Suicidal ideations, plans and attempts in primary care in Morocco: cross-sectional study of consultants at primary health care system in Morocco

Abstract

IntroductionThe aim of the study is to estimate the prevalence of suicidal ideation among Moroccan consultants in primary health care system.MethodsWe conducted a cross sectional survey in three health care centers in two cities of Morocco to estimate the prevalence of suicidal ideation, plan and suicide attempts among 396 consultants in the primary health care system, using the Mini International neuropsychiatric interview. Patients were 18 years and older, without known psychiatric or chronic somatic disease. Statistical analysis was performed by the SPSS 13.0 software.ResultsThe prevalence of suicidal ideation was 5.3%, and 2.7% of the patients planned their suicide and 1.2% tried to commit suicide. The multivariate analysis did not demonstrate significant association.ConclusionSuicidal ideation, plan and suicide attempts are prevalent in primary health care patients, but they are still under diagnosed. An adequate training of physicians and the establishment of education programs is essential to reduce the rate of suicide.

Prevalence of Suicidal Risk in the General Population in Parakou (Benin) in 2022

“…This could easily be explained. Indeed, although his study population was community healthcare consultants, Oneib had excluded from his study individuals treated for a psychiatric disorder and/or for a chronic and disabling physical illness such as diabetes, endocrine disorders, neurological disorders, cancers and others [22]. However, the presence of these medical antecedents in a subject constitutes primary risk factors for suicidal behavior, and makes him or her more likely to have suicidal thoughts.…”

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“…This importance is pointed out by the scientific literature, as a considerable percentage of people with suicidal behavior were seen by physicians months before such occurrence. Data from France and the United States indicate that 80% of the people with depressive symptoms are treated in PHC, which represents 20% of the total consultations 10 . Early identification of signs related to suicidal behavior and an accurate assessment of the risk of suicide are related to effective prevention, a situation that points to the increasing need for technical preparation of the PHC professionals 11 .…”

Atitudes Profissionais Em Relação Ao Comportamento Suicida Na Atenção Primária À Saúde: Um Estudo Quase-Experimental

“…Essa importância é apontada pela literatura científica, uma vez que uma parcela considerável das pessoas com comportamento suicida foi consultada por médicos meses antes de sua ocorrência. Dados da França e dos Estados Unidos apontam que 80% das pessoas com sintomas depressivos são tratadas na APS, o que representa 20% do total de consultas 10 . A identificação precoce de sinais relativos ao comportamento suicida e a avaliação acurada do risco de suicídio estão relacionados à prevenção eficaz, situação que aponta para a necessidade cada vez maior de preparação técnica dos profissionais da APS 11 .…”