Is suicide prevention properly taught in medical schools?

Hawgood, Jacinta; Krysińska, Karolina; Ide, Naoko; Leo, Diego De

doi:10.1080/01421590701753542

Cited by 47 publications

(51 citation statements)

References 26 publications

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“…If we consider memory recall bias and possible presence of unreported data, it seems plausible to hypothesize that every GP have had some experience of this phenomenon in his/her live. This appears in line with literature [12]. …”

Section: Discussionsupporting

confidence: 93%

“…Some physicians might avoid ”suicide“ matters for the fear of worsening any possible suicidal feelings in the patient; others could feel not confident enough in their personal skills to treat this kind of subjects [11]. Some of these difficulties can be partially attributed to the relatively low importance given to courses on suicide prevention within medical school curricula [12]. …”

Section: Introductionmentioning

confidence: 99%

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Self-perceived Difficulties With Suicidal Patients in A Sample of Italian General Practitioners

Grossi¹,

Toniolo²,

Baldo

et al. 2011

J Clin Med Res

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BackgroundSuicidal behaviours are relatively common among primary care patients, but suicide ideation seems to be poorly detected by GPs. The purpose of the present study is to investigate the frequency of issues related to suicidal behaviour in GPs’ setting and to inquire the level of difficulties perceived by physicians when dealing with suicidal patients.MethodsA survey on 88 GPs in Rovigo (Italy) has been conducted through the use of a self-administered questionnaire inquiring about suicidal behaviour in patients, personal history and outside professional lives.ResultsFour out of 5 doctors have encountered at least a case of suicide in their professional career, and 3 out of 4 recorded at least a case of suicide attempt in a working year. The frequency of personal history of suicidal ideation/behaviour was 2.3%. One third of GPs have come into contact with suicides or suicide attempts outside the professional setting. Sixty one per cent of doctors admitted difficulties in exploring suicidal ideation, but tended to ascribe it to a reluctant attitude of patients.ConclusionsThe study underscores GPs’ need of being helped in the difficult task of recognising suicidal patients.KeywordsGeneral practitioner; Suicide ideation; Suicide; Suicide attempt

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Self-perceived Difficulties With Suicidal Patients in A Sample of Italian General Practitioners

Grossi¹,

Toniolo²,

Baldo

et al. 2011

J Clin Med Res

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“…[32][33][34] However, evidence for the efficacy of educational initiatives in the prevention of suicide has been mixed. [35][36][37] In light of the views on prevention expressed by some GPs in this study it may be advantageous to develop strategies to improve multidisciplinary working and communication between secondary mental health services and primary care.…”

Section: -28mentioning

confidence: 99%

Primary care contact prior to suicide in individuals with mental illness

Pearson¹,

Saini²,

Cruz³

et al. 2009

Br J Gen Pract

110

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BackgroundPrevious studies have reported differing rates of consultation with GPs prior to suicide. Patients with a psychiatric history have higher rates of consultation and consult closer to the time of their death. AimTo investigate the frequency and nature of general practice consultations in the year before suicide for patients in current, or recent, contact with secondary mental health services. Design of studyRetrospective case-note study and semi-structured interviews. SettingGeneral practices in the northwest of England. MethodGeneral practice data were obtained by a retrospective review of medical records (n = 247) and semistructured interviews with GPs (n = 159). ResultsGP records were reviewed in 247 of the 286 cases (86%). Overall, 91% of individuals (n = 224) consulted their GP on at least one occasion in the year before death. The median number of consultations was 7 (interquartile range = 3-10). Interviews were carried out with GPs with regard to 159 patients. GPs reported concerns about their patient's safety in 43 (27%) cases, but only 16% of them thought that the suicide could have been prevented. Agreement between GPs and mental health teams regarding risk of suicide was poor. Both sets of clinicians rated moderate to high levels of risk in only 3% of cases for whom information was available (n = 139) (overall κ = 0.024). ConclusionConsultation prior to suicide is common but suicide prevention in primary care is challenging. Possible strategies might include examining the potential benefits of risk assessment and collaborative working between primary and secondary care.

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“…An investigation commissioned to the Australian Institute for Suicide Research and Prevention by the Australian Government Department of Health and Ageing in 2006 aimed to verify receptivity towards, and possible ways of implementing, suicide prevention education in the medical curricula of Australian universities. This mandate also provided the opportunity to assess potential interest in and feasibility for education on end‐of‐life decisions 2 . Our exploratory investigation included interviews of key academics in curriculum or accreditation committees of 10 out of 15 Australian medical schools, 24 general practitioners from six Australian states, and 373 medical students from the University of Queensland 2 …”

mentioning

confidence: 99%

“…This mandate also provided the opportunity to assess potential interest in and feasibility for education on end‐of‐life decisions 2 . Our exploratory investigation included interviews of key academics in curriculum or accreditation committees of 10 out of 15 Australian medical schools, 24 general practitioners from six Australian states, and 373 medical students from the University of Queensland 2 …”

mentioning

confidence: 99%