ArticleBMC family practice2013
Particular difficulties faced by GPs with young adults who will attempt suicide: a cross-sectional study.
Article in BMC family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Raising Suicide in Medical Appointments-Barriers and Facilitators Experienced by Young Adults and GPs: A Mixed-Methods Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Review
- Recognising and Responding to Suicide-Risk Factors in Primary Care: A Scoping Review.Journal of prevention (2022) · 2024Article
- Observational
- The Impact of COVID on Adolescent Mental Health, Self-Harm and Suicide: How Can Primary Care Provider Respond? A Position Paper of the European Academy of Pediatrics.Frontiers in pediatrics · 2022Review
- Characteristics of adolescents who visit the emergency department following suicide attempts: comparison study between adolescents and adults.BMC psychiatry · 2019Article
- An Electronic Clinical Decision Support System for the Assessment and Management of Suicidality in Primary Care: Protocol for a Mixed-Methods Study.JMIR research protocols · 2018Article
- Even if they are not aware of it, general practitioners improve well-being in their adolescent patients.The European journal of general practice · 2017Article
- Article
- Work characteristics and suicidal ideation in young adults in France.Social psychiatry and psychiatric epidemiology · 2015Article
- Applying computer adaptive testing to optimize online assessment of suicidal behavior: a simulation study.Journal of medical Internet research · 2014Article
- Development of practice principles for the management of ongoing suicidal ideation in young people diagnosed with major depressive disorder.SAGE open medicine · 2014Article
- Primary care and youth mental health in Ireland: qualitative study in deprived urban areas.BMC family practice · 2013Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSuicide is a major public health problem in young people. General Practitioners (GPs) play a central role in suicide prevention. However data about how physicians deal with suicidal youths are lacking. This study aims to compare young adult suicide attempters (from 18 to 39 years old) with older adults in a primary care setting.
methodsA cross-sectional study was carried. All suicide attempts (N=270) reported to the French Sentinel surveillance System from 2009 to 2011 were considered. We conducted comparison of data on the last GP's consultation and GPs' management in the last three months between young adults and older adults.
resultsIn comparison with older adults, young adults consulted their GP less frequently in the month preceding the suicidal attempt (40.9 vs. 64.6%, p=.01). During the last consultation prior to the suicidal attempt, they expressed suicidal ideas less frequently (11.3 vs. 21.9%, p=.03). In the year preceding the suicidal attempt, GPs identified depression significantly less often (42.0 vs. 63.4%, p=.001). In the preceding three months, GPs realized significantly less interventions: less psychological support (37.5 vs. 53.0%, p=.02), prescribed less antidepressants (28.6 vs. 54.8%, p<.0001) or psychotropic drugs (39.1 vs. 52.9%, p=.03) and made fewer attempts to refer to a mental health specialist (33.3 vs. 45.5%, p=.05).
conclusionWith young adults who subsequently attempt suicide, GPs face particular difficulties compared to older adults, as a significant proportion of young adults were not seen in the previous six months, as GPs identified less depressions in the preceding year and were less active in managing in the preceding three months. Medical training and continuing medical education should include better instruction on challenges relative to addressing suicide risk in this particular population.
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