[Managing suicidal patients in general practices : A qualitative study on barriers and facilitating factors].

IF 1.1 4区 医学 Q4 CLINICAL NEUROLOGY Nervenarzt Pub Date : 2025-03-31 DOI:10.1007/s00115-025-01826-6
Constantin Brand, Carolin Haas, Tobias Dreischulte, Peter Falkai, Jochen Gensichen, Karoline Lukaschek
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Abstract

Background: Patients with suicidal intent often visit their general practitioner (GP) before attempting suicide; however, GPs may struggle to address suicidality and recognize warning signs. This qualitative study explores GPs' experiences in managing suicidal patients, identifying key challenges and facilitating factors.

Methods: We conducted semi-structured interviews with 21 GPs. The interviews were transcribed and analyzed using Kuckartz's qualitative content analysis.

Results: The GPs strive to balance professional detachment with empathy when addressing suicidal ideation, despite time constraints. They refine their communication skills through peer exchange and self-directed learning. The need for practice-oriented training and improved professional networks was strongly emphasized.

Conclusion: Effective suicide prevention requires strong interpersonal skills and sensitive decision making. To effectively fulfil their role, GPs need both organizational and emotional support.

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[管理自杀患者的全科实践:障碍和促进因素的定性研究]。
背景:有自杀意向的患者在试图自杀前往往会去看全科医生(GP);然而,全科医生在处理自杀倾向和识别警告信号方面可能会遇到困难。本定性研究探讨了全科医生在管理有自杀倾向的患者方面的经验,确定了主要挑战和促进因素:我们对 21 名全科医生进行了半结构化访谈。我们对 21 名全科医生进行了半结构式访谈,并采用库卡茨定性内容分析法对访谈内容进行了转录和分析:尽管时间有限,但全科医生在处理自杀意念时努力在专业疏离和同情之间取得平衡。他们通过同行交流和自主学习来提高沟通技巧。结论:有效的自杀预防需要强大的人际交往能力:有效的自杀预防需要较强的人际交往能力和敏锐的决策能力。为了有效履行职责,全科医生需要组织和情感支持。
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来源期刊
Nervenarzt
Nervenarzt 医学-精神病学
CiteScore
2.50
自引率
18.20%
发文量
169
审稿时长
4-8 weeks
期刊介绍: Der Nervenarzt is an internationally recognized journal addressing neurologists and psychiatrists working in clinical or practical environments. Essential findings and current information from neurology, psychiatry as well as neuropathology, neurosurgery up to psychotherapy are presented. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of neurology and psychiatry. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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[Obituary Prof. Dr. med. habil. Klaus Ernst : 25 February 1936 in Rostock-6 November 2025 in Rostock]. [Psychocardiology]. [Gender differences in aggression associated with mental disorders : A narrative literature review]. Erratum zu: Digitale Gesundheitsanwendungen bei Borderline-Persönlichkeitsstörung. [Sex/Gender in psychotherapy].
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