کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6232129 1608155 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Attempted and completed suicide in primary care: Not what we expected?
ترجمه فارسی عنوان
تلاش و تکمیل خودکشی در مراقبت های اولیه: نه آنچه که ما انتظار داشتیم؟
کلمات کلیدی
پیشگیری از خودکشی، مراقبت های اولیه، تلاش های خودکشی، خودکشی، تفاوت جنس،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی روانپزشکی و بهداشت روانی
چکیده انگلیسی

BackgroundGeneral Practitioners (GPs) play a central role in suicide prevention. This study aims to compare the characteristics of individuals who attempt suicide to those who complete suicide in a same primary care setting.MethodsWe compared the characteristics and GP׳s management of all patients with attempted (N=498, SA) or completed suicide (N=141, SC) reported to the GPs׳ French Sentinelles surveillance system (2009-2013).ResultsCompared to patients who attempted suicide, those who completed suicide were more likely to be male, older and to have used a more lethal method; for men they were less likely to have a history of previous suicide attempt and prior contacts with their GP. In terms of GPs׳ management, we found no differences between the SA and SC groups in the identification of psychological difficulties and in the care, but GPs were more likely to provide psychological support to the SA group. During the last consultation, the SC group expressed suicidal ideas more frequently than the SA group (26.7% vs. 14.8%, p<0.01), only for women.LimitationsThe network may have missed cases and selected more serious SA.ConclusionsIndividuals who commit suicide differ from those who attempt suicide in terms of demographic characteristics and by sex, of history of suicide attempt, previous contact and expressed suicidal ideas. We show that GPs do not act more intensively with patients who will commit suicide, as if they do not foresee them. Current prevention programs particularly in primary care should be tailored.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Affective Disorders - Volume 170, 1 January 2015, Pages 150-154
نویسندگان
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