Brand Constantin, Haas Carolin, Dreischulte Tobias, Falkai Peter, Gensichen Jochen, Lukaschek Karoline
Institut für Allgemeinmedizin, Klinikum der Universität München, LMU München, München, Deutschland.
DFG Graduiertenkolleg "POKAL" (DFG-GrK 2621), München, Deutschland.
Nervenarzt. 2025 Mar 31. doi: 10.1007/s00115-025-01826-6.
Patients with suicidal intent often visit their general practitioner (GP) before attempting suicide; however, GPs may struggle to address suicidality and recognize warning signs. This qualitative study explores GPs' experiences in managing suicidal patients, identifying key challenges and facilitating factors.
We conducted semi-structured interviews with 21 GPs. The interviews were transcribed and analyzed using Kuckartz's qualitative content analysis.
The GPs strive to balance professional detachment with empathy when addressing suicidal ideation, despite time constraints. They refine their communication skills through peer exchange and self-directed learning. The need for practice-oriented training and improved professional networks was strongly emphasized.
Effective suicide prevention requires strong interpersonal skills and sensitive decision making. To effectively fulfil their role, GPs need both organizational and emotional support.
有自杀意图的患者在自杀未遂前通常会去看全科医生（GP）；然而，全科医生可能难以处理自杀问题并识别警示信号。这项定性研究探讨了全科医生管理自杀患者的经验，确定了关键挑战和促进因素。
我们对21名全科医生进行了半结构化访谈。访谈内容经转录后，采用库卡尔茨的定性内容分析法进行分析。
尽管时间有限，但全科医生在处理自杀意念时努力在专业超然和同理心之间取得平衡。他们通过同行交流和自主学习来提升沟通技巧。强烈强调了对以实践为导向的培训和改善专业网络的需求。
有效的自杀预防需要强大的人际沟通技巧和敏锐的决策能力。为了有效履行其职责，全科医生需要组织和情感上的支持。
