Evidence map›Paper›PMID 29157221›Full record

ArticleBMC psychiatry2017

The failure of suicide prevention in primary care: family and GP perspectives - a qualitative study.

Gerard Leavey, Sharon Mallon, Janeet Rondon-Sulbaran, Karen Galway, Michael Rosato, Lynette Hughes

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

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  17. Recent GP consultation before death by suicide in middle-aged males: a national consecutive case series study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Gerard LeaveyThe Bamford Centre for Mental Health & Wellbeing, Department of Psychology, Ulster University, Cromore Road, Coleraine, BT52 1SA, UK. g.leavey@ulster.ac.uk.ORCID http://orcid.org/0000-0001-8411-8919
Sharon MallonFaculty of Health and Social Care, Horlock Building, Open University, Milton Keynes, MK7 6AA, UK.
Janeet Rondon-SulbaranThe Bamford Centre for Mental Health & Wellbeing, Department of Psychology, Ulster University, Cromore Road, Coleraine, BT52 1SA, UK.
Karen GalwaySchool of Nursing and Midwifery, Queen's University Belfast, Medical Biology Building, 97 Lisburn Road, Belfast, BT 9 7BL, UK.
Michael RosatoThe Bamford Centre for Mental Health & Wellbeing, Department of Psychology, Ulster University, Cromore Road, Coleraine, BT52 1SA, UK.
Lynette HughesThe Bamford Centre for Mental Health & Wellbeing, Department of Psychology, Ulster University, Cromore Road, Coleraine, BT52 1SA, UK.
University of Ulster · GBQueen's University Belfast · GBThe Open University · GB

Funding

Public Health Agency Northern Ireland COM/4032/08.
6 · The paper itself

Abstract

backgroundAlthough Primary care is crucial for suicide prevention, clinicians tend to report completed suicides in their care as non-preventable. We aimed to examine systemic inadequacies in suicide prevention from the perspectives of bereaved family members and GPs.

methodsQualitative study of 72 relatives or close friends bereaved by suicide and 19 General Practitioners who have experienced the suicide of patients.

resultsRelatives highlight failures in detecting symptoms and behavioral changes and the inability of GPs to understand the needs of patients and their social contexts. A perceived overreliance on anti-depressant treatment is a major source of criticism by family members. GPs tend to lack confidence in the recognition and management of suicidal patients, and report structural inadequacies in service provision.

conclusionsMental health and primary care services must find innovative and ethical ways to involve families in the decision-making process for patients at risk of suicide.

Indexed as

Primary Health CareSuicide PreventionAdultAttitude of Health PersonnelBereavementDecision MakingFamilyFemaleGeneral PractitionersHumansIrelandMaleQualitative ResearchSuicideTreatment FailureFamiliesPreventionPrimary carePsychiatric servicesSuicide

Identifiers

PMID29157221
PMCPMC5697339
OpenAlexW2766929843

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.