The social life of self-harm in general practice

Research engaging qualitatively with clinical practitioners’ understanding of, and response to, self-harm has been limited. Self-harm offers a particularly compelling case through which to examine the enduring challenges faced by practitioners in treating patients whose presenting symptoms are not clearly biomedical in nature. In this paper, we present an analysis of 30 General Practitioners’ (GPs’) […]

The strategical role of general practitioner in the prevention of suicide: Preliminary data from a descriptive study in the province of Trento

Suicide is a serious public health problem, as confirmed by the World Health Organization (WHO). It turns out to be, at least in part, preventable, but it is a complex problem, requiring complex solutions. Studies show us that about 44.5 percent of suicidal individuals would have expressed to someone, prior to the act, their intention […]

Recent GP consultation before death by suicide in middle-aged males: A national consecutive case series study

Background: Reducing suicide risk in middle-aged males (40-54 years) is a national priority. People have often presented to their GP within 3 months before suicide thus highlighting an opportunity for early intervention. Aim: To describe the sociodemographic characteristics and identify antecedents in middle-aged males who recently consulted a GP before dying by suicide. Design and setting: This study […]

Nudging general practitioners to explore suicidal thoughts among depressed patients

Background While frank discussion of suicidal thoughts in patients with depression is important for the prevention of suicide, suicide exploration of General Practitioners (GPs) is suboptimal. This study aimed to assess whether an intervention that prompts pop-up screens nudges GPs to more frequently explore suicidal thoughts over the course of two years. Methods From January […]

Recent GP consultation before death by suicide in middle-aged males: A national consecutive case series study

Background Reducing suicide risk in middle-aged males (40–54 years) is a national priority. People have often presented to their GP within 3 months before suicide thus highlighting an opportunity for early intervention. Aim To describe the sociodemographic characteristics and identify antecedents in middle-aged males who recently consulted a GP before dying by suicide. Design and […]

General practitioners and suicide prevention

In the paper of Zonda and Lester (2006-2007) the authors have made a basic error in their data analysis. With the appropriate reanalysis of their data, the new results and conclusions will be completely the opposite of the original ones. I have only recently read the paper by Zonda and Lester (2006-2007) in which they […]

Capturing patients’ satisfaction and experiences with suicide prevention in general practice: A bridge too far?

Background Active exploration of suicidal thoughts in the general practice has the potential to prevent suicides. Yet, little is known about patients’ experiences with suicide exploration during consultations with General Practitioners (GPs). This study aimed to gain insights into their experiences of these consultations. Methods Between March 2019 and March 2020, primary care professionals from […]

Raising suicide in medical appointments–Barriers and facilitators experienced by young adults and GPs: A mixed-methods systematic review

The aim of this review was to understand the barriers and facilitators facing GPs and young adults in raising and addressing suicide in medical appointments. A mixed-methods systematic review was conducted of qualitative and quantitative studies. The focus was papers that explored barriers and facilitators experienced by young adults aged 18 to 26, and GPs […]

Who didn’t consult the doctor? Understanding sociodemographic factors in relation to health care uptake before suicide

Objective This study aimed to establish differences between suicide decedents and a reference population across various health care settings. Methods This population-wide registration study combined death statistics, sociodemographic data and health care data from Statistics Netherlands. From 2010 to 2016, 12,015 suicide cases and a random reference group of 132,504 were included and assigned to […]

Improving mental health and reducing suicide risk: How GPs can help during the COVID-19 pandemic

A potential 25% increase in suicides per annum has been predicted in Australia as a result of the distress associated with the COVID-19 pandemic. This article looks at how GPs can support the mental health of their patients while also taking care of their own wellbeing during this crisis.

General practitioners’ accounts of patients who have self-harmed: A qualitative, observational study

BACKGROUND: The relationship between self-harm and suicide is contested. Self-harm is simultaneously understood to be largely nonsuicidal but to increase risk of future suicide. Little is known about how self-harm is conceptualized by general practitioners (GPs) and particularly how they assess the suicide risk of patients who have self-harmed. AIMS: The study aimed to explore […]

Effectiveness of General Practitioner training to improve suicide awareness and knowledge and skills towards depression

Background General Practitioners (GPs) are well placed as gatekeepers for managing depression and suicidal ideation but not always well prepared. Capacity building has therefore been recommended as a useful strategy for suicide prevention. This study aimed to examine whether GPs’ knowledge and attitudes towards and confidence to deal with depression and suicide improve after following […]

The failure of suicide prevention in primary care: Family and GP perspectives-a qualitative study.

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 […]

Suicidal tendency, physical health problems and addictive behaviors among general practitioners: Their relationship with burnout.

The aim of this article is to analyze further the association of burnout with (poor) physical health, addictive behaviors and suicidal tendency among general practitioners (GPs). Four hypotheses were studied: burnout (i.e. emotional exhaustion, EE, and depersonalization, DP) is positively associated with suicidal tendency (i.e. ideation, plan and attempt) (H1), is negatively related to physical […]

Patterns and predictors of help-seeking contacts with health services and general practitioner detection of suicidality prior to suicide: a cohort analysis of suicides occurring over a two-year period

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General practitioners’ accounts of patients who have self-harmed: A qualitative, observational study.

Copy held in CSP Library.

Experiences of suicide bereavement: A qualitative study exploring the role of the GP.

Suicide is a major public health issue. GPs are often on the front line in responding to a suicide. They are called on to support individuals and families in the aftermath of suicide yet there is a dearth of research, particularly from patientsÕ perspectives, on how to provide optimal care for those grieving a suicide […]

Effect of systematic follow-up by general practitioners after deliberate self-poisoning: A randomised controlled trial.

Objective: To assess whether systematic follow-up by general practitioners (GPs) of cases of deliberate self-poisoning (DSP) by their patients decreases psychiatric symptoms and suicidal behaviour compared with current practice. Conclusion: Structured follow-up by GPs after an episode of DSP had no significant effect on suicide ideation, depression or hopelessness. There was no significant difference in […]

Structured follow-up by general practitioners after deliberate self-poisoning: A randomised controlled trial.

General Practitioners (GPs) play an important role in the follow-up of patients after deliberate self-poisoning (DSP). The aim was to examine whether structured follow-up by GPs increased the content of, adherence to, and satisfaction with treatment after discharge from emergency departments. Guidelines and structured, enhanced follow-up by the GP after the discharge of the DSP […]

Youth suicide issues in general practice.

Objective: To identify the factors that predispose to suicidal thinking and behaviours in young Australians who visit a general practitioner. General practitioners should not rely on their previous knowledge of a young person but continue to explore issues of suicide where any combinations of the above factors are present.

Declining rates of suicidal behavior among general practice patients in Belgium: results from sentinel surveillance between 1993 and 2008.

The aim of this study was (1) to estimate the incidence of suicidal behavior, i.e., suicide and suicide attempts, among Belgian general practice patients in 2007-2008 and to estimate trends since previous surveillance periods, i.e., 1991-1993 and 2000-2001; and (2) to investigate characteristics of actors, acts, and first care delivery. Data were collected by the […]

Adolescents’ Suicidal Thinking and Reluctance to Consult General Medical Practitioners

This study examined the association between suicide ideation & intentions to seek help from a general practitioner for suicidal thoughts, emotional problems, & physical health problems, using a sample of 590 Australian high school students. Higher levels of suicide ideation & general psychological distress were related to lower intentions to seek help for suicidal & […]

Screening for Suicidal Thoughts in Primary Care: the Views of Patients and General Practitioners

A cross-sectional survey was conducted with general practitiones & primary care patients who had signs of depression. The study combined open & closed questions on attitudes to screening or being screened for suicide ideation. 101 of 132 patients took part in the survey & 103 of 300 general practitioners completed a questionnaire. A majority in […]