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 […]

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 […]

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 […]

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 […]

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 […]

Primary Care Contact Prior to Suicide in Individuals With Mental Illness

This study investigated the frequency & nature of general practice consultations in the year before suicide for patients in current, or recent, contact with secondary mental health services. A retrospective case-note study & semi-structured interviews with general practitioners formed the study design. Overall, 91% (224/247) of individuals consulted their general practitioner on at least one […]

Suicide Prevention in Primary Care: General Practitioners’ Views on Service Availability

This study described the services available in general practices for the management of suicidal patients & examined the views of general practitioners on these services. A questionnaire & interview study was done in the north west of England. Data were collected from general practitioners & practice managers in 167 practices. Responses suggested there was greater […]

Suicide Victims’ Contacts With Physicians During the Year Before Death

This study investigated the course of contact rates of suicide victims with physicians during the year before death. Official suicide data & insurance company data were linked for 317 individuals who died by suicide between 1998-2002. Quarterly contact rates with physicians during the respective last year of life were compared. Contacts with any physicians & […]

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 & […]

Attitudes of Medical Students, General Practitioners, Teachers, and Police Officers Toward Suicide in a Turkish Sample

A total sample of 205 medical students, general practitioners, secondary school guidance teachers, & police officers from Ankara, Turkey completed the Attitudes Toward Suicide Scale. Principal components analysis revealed a nine factor model for the scale. Medical students & general practitioners had the most permissive attitudes. General practitioners’ attitude scores about preparedness to prevent suicide […]

Preventing Suicide by Educating General Practitioners

An education program for general practitioners on treating patients with depressive disorders & panic disorders was implemented in one district in Hungary in 1998. A neighbouring district was used as a control. Although the educational program was followed by an increase in referrals for panic disorder in the target district, there was no impact on […]

A Survey of Dutch GPs’ Attitudes Towards Help Seeking and Follow-Up Care for Relatives Bereaved by Suicide

The management by general practitioners of help requests from relatives bereaved by suicide was investigated & determinants of their willingness to refer for evidence-based follow-up care was examined. A cross-sectional survey included 488 general practitioners in the northern part of The Netherlands. 214 responses were received. In the last 3 years, 38 general practitioners were […]

Suicidal Patients and the use of Antidepressant Drugs: a General Practice Survey

The author reports on the results of enquiries to general practitioners about how they treat suicidal patients. Some respond with simple psychotherapy & support & others with environmental manipulation. Some patients with depressive illnesses may respond to antidepressant drugs but there is a danger of the patient overdosing on the medications they have been prescribed. […]

A Suicide Prevention Program in a Region With a Very High Suicide Rate

This study evaluated the effectiveness of a depression-management education program for general practitioners in a region of Hungary with a very high suicide rate. 28 general practitioners participated in the study. A 5-year depression-management educational program for general practitioners & their nurses was implemented together with the establishment of a depression treatment clinic & psychiatric […]