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Parasuicide and general practice: a pilot study

M M Fitzsimons1, M J Kelleher, H S Keeley

  • 1National Suicide Research Foundation, Cork.

Irish Medical Journal
|August 1, 1997
PubMed
Summary
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General Practitioners (GPs) in Cork reported on parasuicide cases. Most GPs are willing to manage parasuicide and believe it should be integrated into medical training.

Area of Science:

  • Public Health
  • General Practice
  • Psychiatry

Background:

  • Parasuicide management is a significant public health concern.
  • General Practitioners (GPs) play a crucial role in primary care for individuals experiencing parasuicidal behaviors.
  • Understanding GP experiences and perspectives on parasuicide is vital for improving care pathways.

Purpose of the Study:

  • To investigate the prevalence and management of parasuicide within general practice in Cork City and its environs.
  • To assess General Practitioners' attitudes towards managing parasuicide and their perceived training needs.
  • To explore the potential for enhanced GP involvement in parasuicide care.

Main Methods:

  • A questionnaire survey was distributed to 185 General Practitioners in Cork City and surrounding areas.

Related Experiment Videos

  • 133 (72%) GPs responded, providing data on their experience with parasuicide over the preceding twelve months.
  • Data analysis focused on the number of cases seen, referral patterns, and GP opinions on management and training.

    • Main Results:

    • 78 GPs reported seeing 189 individuals, accounting for 212 parasuicide episodes, with lower repetition rates than hospital-referred cases.
    • Referral to Casualty (60%) and psychiatric care (30%) were common management strategies.
    • A significant majority of GPs (88.1%) supported integrating parasuicide management into medical training, with 40% favoring retention within general practice with specialist support.

    Conclusions:

    • General Practitioners encounter parasuicide and demonstrate a willingness to manage these cases more actively.
    • There is a strong consensus among GPs for enhanced training in parasuicide management.
    • Integrating parasuicide care more effectively into general practice, with appropriate support, is a viable and desired pathway.