Help-Seeking in Suicidal Situations: Paramount and yet Challenging. Interactions between Significant Others of Suicidal Persons and Health Care Providers

Dransart, Dolores Angela Castelli; Guerry, Sophie

doi:10.3390/jcm6020017

Cited by 18 publications

(63 citation statements)

References 29 publications

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“…These discrepancies are because suicide-related behaviors are a complex and multifaceted phenomenon. Support programs, psychotherapy, education about suicidal crises, and cooperation with professionals should be the first line of aid for those who express a desire to commit suicide [ 65 , 66 ].…”

Section: Discussionmentioning

confidence: 99%

Are Lipids Possible Markers of Suicide Behaviors?

Kułak-Bejda

Bejda

Lech

et al. 2021

JCM

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Suicides and suicidal behaviors are very important causes of mortality and morbidity and have become a serious global problem. More than 800,000 people die from suicide every year. Previous researches have established that lipids play an important role in the pathogenesis of suicide. Moreover, lipid levels might be a biological marker of suicide. A lot of researchers have tried to identify biological markers that might be related to depressive disorder, bipolar disorder or schizophrenia and suicidal behavior. It was also important to consider the usefulness of an additional tool for prevention actions. Metabolic deregulation, particularly low total cholesterol and low-density lipoproteins-cholesterol levels may cause higher suicide risk in patients with these psychiatric disorders.

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Section: Discussionmentioning

confidence: 99%

Are Lipids Possible Markers of Suicide Behaviors?

Kułak-Bejda

Bejda

Lech

et al. 2021

JCM

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“…Moreover, GPs in our survey may have been unaware of some SAs. One of the major obstacles hindering the help-seeking process is the refusal by the suicide attempter to receive professional care and the "help-seeking road travelled by the significant others of a suicide attempter is, in most cases, tortuous and difficult" [33]. Patients may conceal suicidality because of stigmatization [34].…”

Section: Gp As First Caregiver Following the Samentioning

confidence: 99%

Management in primary care at the time of a suicide attempt and its impact on care post-suicide attempt: an observational study in the French GP sentinel surveillance system

et al. 2020

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Background: We aimed to describe primary care management at the time of a suicide attempt (SA) and after the SA. Methods: An observational (cross-sectional) study was conducted among 166 sentinel GPs within France (a nongatekeeping country) between 2013 and 2017 for all GP's patients who attempted suicide. Measurements: frequency of patients 1) managed by the GP at the time of the SA, 2) addressed to an emergency department (ED), 3) without care at the time of the SA, and 4) managed by the GP after the SA and factors associated with GP management at the time of and after the SA. Results: Three hundred twenty-one SAs were reported, of which N = 95 (29.6%) were managed by the GP at the time of the SA, N = (70.5%) were referred to an ED, and N = (27.4%) remained at home. Forty-eight (14.9%) patients did not receive any care at the time of the SA and 178 (55.4%) were managed directly by an ED. GPs were more likely to be involved in management of the patient at the time of the SA if they were younger (39.2% for patients < 34 years old; 22.9% for those 35 to 54 years old, and 30.3% for those more than 55 years old p = 0.02) or the SA involved a firearm or self-cutting (51.9%) versus those involving drugs (23.7%); p = 0.006). After the SA, GPs managed 174 patients (54.2%), more often (60%) when they provided care at home at the time of the SA, p = 0.04; 1.87 [1.07; 3.35]. No other factor was associated with management by GPs after the SA.

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“…They can provide valuable information about their relatives (Wasserman et al 2012), engage in safety planning (Stanley & Brown 2012) and offer support to reduce their relatives' loneliness (Sellin et al 2017). Furthermore, they can support continuity of care by enabling their relatives' access to care, follow-up care and community integration (Dransart & Guerry 2017;Hom et al 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, Talseth et al (2001) found that relatives of patients with suicidal ideation desired to 'be met' by MHP, reflecting their expectations of being acknowledged as human beings, trusting the MHP and participating in treatment. Partnerships with MHP can foster family members' hope and resilience, enable positive caregiving experiences and make them feel recognized as valid representatives (Dransart & Guerry 2017;Foster et al 2016). However, family involvement in MHS often reflects a rhetoric-reality gap.…”

Section: Introductionmentioning

confidence: 99%

“…Family members may express dissatisfaction with the services provided to their relatives with suicidal ideation, and negative experiences concerning their own interactions with MHP including poor information and support, and exclusion from decision-making surrounding care and treatment (Dransart & Guerry 2017;Talseth et al 2001). Such incidents suggest that family members and MHP may have different expectations related to care, treatment and family involvement in MHS (Landeweer et al 2017).…”

Section: Introductionmentioning

confidence: 99%

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Family expectations of inpatient mental health services for adults with suicidal ideation: a qualitative study

Vandewalle

Debyser

Deproost

et al. 2021

Int J Mental Health Nurs

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Involvement of family members of adults with suicidal ideation is a key area of improvement in inpatient mental health services. To support family involvement in this context, it is crucial to understand what care and treatment family members expect for their relative. This qualitative study based on grounded theory involved interviews with 14 family members, including partners, parents, adult children and siblings. The family members' expectations of care and treatment in inpatient mental health services were captured by the core element 'Struggling to remain hopeful while looking through the lens of uncertainty'. This core element interacted with four sub-elements: assuming safety as a priority, looking for a healing approach and environment, counting on continuity of care and wanting to be involved and supported. The family members fluctuated between hope and uncertainty depending on whether their expectations were met or unmet. Unmet expectations were common and underpinned by a sense of being marginalized during the admission of their relative with suicidal ideation. Mental health professionals, including nurses, can be more empathetic towards the family members and attuned to their expectations. This can underpin partnerships that help families to deal with their feelings of uncertainty and disempowerment. Such partnerships can flourish in recovery-oriented mental health services that allow meaningful family involvement.

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Help-Seeking in Suicidal Situations: Paramount and yet Challenging. Interactions between Significant Others of Suicidal Persons and Health Care Providers

Cited by 18 publications

References 29 publications

Are Lipids Possible Markers of Suicide Behaviors?

Are Lipids Possible Markers of Suicide Behaviors?

Management in primary care at the time of a suicide attempt and its impact on care post-suicide attempt: an observational study in the French GP sentinel surveillance system

Family expectations of inpatient mental health services for adults with suicidal ideation: a qualitative study

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