General practitioners' clinical expertise in managing suicidal young people: Implications for continued education

Primary Health Care Research and Development

Volumn 18, Issue 5, 2017, Pages 419-428

  Michail, Maria ^a   Tait, Lynda ^a   Churchill, Dick ^b  

^a UNIVERSITY OF NOTTINGHAM   (United Kingdom)

^b Chilwell Valley and Meadows Medical Practice   (United Kingdom)

Author keywords

education; family practice; Key words clinical competence; suicide; young people

Indexed keywords

ADOLESCENT; ADULT; CLINICAL COMPETENCE; CROSS-SECTIONAL STUDY; EDUCATION; FEMALE; GENERAL PRACTITIONER; HEALTH PERSONNEL ATTITUDE; HUMAN; MALE; PSYCHOLOGY; QUESTIONNAIRE; RISK ASSESSMENT; RISK FACTOR; SUICIDE; YOUNG ADULT;

ADOLESCENT; ADULT; ATTITUDE OF HEALTH PERSONNEL; CLINICAL COMPETENCE; CROSS-SECTIONAL STUDIES; FEMALE; GENERAL PRACTITIONERS; HUMANS; MALE; RISK ASSESSMENT; RISK FACTORS; SUICIDE; SURVEYS AND QUESTIONNAIRES; YOUNG ADULT;

EID: 85019632911     PISSN: 14634236     EISSN: 14771128     Source Type: Journal    
DOI: 10.1017/S1463423617000299     Document Type: Article

References (40)

1. Anderson & Standen 2007: Attitudes towards suicide among nurses and doctors working with children and young people who self-harm. Journal of Psychiatric Mental Health Nursing 14, 470-77.
2. Appleby, L., Amos, T., Doyle, U., Tomenson, B. and Woodman, M. 1996: General practitioners and young suicides. A preventive role for primary care. British Journal of Psychiatry 168, 330-33.
3. Appleby, L., Morriss, R., Gask, L., Roland, M., Perry, B., Lewis, A., Battersby, L., Colbert, N., Green, G., Amos, T., Davies, L. and Faragher, B. 2000: An educational intervention for front-line health professionals in the assessment and management of suicidal patients (The STORM Project). Psychological Medicine 30, 805-12.
4. Bajaj, P., Borreani, E., Ghosh, P., Methuen, C., Patel, M. and Joseph, M. 2008: Screening for suicidal thoughts in primary care: the views of patients and general practitioners. Mental Health Family Medicine 5, 229-35.
5. Cole-King, A. and Lepping, P. 2010a: Suicide mitigation: time for a more realistic approach. British Journal of General Practice 60, 3-4.
6. Cleaver, K. 2014: Attitudes of emergency care staff towards young people who self-harm: a scoping review. International Emergency Nursing 22, 52-61.
7. Crawford, T., Geraghtyb, W., Streetb, K. and Simonoffa, E. 2003: Staff knowledge and attitudes towards deliberate selfharm in adolescents. Journal of Adolescence 26, 619-29.
8. Department of Health (DoH) 2014. Preventing suicide in England: one year on. First annual report on the crossgovernment outcomes strategy to save lives. London: Department of Health.
9. Fink, A. and Kosecoff, J. 1985. How to conduct surveys: a stepby-step guide. CA: Sage Publications.
10. Fox, F., Stallard, P. and Cooney, G. 2015: GPs role identifying young people who self-harm: a mixed methods study. Family Practice 32, 415-19.
11. Gaynes, B. N., West, S. L., Ford, C. A., Frame, P., Klein, J. and Lohr, K. N., U. S. Preventive Services Task Force 2004: Screening for suicide risk in adults: a summary of the evidence for the U. S. Preventive Services Task Force. Annals of Internal Medicine 140, 822-35.
12. Gledhill, J. and Garralda, M. E. 2011: The short-term outcome of depressive disorder in adolescents attending primary care: a cohort study. Social Psychiatry and Psychiatric Epidemiology 46, 993-1002.
13. Gledhill, J., Kramer, T., Iliffe, S. and Garrald, M. E. 2003: Training general practitioners in the identification and management of adolescent depression within the consultation: a feasibility study. Journal of Adolescence 26, 245-50.
14. Goldberg, P. and Huxley, P. 1992. Common mental disorders: a bio-social model. London: Rutledge
15. Gould, M. S., Greenberg, T., Velting, D. M. and Shaffer, D. 2003: Youth suicide risk and preventive interventions: a review of the past 10 years. Journal of American Academy of Child and Adolescent Psychiatry 42, 386-405.
16. Grimholt, T. K., Haave, O. R., Jacobsen, D., Sandvik, L. and Ekeberg, O. 2014: Perceived competence and attitudes towards patients with suicidal behaviour: a survey of general practitioners, psychiatrists and internists. BMC Health Services Research 14, 208.
17. Hawton, K., Saunders, K. E. and O'Connor, R. C. 2012: Series suicide 1 self-harm and suicide in adolescents. Lancet 379, 2373-382.
18. Illiffe, S., Williams, G., Fernandez, V., Vila, M., Kramer, T., Gledhill, J. and Miller, L. 2008: General practitioners' understanding of depression in young people: qualitative study. Primary Health Care Research and Development 9, 269-79.
19. Kennelly, B. 2007: The economic cost of suicide in Ireland. Crisis 28, 89-94.
20. Knapp, M., MCDaid, D. and Parsonage, M. 2011. Mental health promotion and mental illness prevention: the economic case. London: DoH.
21. Luoma, J. B., Martin, C. E. and Pearson, J. L. 2002: Contact with mental health and primary care providers before suicide: a review of the evidence. American Journal of Psychiatry 159, 909-16.
22. Martinez, R. 2006: Factors that influence the detection of psychological problems in adolescents attending general practices. British Journal of General Practice 56, 594-99.
23. Michail, M. and Tait, L. 2016: Exploring general practitioners' views and experiences on suicide risk assessment and management of young. people in primary care: a qualitative study in the UK. British Medical Journal Open 6.
24. Morriss, R., Kapur, N. and Byng, R. 2013: Assessing risk of suicide or self-harm in adults. British Medical Journal 347.
25. National Institute for Health and Clinical Excellence 2012. Self-harm: longer-termmanagement. Clinical guideline CG133 UK. National Institute for Health and Clinical Excellence.
26. O'Connor, E., Gaynes, B. N., Burda, B. U., Soh, C. and Whitlock, E. P. 2013: Screening for and treatment of suicide risk relevant to primary care: a systematic review for the U. S. Preventive Services Task Force. Annals of Internal Medicine 158.
27. O'Connor, R. C., O'Connor, R. E., Ryan, C. and Smyth, R. 2012: Selfregulation of unattainable goals in suicide attempters: A 2 year prospective study. Journal of Affective Disorders 142, 248-255.
28. Pit, S. W., Vo, T. and Pyakurel, S. 2014: The effectiveness of recruitment strategies on general practitioner's survey response rates-a systematic review. BMC Medical Research Methodology 14, 76.
29. Rickwood, D. J., Deane, F. P. and Wilson, C. J. 2007: When and how do young people seek professional help for mental health problems? Medical Journal of Australia 187 (Suppl), S35-39.
30. Ritter, K., Stompe, T., Voracek, T. and Etzersdorfer, E. 2008: Suicide risk-related knowledge and attitudes of General Practitioners. Wiener Klinische Wochenschrift 114, 685-90.
31. Roberts, J. H., Crosland, A. and Fulton, J. 2013: "I think this is maybe our Achilles heel" exploring GPs' responses to young people presenting with emotional distress in general practice: a qualitative study. British Medical Journal Open 32.
32. Rudd, D. M. 2008: Suicide warning signs in clinical practice. Current Psychiatry Reports 10, 87-90.
33. Saini, P., Windfuhr, K., Pearson, A., Da Cruz, D., Miles, C., Cordingley, L., While, D., Swinson, N., Williams, A., Shaw, J., Appleby, L. and Kapur, N. 2010: Suicide prevention in primary care: general practitioners' views on service availability. BMC Research Notes 3, 246-52.
34. Samaritans 2015: Samaritans' suicide statistics report http:// www. samaritans. org/news/ONS-suicide-statistics Retrieved June 2016.
35. Saunders, K. E., Hawton, K., Fortune, S., et al. 2012: Attitudes and knowledge of clinical staff regarding people who self-harm: a systematic review. Journal of Affective Disorders 139, 205-16.
36. Sudak, D., Roy, A., Sudak, H., Lipschitz, A., Maltsberger, J. and Hendin, H. 2007: Deficiencies in suicide training in primary care specialties: a survey of training directors. Academic Psychiatry 31, 345-49.
37. Taylor, T. L., Hawton, K., Fortune, S. and Kapur, N. 2009: Attitudes towards clinical services among people who selfharm: systematic review. British Journal of Psychiatry 194, 104-10.
38. Thompson, A. R., Powis, J. and Carradice, A. 2008: Community psychiatric nurses' experience of working with people who engage in deliberate self-harm. International Journal of Mental Health Nursing 17, 153-61.
39. Tylee, A., Haller, D. M., Graham, T., Churchill, R. and Sandi, L. A. 2007: Youth-friendly primary-care services: how are we doing and what more needs to be done? Lancet 369, 1565-573.
40. World Health Organization 2014. Preventing suicide: a global imperative. Geneva: World Health Organization.