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PAs' attitudes about adolescent suicide screening: The Theory of Planned Behavior
Chris Gillette1, Gayle Bodner, Jill Grant
1In the PA program at Wake Forest School of Medicine in Winston-Salem, N.C., Chris Gillette is an associate professor and assistant director of research and scholarship, Gayle Bodner is an assistant professor and director of clinical education, and Jill Grant is an assistant professor and director of the Office of Academic Excellence. Rosalie Aldrich is the John and Corinne Graf Professor in the Department of Communication Studies at Indiana University East in Richmond, Ind. Cortney Mospan is an assistant professor in the School of Pharmacy at Wingate (N.C.) University. Edward Hak-Sing Ip is a professor in the Department of Social Sciences and Health Policy at Wake Forest School of Medicine. Stephanie Daniel is a professor in the Department of Family Medicine at Wake Forest School of Medicine. Sonia Crandall is a professor and director of research and scholarship in the PA program at Wake Forest School of Medicine. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Objective:
Suicide is an increasing public health problem for adolescents and young adults. The purpose of this study was to identify the frequency of physician assistants' (PAs') self-reported adolescent suicide risk assessments and to elicit salient beliefs regarding behavioral attitudes, norm referents, control factors, and intention to conduct suicide risk assessment with adolescents.
Methods:
A convenience sample of PAs completed an anonymous cross-sectional questionnaire. Relationships were assessed using bivariate analyses and qualitative theme analysis.
Results:
Forty-three PAs completed the questionnaire. Many PAs supported suicide risk assessment screening as a strategy to identify adolescents who are suicidal at an earlier stage of their illness; lack of time during the visit and problematic parental involvement were identified as barriers.
Conclusions:
PAs recognized that screening adolescents for suicide ideation may help prevent suicides. Their practice behaviors, however, did not correspond to this belief.
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