title: Suicide prevention competencies among urban Indian physicians: A needs assessment.
abstract: BACKGROUND
  India accounts for the highest estimated number of suicides in the World. In 2012, more than 258,000 of the 804,000 suicide deaths worldwide occurred in India. Early identification and effective management of suicidal ideation and behavior are paramount to saving lives. However, mental health resources are often scarce and limited. Throughout India, there is a severe shortage in mental health professions trained, which results in a treatment gap of about 90%. A comprehensive needs assessment was undertaken to identify the nature of the deficits in suicide prevention training for physicians in three Indian cities: Mumbai, Ahmedabad, and Mysore.
  
  
  METHODS
  The study was carried out in several concurrent phases and used a mixed-method approach of converging quantitative and qualitative methodologies. Data were collected using survey questionnaires, focus groups, consultations, and environmental scans. A total of 46 physicians completed the questionnaire. Focus groups were conducted in Mumbai and Ahmedabad with 40 physicians. Consultations were carried out with psychiatrists and psychiatric residents from hospitals and clinics in Mumbai, Ahmedabad, and Mysore.
  
  
  RESULTS
  Training gaps in suicide prevention exist across the health care professions. Existing training lacks in both quality and quantity and result in critical deficits in core competencies needed to detect and treat patients presenting with suicidal ideation and behavior. Only 43% of the surveyed physicians felt they were competent to treat suicidal patients. The majority of surveyed physicians believed they would greatly benefit from additional training to enhance their suicide risk assessment and intervention skills.
  
  
  CONCLUSIONS
  There is a dire need for medical schools to incorporate suicide prevention training as a core component in their medical curricula and for continuing medical education training programs for physicians to enhance competencies in early detection and management of suicidal behavior.
authors.affiliation: Department of Psychiatry, Western University, London, Ontario, Canada.
authors.forename: Rahel
authors.initials: R
authors.lastname: Eynan
authors.affiliation: Department of Psychiatry, Western University, London, Ontario, Canada.
authors.forename: Leanna
authors.initials: L
authors.lastname: Reiss
authors.affiliation: Department of Psychiatry, Western University, London, Ontario, Canada.
authors.forename: Paul
authors.initials: P
authors.lastname: Links
authors.affiliation: Department of Psychiatry, Western University, London, Ontario, Canada.
authors.forename: Ravi
authors.initials: R
authors.lastname: Shah
authors.affiliation: Department of Psychiatry, JSS Medical College Hospital, JSS University, Mysore, Karnataka, India.
authors.forename: T S
authors.initials: TS
authors.lastname: Sathyanarayana Rao
authors.affiliation: Department of Psychiatry, Seth G. S. Medical College and KEM Hospital, Mumbai, Maharashtra, India.
authors.forename: Shubhangi
authors.initials: S
authors.lastname: Parkar
authors.affiliation: Department of Psychiatry, Indus University, Ahmedabad, Gujarat, India.
authors.forename: Lakshman
authors.initials: L
authors.lastname: Dutt
authors.affiliation: Department of Psychiatry, Seth G. S. Medical College and KEM Hospital, Mumbai, Maharashtra, India.
authors.forename: Kranti
authors.initials: K
authors.lastname: Kadam
authors.affiliation: Consultant Psychiatrist and Research Coordinator, Mental Health Resource Foundation, Mumbai, Maharashtra, India.
authors.forename: Avinash
authors.initials: A
authors.lastname: De Souza
authors.affiliation: Department of Psychiatry, Western University, London, Ontario, Canada.
authors.forename: Amresh
authors.initials: A
authors.lastname: Shrivastava
keywords: Needs assessment; suicidal behaviour competencies; suicidal ideation; suicide prevention
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