ArticleBMC psychiatry2016
Psychiatrists' experiences of suicide assessment.
Article in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis.BMC health services research · 2022Pooled it
- Person-centred suicide prevention: key elements from the perspective of people living with suicidality.International journal of qualitative studies on health and well-being · 2025Article
- Exploring physicians' emotional reactions to suicidal patients: the impact of physician- and patient-related issues.Annals of general psychiatry · 2025Article
- Wavering between life and death: a qualitative study into the perceived causes and needs of persons with persistent suicidality.Frontiers in psychiatry · 2025Article
- Developing a clinical decision support system software prototype that assists in the management of patients with self-harm in the emergency department: protocol of the PERMANENS project.BMC psychiatry · 2024Article
- Article
- Readiness of Allied Professionals to Join the Mental Health Workforce: A Qualitative Evaluation of Trained Lay Trauma Counsellors' Experiences When Refugee Youth Disclose Suicidal Ideation.International journal of environmental research and public health · 2021Article
- Adaptive capacities for safe clinical practice for patients hospitalised during a suicidal crisis: a qualitative study.BMC psychiatry · 2020Article
- Suicide Risk Assessment and Prevention: Challenges and Opportunities.Focus (American Psychiatric Publishing) · 2020Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClinical guidelines for suicide prevention often stress the identification of risk and protective factors as well as the evaluation of suicidal intent. However, we know very little about what psychiatrists actually do when they make these assessments. The aim was to investigate psychiatrists' own accounts of suicide assessment consultations, with a focus on their behaviors, attitudes and emotions.
methodSemi-structured in depth interviews were carried out with a purposive selection of 15 psychiatrists.
resultsThematic analysis revealed three main themes: understanding the patient in a precarious situation, understanding one's own reactions, and understanding how the doctor-patient relationship impacted on risk assessment and management decisions. Emotional contact and credibility issues were common subthemes that arose when the respondents talked about trying to understand the patient. The psychiatrists stressed the semi-intuitive nature of their assessments. Problems related to the use of risk factor assessments and rating scales were apparent. Assessment consultations could evoke physical and emotional symptoms of anxiety, and concerns about responsibility could lead to repressive management decisions. In situations of mutual trust, however, the assessment consultation could kick-start a therapeutic process.
conclusionThis study highlights psychiatrists' experiences in clinical suicide assessment situations. Findings have implications for professional development as well as for service delivery.
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