Now What Should I Do? Primary Care Physicians’ Responses to Older Adults Expressing Thoughts of Suicide

Vannoy, Steven D.; Tai-Seale, Ming; Duberstein, Paul R.; Eaton, Laura J; Cook, Mary Ann

doi:10.1007/s11606-011-1726-5

Cited by 45 publications

(26 citation statements)

References 28 publications

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“…17–19 For example, the Mental Health Research Network recently found that most healthcare visits prior to suicide occur in primary care or general medical specialty settings, and half of all visits are not coded with mental health diagnoses. 20 This is troubling for individuals at risk for suicide, as more than 90% meet criteria for mental health conditions in psychological autopsy studies.…”

Section: Evidence Synthesismentioning

confidence: 99%

National Pathways for Suicide Prevention and Health Services Research

Ahmedani

Vannoy

2014

American Journal of Preventive Medicine

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Context In 2012, the National Action Alliance for Suicide Prevention (Action Alliance)'s Research Prioritization Task Force (RPTF) released a series of Aspirational Goals (AGs) to decrease suicide deaths and attempts. The RPTF asked experts to summarize what was known about particular AGs, and to propose research pathways that would help reach them. This manuscript describes what is known about the benefits of access to health care (AG8) and continuity of care (AG9) for individuals at risk for suicide. Research pathways are proposed to address limitations in current knowledge, particularly in U.S. healthcare-based research. Evidence acquisition Using a three-step process, the expert panel reviewed available literature from electronic databases. For two AGs, the experts summarized the current state of knowledge, determined breakthroughs needed to advance the field, and developed a series of research pathways to achieve prevention goals. Evidence synthesis Several components of healthcare provision have been found to be associated with reduced suicide ideation, and in some cases mitigated suicide deaths. Randomized trials are needed to provide more definitive evidence. Breakthroughs that support more comprehensive patient data collection (e.g., real-time surveillance, death record linkage, patient registries) would facilitate the steps needed to establish research infrastructure so that various interventions could be tested efficiently within various systems of care. Short-term research should examine strategies within the current healthcare systems, and long-term research should investigate models that redesign the health system to prioritize suicide prevention. Conclusions Evidence exists to support optimism regarding future suicide prevention, but knowledge is limited. Future research is needed on U.S. healthcare services and system enhancements to determine which of these approaches can provide empirical evidence for reducing suicide.

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Section: Evidence Synthesismentioning

confidence: 99%

National Pathways for Suicide Prevention and Health Services Research

Ahmedani

Vannoy

2014

American Journal of Preventive Medicine

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“…However, the quality of care provided to patients exhibiting suicidal behaviour can be influenced by many factors, such as attitudes towards suicidal behaviour, professional training, suicide risk assessment and assistance planning availability, suicide risk management skills and available resources (De Leo et al., ; Menon, ; Nebhinani et al., ; Osafo et al., ; Srivastava & Tiwari, ; Vannoy, Tai‐Seale, Duberstein, Eaton, & Cook, ).…”

Section: Introductionmentioning

confidence: 99%

Attitudes towards suicidal behaviour and associated factors among nursing professionals: A quantitative study

Vedana

Magrini

Zanetti

et al. 2017

Psychiatric Ment Health Nurs

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Background The attitudes towards suicide of emergency nurses may affect the care provided. However, the factors associated with these attitudes remain unclear. Objective To investigate attitudes towards suicidal behaviour and associated factors among nursing professionals working in emergency settings. Methods A cross-sectional observational study including 28 nurses and 118 who were nursing assistants employed at two emergency services in Brazil was conducted. Data were collected in 2015 using a self-administered sociodemographic questionnaire and the Suicide Behavior Attitude Questionnaire (SBAQ). Results The majority of participants reported having no experience or training in mental health or suicide. They reported more negative feelings towards the patient and a lower self-perception of professional competence regarding suicidal behaviours, and these attitudes seemed to reinforce each other. Nurses who worked in mental health services reported less moralistic/judgemental attitudes. Working in prehospital services was associated with having a lower self-perception of professional competence. There were professionals who reported thinking seriously about committing suicide. Conclusion When combined with support and training, practicing mental health nursing may serve as an opportunity to develop favourable attitudes and emotional competences, and these issues need to be addressed in suicide education strategies.

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“…(4,5) However, in suicide-related interventions, health professionals present difficulties that involve, among others, lack of planning, inability to manage the risk of suicide, and lack of available resources. (6) Caring for the suicidal client can be influenced by a variety of factors, including suicide beliefs and attitudes, professional education, the ability to assess suicide risk, and planning of care. (3)(4)(5)(7)(8)(9) The literature indicates the lack of preparation and educational exposure regarding suicide in the undergraduate courses of the health area, and emphasizes the importance of investing in educational interventions related to suicide for health professionals.…”

Section: Introductionmentioning

confidence: 99%

Atitudes relacionadas ao suicídio entre graduandos de enfermagem e fatores associados

et al. 2016

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Objective: To investigate the suicide-related attitudes and associated factors among nursing undergraduates Methods: A quantitative cross-sectional study, conducted with 244 nursing undergraduates from a rural higher education institution of São Paulo, Brazil. Data were collected in 2016, by self-administration of a sociodemographic questionnaire and the Suicide Behavior Attitude Questionnaire. The Spearman correlation coefficient and Mann-Whitney tests were used for data analysis. Results: Women presented more negative attitudes related to suicide. Men and students who participated in a psychiatric nursing discipline, class or laboratory on suicide, were perceived to be more capable professionally. Baccalaureate students who read specific material about suicide, or had ever thought about committing suicide, showed a less moralistic or condemnatory attitude related to suicide. Conclusion: The study highlights the need for educational interventions on suicide involving attitudinal knowledge.

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Now What Should I Do? Primary Care Physicians’ Responses to Older Adults Expressing Thoughts of Suicide

Cited by 45 publications

References 28 publications

National Pathways for Suicide Prevention and Health Services Research

National Pathways for Suicide Prevention and Health Services Research

Attitudes towards suicidal behaviour and associated factors among nursing professionals: A quantitative study

Atitudes relacionadas ao suicídio entre graduandos de enfermagem e fatores associados

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