Primary Care Screening for Adolescent Suicide Risk

A study completed by Laurie Barclay MD and published in Medscape indicated that routine screening at primary care offices for depression and suicide risk can increase early detention of suicide. Although they warn against asking questions regarding suicide if there is no availability to a mental health professional.

This statement warning against asking about suicide if there is no clear referral that can be made seems to be in contradiction of this entire study. So primary care physicians "shouldn't" know if you are suicidal if they cannot refer you out? It is understandable that a physician may not feel they have the tools or training to assess clear risk of suicide in an adolescent. Why would they not at least be encouraged to try and seek additional training, especially if there are no other options? It could mean life or death....