk screening was feasible and well accepted by adult patients in rural primary care and has potential to improve suicide risk detection in this setting.

中文翻译：

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农村成人初级保健自杀风险筛查计划的可行性和影响：询问自杀筛查问题工具包的试点测试

目标 本研究的目的是评估自杀风险筛查计划在西弗吉尼亚州农村初级保健实践中的可行性和影响。方法 要求常规和生病就诊的患者使用“询问自杀筛查问题”工具参与电子自杀风险筛查；使用“询问自杀筛查问题简要自杀安全评估”对筛查阳性的个体进行评估。筛查计划的可行性通过同意参与的患者比例、参与者询问自杀筛查问题和简要自杀安全评估完成率以及对询问初级保健提供者是否应该询问自杀的问题的回答来评估。通过在实施筛查计划之前和之后比较实践患者中自杀风险筛查、评估和风险确定的电子病历文件，以准实验方式评估筛查影响。结果 接近一半的患者同意参加有关自杀的研究（N = 196；57.7%）。研究参与者的自杀筛查问题 (Ask Suicide-Screening Questions) (99.0%) 和简要自杀安全评估 (Brief Suicide Safety Assessment) (100.0%) 的高完成率证明了筛查计划的可行性。此外，95.4% (N = 187) 的参与者同意初级保健提供者应筛查患者是否有自杀倾向。基线和干预阶段之间的自杀筛查率显着上升（5.8% 至 61.0%；X2 = 200.61，P < 0.001），自杀风险检测率（0.7% 至 6. 2%；X2 = 12.58，P < 0.001）。结论 自杀风险筛查是可行的，并且被农村初级保健的成年患者广泛接受，并且有可能改善这种情况下的自杀风险检测。