Viewpoint: Toward Involvement of Caregivers in Suicide Prevention Strategies; Ethical Issues and Perspectives

Moal, Valérie Le; Lemey, Christophe; Walter, Michel; Berrouiguet, Sofian

doi:10.3389/fpsyg.2018.02457

Cited by 10 publications

(18 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In China, demographic data, including causes of harm, are often collected from patients’ families when admitted to the emergency department (ED). The effectiveness of information is highly relevant to the accuracy of family report, 5 especially for some ‘accidents’ associated with suspected suicidal behaviours. However, self-report biases may be introduced when responding to sensitive questions, such as suicidal behaviours.…”

Section: Introductionmentioning

confidence: 99%

“…Families always play a crucial role in caregiving and help-seeking for patients with suicide attempts. 5 8 Nevertheless, the fear of unwanted impacts, such as stigma, lack of insurance coverage for suicidal behaviour or concern about potential legal complications, may lead them to hide patients’ suicidal behaviours. 14 Besides, some patients with suicide attempts may conceal their intentions or behaviours over an extended period; as a result, their behaviours may not be alarming for families.…”

Section: Introductionmentioning

confidence: 99%

“…Families always play a crucial role in caregiving and help-seeking for patients with suicide attempts 5 8. Nevertheless, the fear of unwanted impacts, such as stigma, lack of insurance coverage for suicidal behaviour or concern about potential legal complications, may lead them to hide patients’ suicidal behaviours 14.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Discordance between family report and clinical assessment of suicide attempts: a prospective study from the emergency department

2021

View full text Add to dashboard Cite

BackgroundDeveloping accurate identification methods for individuals with suicide attempts and providing them with follow-up care and supports can be a vital component of all comprehensive suicide prevention strategies. However, because of the difficulties concerning one’s intentions behind injurious behaviour, identifying suicide attempts is a challenge for families and clinicians.AimsThe aim of this study was to investigate the differences between family report and clinical assessment for suicide attempts in the emergency department (ED).MethodsA total of 148 patients with suspected suicide attempts (SSAs) and 148 family caregivers in the ED were enrolled. The suicide risk module of the Chinese version of the MINI International Neuropsychiatric Interview and the self-report measure were used to assess those with SSA’s suicidal behaviours. The Family Adaptability and Cohesion Evaluation Scales and semi-structured interviews were used to investigate the characteristics of suicide risk and demographics of patients with SSA, as well as the rate and influencing factors of omitted suicide attempts reported by family caregivers.ResultsThe underreporting rate for family reported suicide attempts in the ED was 69.0%. The suicide attempts group indicated lower mean scores on perceptions of family resources, adaptability and cohesion. Patients' suicide risk rating (OR =−1.81, 95% CI: −3.87 to −0.33, p=0.036), family satisfaction (OR =−1.11, 95% CI: −2.29 to −0.06, p=0.048), and caregiver’s age (OR =−1.68, 95% CI: −3.10 to −0.48, p=0.010) might be associated with underreporting by families. If patients committed suicide attempts through a falling injury or medication overdose, their families may have misreported the suicide attempt.ConclusionsThe discordance of suicide attempt records between family report and clinical assessment reveals the limitations of family self-reports when identifying suicide attempts. Interviews and observations, together with information from certain diagnoses, should be combined to accurately identify suicide attempters in the ED.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Discordance between family report and clinical assessment of suicide attempts: a prospective study from the emergency department

2021

View full text Add to dashboard Cite

show abstract

“…Family members of patients at risk of suicide want to be included in the patient’s treatment process (McLaughlin et al, 2016 ; Sellin et al, 2017 ). Related to patients at risk of suicide, Le Moal et al ( 2018 ) point out that a key component in the patient’s network—“the caregiver”—has not been included in prevention strategies. In a recent action plan for suicide prevention in Norway, however, one of the proposed measures is to strengthen the focus on family members as a resource in suicide prevention, and on their need for support and information (Norwegian Ministry of Health and Care Services, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“Embracing is the most important thing we can do” – Caring for the family members of patients at risk of suicide

Vatne

Lohne

Nåden

2021

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

“…Caregivers play a vital role in suicide prevention by providing physical, psychological, spiritual, and emotional supports. 5 Attitude affects emotions, cognition, and behavior and thus the caregiver's attitude towards suicide patients can affect the quality of care the suicidal patients receive. 6 , 7 , 8 While attitudes towards suicide have been studied over the past decade in diverse groups, 9 limited data on caregiver's attitudes towards suicide are available.…”

Section: Introductionmentioning

confidence: 99%

Attitude Towards Suicide among Caregivers of Patients Admitted with Suicide Attempt to a Tertiary Care Hospital: A Descriptive Cross-sectional Study

et al. 2021

View full text Add to dashboard Cite

Introduction: Understanding the attitude of caregivers towards suicide attempters could be useful in suicide prevention. The objective of this study was to study attitude towards suicide among caregivers of patients with suicide attempt admitted to a tertiary care hospital in Nepal. Methods: A descriptive cross-sectional study was conducted with 52 caregivers of patients with suicide attempt who had been admitted to a tertiary care hospital of Nepal after obtaining ethical clearance from Institutional Review Committee (ref. IRC/0797/016). Data were collected through interviews using the Attitude towards Suicide Questionnaire and in-depth interviews conducted on five caregivers using the interview framework developed in the department for the purpose. Data and descriptive analysis were done using Statistical Package for the Social Sciences version 21. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data. Content analysis was used for qualitative data. Results: Majority of the caregivers 34 (65.4%) had unfavorable attitude towards suicide. Caregivers reported that mental and chronic physical illness, financial difficulty, working environment, and social factors such as undue pressure and failure to perform the task, difficulty maintaining the relationship, abuse, and neglect could be some of the possible causes of suicide. Caring and understanding attitude of family members, health professionals, and society towards the suicidal individuals providing appropriate training and education to the public would help in reducing the stigma and burden of suicidal patients. Conclusions: The overall attitude of the caregivers was unfavorable. Interventions targeted towards improving attitude towards suicide could be helpful in suicide prevention.

show abstract

Viewpoint: Toward Involvement of Caregivers in Suicide Prevention Strategies; Ethical Issues and Perspectives

Cited by 10 publications

References 14 publications

Discordance between family report and clinical assessment of suicide attempts: a prospective study from the emergency department

Discordance between family report and clinical assessment of suicide attempts: a prospective study from the emergency department

“Embracing is the most important thing we can do” – Caring for the family members of patients at risk of suicide

Attitude Towards Suicide among Caregivers of Patients Admitted with Suicide Attempt to a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Contact Info

Product

Resources

About