Suicide Prevention in Primary Care: General Practitioners? Views on Service Availability
Pooja Saini,Kirsten Windfuhr,Anna Pearson,Damian Da Cruz,Caroline Miles,Lis Cordingley,David While,Nicola Swinson,Alyson Williams,Jenny Shaw,Louis Appleby,Navneet Kapur +11 more
Reads0
Chats0
TLDR
Health professionals have an important role to play in preventing suicide, however, GPs expressed concerns about the quality of primary care mental health service provision and difficulties with access to secondary mental health services.Abstract:
Primary care may be a key setting for suicide prevention. However, comparatively little is known about the services available in primary care for suicide prevention. The aims of the current study were to describe services available in general practices for the management of suicidal patients and to examine GPs views on these services. We carried out a questionnaire and interview study in the North West of England. We collected data on GPs views of suicide prevention generally as well as local mental health service provision. During the study period (2003-2005) we used the National Confidential Inquiry Suicide database to identify 286 general practitioners (GPs) who had registered patients who had died by suicide. Data were collected from GPs and practice managers in 167 practices. Responses suggested that there was greater availability of services and training for general mental health issues than for suicide prevention specifically. The three key themes which emerged from GP interviews were: barriers accessing primary or secondary mental health services; obstacles faced when referring a patient to mental health services; managing change within mental health care services Health professionals have an important role to play in preventing suicide. However, GPs expressed concerns about the quality of primary care mental health service provision and difficulties with access to secondary mental health services. Addressing these issues could facilitate future suicide prevention in primary care.read more
Citations
More filters
Journal ArticleDOI
Suicide and mental illness: A clinical review of 15 years findings from the UK National Confidential Inquiry into Suicide
Kirsten Windfuhr,Navneet Kapur +1 more
TL;DR: This review presents Inquiry findings from the beginning of the Inquiry in 1996 up to the present (2011) and suggests changes include: falling suicide rates in mental health patients, informing suicide prevention strategies and developing safety checklists for mental health services.
Journal ArticleDOI
Exploring general practitioners’ views and experiences on suicide risk assessment and management of young people in primary care: a qualitative study in the UK
Maria Michail,Lynda Tait +1 more
TL;DR: Wide variations in the understanding and operationalisation of risk among GPs are revealed, which has subsequent implications to how GPs perceive risk should be assessed.
Journal ArticleDOI
Psychiatric Emergencies: Assessing and Managing Suicidal Ideation
TL;DR: In this article, a risk and protective factors for suicide and a framework for the assessment and management of individuals at risk of suicide is presented. But the assessment should be explicitly documented with a summary of the most relevant risk/protective factors for that individual with a focus on interventions that may mitigate risk.
Journal ArticleDOI
How do healthcare professionals interview patients to assess suicide risk
TL;DR: Psychiatrists tend to ask patients to confirm they are not suicidal using negative questions, which bias patients’ responses towards reporting no suicidal ideation.
Journal ArticleDOI
Role of the GP in the management of patients with self-harm behaviour: a systematic review.
Faraz Mughal,M. Isabela Troya,Lisa Dikomitis,Carolyn Chew-Graham,Nadia Corp,Opeyemi O. Babatunde +5 more
TL;DR: The role of the GP is multidimensional and includes frontline assessment and treatment, referral to specialist care, and the provision of ongoing support for patients with self-harm behaviour.
References
More filters
Book ChapterDOI
Qualitative data analysis for applied policy research
Jane Ritchie,Liz Spencer +1 more
TL;DR: The last two decades have seen a notable growth in the use of qualitative methods for applied social policy research as discussed by the authors, which is underpinned by the persistent requirement in social policy fields to understand complex behaviours, needs, systems and cultures.
MonographDOI
Analyzing Qualitative Data
TL;DR: The Nature of Qualitative Analysis Data Preparation Writing Thematic Coding and Categorizing Analysing Biographies and Narratives Comparative Analysis Analytic Quality and Ethics Getting Started with Computer Assisted Qualitative Data Analysis Searching and Other Analytic Activities Using Software Putting it All Together.
Journal ArticleDOI
Contact with mental health and primary care providers before suicide: A review of the evidence
TL;DR: Alternative approaches to suicide-prevention efforts may be needed for those less likely to be seen in primary care or mental health specialty care, specifically young men.
Educational and Organizational Interventions to Improve the Management of Depression in Primary Care
Simon Gilbody,Paula Whitty +1 more
TL;DR: Gilbody et al. as mentioned in this paper proposed a change group for the effective professional and organisa-tional change group at the University ofOttawa, Ontario, Canada, which is based on the Cochrane Effective Professional and Organisa-tecial Change Group (EPCG).
Related Papers (5)
Contact with mental health and primary care providers before suicide: A review of the evidence
Suicide prevention strategies: a systematic review.
J. John Mann,Alan Apter,José Manoel Bertolote,Annette L. Beautrais,Dianne Currier,Ann Pollinger Haas,Ulrich Hegerl,Jouko Lönnqvist,Kevin M. Malone,Andrej Marusic,Lars Mehlum,George C Patton,Michael R. Phillips,Wolfgang Rutz,Zoltán Rihmer,Armin Schmidtke,David Shaffer,Morton M. Silverman,Yoshitomo Takahashi,Airi Värnik,Danuta Wasserman,Paul S. F. Yip,Herbert Hendin +22 more