Improving general practitioners' assessment and management of suicide risk.
Standards for assessing and managing suicide risk were developed and incorporated into a guidance manual for general practitioners. The effects of the manual on opinions and practice were evaluated using a quasi-experimental controlled before/after design, comparing participating general practitioners with others who did not use the manual. Thirty four general practitioners participated over a six-month period. The intervention group showed changes in perceptions, with increased satisfaction with their own methods and in their recognition and assessment of suicide risk. Their practice changed, with increased recording of relevant factors in notes. The comparison group did not change in these ways. It is concluded that general practitioners' practice and opinions in assessing and managing suicide risk were significantly improved using a minimal intervention. Given the importance of the topic and the small size of this study, further research is needed, examining changes in professional practice, knowledge and attitudes.
Paxton
R
R
Northumberland Mental Health NHS Trust, Morpeth, Northumberland, UK.
MacDonald
F
F
Allott
R
R
Mitford
P
P
Proctor
S
S
Smith
M
M
D000342:Affective Symptoms / Q000150:complications / Q000175:diagnosis; D002983:Clinical Competence; D003863:Depression / Q000150:complications / Q000175:diagnosis; D003937:Diagnosis, Differential; D005194:Family Practice / Q000592:standards*; D006801:Humans; D008370:Manuals as Topic; D008485:Medical Audit / Q000706:statistics & numerical data; D001523:Mental Disorders / Q000150:complications / Q000175:diagnosis; D010348:Patient Care Team / Q000592:standards; D017410:Practice Guidelines as Topic; D018570:Risk Assessment / Q000592:standards*; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000150:complications / Q000175:diagnosis; D013405:Suicide / Q000523:psychology*; D013406:Suicide, Attempted; D011795:Surveys and Questionnaires; D006113:United Kingdom; D000092864:Suicide Prevention