The failure of suicide prevention in primary care: family and GP perspectives - a qualitative study.
BMC Psychiatry
; 17(1): 369, 2017 Nov 21.
Article
em En
| MEDLINE
| ID: mdl-29157221
ABSTRACT
BACKGROUND:
Although Primary care is crucial for suicide prevention, clinicians tend to report completed suicides in their care as non-preventable. We aimed to examine systemic inadequacies in suicide prevention from the perspectives of bereaved family members and GPs.METHODS:
Qualitative study of 72 relatives or close friends bereaved by suicide and 19 General Practitioners who have experienced the suicide of patients.RESULTS:
Relatives highlight failures in detecting symptoms and behavioral changes and the inability of GPs to understand the needs of patients and their social contexts. A perceived overreliance on anti-depressant treatment is a major source of criticism by family members. GPs tend to lack confidence in the recognition and management of suicidal patients, and report structural inadequacies in service provision.CONCLUSIONS:
Mental health and primary care services must find innovative and ethical ways to involve families in the decision-making process for patients at risk of suicide.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Suicídio
/
Família
/
Clínicos Gerais
/
Prevenção do Suicídio
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Adult
/
Female
/
Humans
/
Male
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article