title: [Survey on the barriers in providing the mental health services to the suicide attempters in ED].
abstract: OBJECTIVE
  The purpose of this study was to explore the barriers existing in medical settings behind the phenomenon that few suicide attempters were provided by mental health services when they got treatment in the general hospital ED.
  
  
  METHODS
  An anonymous and voluntary survey was administered among two groups: ED physicians and psychiatrists. Two tertiary general hospitals and one psychiatric hospital were chosen through convenience sampling. Suicide Behavior Attitude Questionnaire and a self-made questionnaire to evaluate barriers were used.
  
  
  RESULTS
  The response rate was 68.7% for ED physicians, and 87.0% for psychiatrists. ED physicians generally scored unfavorably than psychiatrists on many items in SBAQ (P < 0.001), but on the item about whether the suicide attempters should have access to mental health services, the median of the scores = 10 for both group (P = 0.059), meaning highly agree. Some consistent barriers could be summarized from the self-made questionnaire.
  
  
  CONCLUSIONS
  The majority of ED physicians in general hospitals still hold some misunderstanding about the suicide attempters, but they fully agree that the suicide attempters should have access to mental health services. The barriers for psychiatrists are clear.The barriers for ED physicians are complicated but workable.
authors.affiliation: Department of Psychological Medicine, Peking Union Medical College Hospital, Beijing 100730, China.
authors.forename: Xiaohui
authors.initials: X
authors.lastname: Zhao
authors.affiliation: Department of Psychological Medicine, Peking Union Medical College Hospital, Beijing 100730, China.
authors.forename: Tao
authors.initials: T
authors.lastname: Li
authors.affiliation: Department of Psychological Medicine, Peking Union Medical College Hospital, Beijing 100730, China.
authors.forename: Xia
authors.initials: X
authors.lastname: Hong
authors.affiliation: Department of Psychological Medicine, Peking Union Medical College Hospital, Beijing 100730, China.
authors.forename: Yinan
authors.initials: Y
authors.lastname: Jiang
authors.affiliation: Department of Psychological Medicine, Peking Union Medical College Hospital, Beijing 100730, China.
authors.forename: Nana
authors.initials: N
authors.lastname: Xiong
authors.affiliation: Department of Psychological Medicine, Peking Union Medical College Hospital, Beijing 100730, China.
authors.forename: Jinya
authors.initials: J
authors.lastname: Cao
authors.affiliation: Department of Psychological Medicine, Peking Union Medical College Hospital, Beijing 100730, China; Email: weijing@pumch.cn.
authors.forename: Jing
authors.initials: J
authors.lastname: Wei
mesh_terms: D004636:Emergency Service, Hospital; D058005:General Practitioners; D006769:Hospitals, General; D006801:Humans; D008605:Mental Health Services; D013406:Suicide, Attempted; D011795:Surveys and Questionnaires