Table 2 Barriers to recognition, effective management and suicide prevention
From: The failure of suicide prevention in primary care: family and GP perspectives – a qualitative study
GP (MIS) RECOGNITION | |
|---|---|
PATIENTS RECOGNITION | |
No prior history of mental illness | |
Stigma and denial of mental illness | |
Limited contact | |
Somatic presentations | |
Substance misuse | |
GP FACTORS | SUICIDE ASSESSMENT/SCREENING |
Limited competence (mental health | Regarded as simplistic and intrusive |
Low confidence | Limited time for psychological care |
Negative views of mental health patients Scepticism of patient suicidal intent | Barrier to therapeutic engagement |
Undermines patient trust | |
Belief in patient stoicism (stereotyping) | |
GP MANAGEMENT (PATIENT FACTORS) | GP MANAGEMENT (psychiatry liaison) |
Rejection of diagnosis | Long waiting lists |
Medication non-adherence | Psychiatry focus on psychotic illness |
Substance misuse | Inadequate follow-up |
Multiple contacts | Functional split model |
Fragmentation of services | |
Loss of shared knowledge and expertise | |