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[Managing suicidal patients in general practices : A qualitative study on barriers and facilitating factors]
Constantin Brand1, Carolin Haas1,2, Tobias Dreischulte1
1Institut für Allgemeinmedizin, Klinikum der Universität München, LMU München, München, Deutschland.
Background:
Patients with suicidal intent often visit their general practitioner (GP) before attempting suicide; however, GPs may struggle to address suicidality and recognize warning signs. This qualitative study explores GPs' experiences in managing suicidal patients, identifying key challenges and facilitating factors.
Methods:
We conducted semi-structured interviews with 21 GPs. The interviews were transcribed and analyzed using Kuckartz's qualitative content analysis.
Results:
The GPs strive to balance professional detachment with empathy when addressing suicidal ideation, despite time constraints. They refine their communication skills through peer exchange and self-directed learning. The need for practice-oriented training and improved professional networks was strongly emphasized.
Conclusion:
Effective suicide prevention requires strong interpersonal skills and sensitive decision making. To effectively fulfil their role, GPs need both organizational and emotional support.
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