Michail Maria, Tait Lynda
School of Health Sciences, Jubilee Campus, University of Nottingham, Nottingham, UK.
BMJ Open. 2016 Jan 12;6(1):e009654. doi: 10.1136/bmjopen-2015-009654.
To explore general practitioner (GP) views and experiences of assessing, communicating with and managing suicidal young people with the aim of co-producing an educational intervention on youth suicide prevention tailored to GPs' perceived needs.
Qualitative focus group study using framework analysis.
5 inner city general practices in Nottingham.
28 GPs took part (9 males) with mean age of 37 years. The median number of years of professional experience was 13. Participants were recruited through convenience sampling based on accessibility, interest in the study and willingness to participate.
3 themes emerged from the data in relation to GP's attitudes and beliefs towards suicide; the challenges GPs experience when it comes to the assessment and management of suicide risk in young people; and optimal ways of addressing some of these challenges through the provision of specialist education and training targeting GPs' knowledge and clinical skills in this field.
The findings revealed wide variations in the understanding and operationalisation of risk among GPs, which has subsequent implications to how GPs perceive risk should be assessed. GP education on suicide risk assessment and management in youth should promote a holistic understanding and assessment of risk and its individual, social and contextual influences.
探讨全科医生（GP）对评估、与有自杀倾向的年轻人沟通及管理的看法和经验，旨在共同制定一项针对全科医生感知需求的青少年自杀预防教育干预措施。
采用框架分析的定性焦点小组研究。
诺丁汉市的5家市中心全科诊所。
28名全科医生参与（9名男性），平均年龄37岁。专业经验中位数为13年。参与者通过便利抽样招募，基于可及性、对研究的兴趣和参与意愿。
数据中出现了3个主题，涉及全科医生对自杀的态度和信念；全科医生在评估和管理年轻人自杀风险时遇到的挑战；以及通过提供针对全科医生在该领域知识和临床技能的专业教育和培训来应对其中一些挑战的最佳方法。
研究结果显示，全科医生对风险的理解和操作存在很大差异，这对全科医生如何看待风险评估产生了后续影响。针对青少年自杀风险评估和管理的全科医生教育应促进对风险及其个人、社会和背景影响的全面理解和评估。
