Suicide risk screening depends heavily on accurate patient self-report. However, past negative experiences with mental health care may contribute to intentional nondisclosure of suicide risk during screening. This study investigated among 282 men older than age 50 whether likelihood for current explicit risk nondisclosure was associated with previous highest level of mental health care received. This sample was selected post hoc out of a larger sample of participants from higher risk and lower help-seeking populations (i.e., military service members and veterans, men older than age 50, and lesbian gay bisexual, transgender, and queer young adults), however, the other groups were underpowered for analysis. Among these men, history of psychiatric hospitalization was significantly associated with likelihood for explicit nondisclosure of current suicide risk, while history of receiving only outpatient therapy for suicidal thoughts or behaviors was significantly associated with likelihood for full reporting of suicide risk. Severity of suicidal ideation and internalized stigma against mental illness were significant indirect contributors to the effect. Although causality could not be determined, results suggest that a potential cost to consider for psychiatric hospitalization may be future nondisclosure of suicide risk. Conversely, outpatient interventions that appropriately manage suicidal thoughts or behaviors may encourage future full reporting of suicide risk and improve screening detection.

自杀风险筛查在很大程度上取决于准确的患者自我报告。然而，过去在精神卫生保健方面的负面经历可能会导致在筛查过程中故意隐瞒自杀风险。这项研究调查了 282 名 50 岁以上的男性，当前明确风险隐瞒的可能性是否与之前接受的最高水平的心理健康护理有关。该样本是从来自较高风险和较低寻求帮助人群（即，军人和退伍军人、50 岁以上的男性、女同性恋、双性恋、跨性别和酷儿青年）的更大样本中挑选出来的。然而，其他组的分析能力不足。在这些男人中，精神病住院史与明确不披露当前自杀风险的可能性显着相关，而仅接受门诊治疗自杀想法或行为的历史与完整报告自杀风险的可能性显着相关。自杀意念的严重程度和对精神疾病的内在污名是造成这种影响的重要间接因素。虽然无法确定因果关系，但结果表明，精神病住院的潜在成本可能是未来不披露自杀风险。相反，适当管理自杀念头或行为的门诊干预措施可能会鼓励未来全面报告自杀风险并改善筛查检测。而仅因自杀念头或行为而接受门诊治疗的历史与全面报告自杀风险的可能性显着相关。自杀意念的严重程度和对精神疾病的内在污名是造成这种影响的重要间接因素。虽然无法确定因果关系，但结果表明，精神病住院的潜在成本可能是未来不披露自杀风险。相反，适当管理自杀念头或行为的门诊干预措施可能会鼓励未来全面报告自杀风险并改善筛查检测。而仅因自杀念头或行为而接受门诊治疗的历史与全面报告自杀风险的可能性显着相关。自杀意念的严重程度和对精神疾病的内在污名是造成这种影响的重要间接因素。虽然无法确定因果关系，但结果表明，精神病住院的潜在成本可能是未来不披露自杀风险。相反，适当管理自杀念头或行为的门诊干预措施可能会鼓励未来全面报告自杀风险并改善筛查检测。自杀意念的严重程度和对精神疾病的内在污名是造成这种影响的重要间接因素。虽然无法确定因果关系，但结果表明，精神病住院的潜在成本可能是未来不披露自杀风险。相反，适当管理自杀念头或行为的门诊干预措施可能会鼓励未来全面报告自杀风险并改善筛查检测。自杀意念的严重程度和对精神疾病的内在污名是造成这种影响的重要间接因素。虽然无法确定因果关系，但结果表明，精神病住院的潜在成本可能是未来不披露自杀风险。相反，适当管理自杀念头或行为的门诊干预措施可能会鼓励未来全面报告自杀风险并改善筛查检测。