初级保健中自杀预防的障碍:德国全科医生的定性研究

Q2 Medicine
Lea Mayer , Anne Barzel , Vera Clemens , Jörg Fegert , Katharina Grau , Harald Gündel , Maria Haun , Natalie Lamp , Miriam Rassenhofer , Eva Rothermund , Nathalie Oexle
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引用次数: 0

摘要

自杀是一个全球性的公共卫生问题,全科医生(gp)是重要的一线响应者,以确保对经历自杀的人进行治疗。虽然在初级保健中管理自杀的有效评估工具和指南是可用的,但先前的研究表明,这些工具和指南尚未得到充分遵守。需要了解全科医生在识别和管理患者自杀行为方面所面临的挑战,以便制定干预措施,以改善初级保健中的自杀预防。目的:目前的研究旨在研究德国全科医生在初级保健中管理患者自杀时遇到的挑战。方法对15名在德国执业的全科医生进行定性在线访谈。采用定性内容分析法对资料进行分析。结果我们纳入了主要是早期执业全科医生的不同样本(平均年龄:42岁;w = 9, m = 6)。在我们的研究中,全科医生报告了1)识别自杀的困难,2)不确定性和知识不足,3)责任和不适,以及4)卫生保健系统带来的挑战。结论研究结果表明,德国的全科医生将受益于专业培训,以增加他们的知识和减少处理患者自杀的不确定性。报告的挑战可能是成功预防自杀的一个重要焦点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Barriers to suicide prevention in primary care: A qualitative study among general practitioners in Germany

Background

Suicide is a global public health issue and general practitioners (GPs) are important frontline responders to ensure treatment for persons experiencing suicidality. Although valid assessment tools and guidelines for managing suicidality in primary care are available, previous studies suggest that these are not yet sufficiently adhered to. Knowledge about the challenges experienced by GPs in identifying and managing suicidality among their patients is needed for the development of interventions to improve suicide prevention within primary care.

Aim

The current study seeks to examine the challenges GPs in Germany encounter when managing suicidality among patients in primary care.

Methods

We conducted qualitative online interviews with 15 GPs practising in Germany. Data were analysed using qualitative content analysis.

Results

We included a diverse sample of mainly early-practise GPs (mean age: 42 years; w = 9, m = 6). GPs in our study reported 1) difficulties in identifying suicidality, 2) uncertainty and insufficient knowledge, 3) responsibility and discomfort and 4) challenges due to the health care system.

Conclusions

Our findings suggest that GPs in Germany would benefit from specialised trainings to increase their knowledge and reduce uncertainties in handling suicidality among their patients. Reported challenges could be an important focus of successful suicide prevention.
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来源期刊
Mental Health and Prevention
Mental Health and Prevention Medicine-Psychiatry and Mental Health
CiteScore
2.10
自引率
0.00%
发文量
22
审稿时长
24 days
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