Clinical Pathway for Suicide Risk Screening in Adult Primary Care Settings: Special Recommendations

Lynsay Ayer, Lisa M. Horowitz, Lisa Colpe, Nathan J. Lowry, Patrick C. Ryan, Edwin Boudreaux, Virna Little, Stephen Erban, Soett Ramirez-Estrada, Michael Schoenbaum

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Suicide is a serious public health concern. On average, 80% of suicide decedents had contact with primary care within 1 year of their suicide. This and other research underscore the importance of screening for suicide risk within primary care settings, and implementation of suicide risk screening is already underway in many practices. However, while primary care practices may be familiar with screening for other mental health concerns (e.g., depression), many feel uncomfortable or unprepared for suicide risk screening. To meet the increasing demand for evidence-based suicide-risk-screening guidance, we provide a clinical pathway for adult primary care practices (to include family medicine, internal medicine, women's health). The pathway was developed by experts with research, clinical expertise, and experience in suicide risk screening and primary care. We also provide detailed guidance to aid primary care practices in their decisions about how to implement the clinical pathway.

Original languageEnglish
Pages (from-to)497-510
Number of pages14
JournalJournal of the Academy of Consultation-Liaison Psychiatry
Issue number5
StatePublished - 1 Sep 2022
Externally publishedYes


  • adult
  • pathway
  • primary care
  • screening
  • suicide
  • workflow


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