Institute of Family Medicine and Public Health, Faculty of Medicine, University of Tartu, Tartu, Estonia.
The Centre for Applied Social Sciences, University of Tartu, Tartu, Estonia.
Prim Health Care Res Dev. 2022 Jul 25;23:e41. doi: 10.1017/S1463423622000263.
To analyze how people cope with suicide loss and the implications for primary health care.
Previous studies have shown that primary health care will often be an initial source of support for those bereaved by suicide.
We included adult persons who were ready to talk about a suicide completed by a person they knew well (family member or close friend). Participants were recruited via mixed media (television, radio, print, social media, etc.). Altogether, we conducted 37 individual interviews, which were recorded using a dictaphone and lasted from 46 to 158 min. The interviews were transcribed verbatim and analyzed using a content analysis method. The interviewees were mostly women ( = 27) and family members ( = 28) of a person who had died by suicide during the years 2012-2018.
We identified two main themes in the data: supporters and barriers in support. Coping with suicide takes time, and support was mostly found among friends and family. Support from GPs was mentioned in the context of diagnosing medical problems and prescribing medicines. Respondents indicated that feeling ashamed and a lack of trust impeded their willingness to seek help from their GP. Unmet needs among the bereaved may increase their risk of diminished mental health outcomes. Thus, primary health care practitioners may have a substantial opportunity to support those who are bereaved by suicide.
Primary care providers have an opportunity to provide bereavement support among their patients. Continuing medical education regarding the needs of the bereaved and a coordinated approach among primary care practitioners may be useful to proactively identifying and supporting those in need.
分析人们如何应对自杀死亡及其对初级保健的影响。
先前的研究表明，初级保健通常将成为自杀丧亲者的初始支持来源。
我们纳入了愿意谈论自杀的成年人，这些自杀是由他们认识的人（家庭成员或密友）完成的。参与者通过混合媒体（电视、广播、印刷、社交媒体等）招募。总共进行了 37 次个人访谈，使用录音机记录，持续时间从 46 分钟到 158 分钟不等。访谈逐字记录并使用内容分析法进行分析。受访者主要是 2012-2018 年间自杀死亡者的女性（=27）和家庭成员（=28）。
我们在数据中确定了两个主题：支持和支持障碍。应对自杀需要时间，支持主要来自朋友和家人。全科医生的支持在诊断医疗问题和开处方药物方面有所提及。受访者表示，感到羞耻和缺乏信任阻碍了他们向全科医生寻求帮助的意愿。丧亲者的未满足需求可能会增加他们心理健康恶化的风险。因此，初级保健从业者可能有机会为自杀丧亲者提供支持。
初级保健提供者有机会在其患者中提供丧亲支持。针对丧亲者的需求进行继续医学教育以及初级保健从业者之间的协调方法可能有助于主动识别和支持有需要的人。
