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  4. Knowledge and attitude of nonpsychiatric physicians regarding suicide in spinal cord injury patients and need for structured psychiatric education for suicide prevention A prospective survey pilot study

Knowledge and attitude of nonpsychiatric physicians regarding suicide in spinal cord injury patients and need for structured psychiatric education for suicide prevention A prospective survey pilot study

Medicine, 2019 · DOI: 10.1097/MD.0000000000014901 · Published: March 1, 2019

Spinal Cord InjuryHealthcareMental Health

Simple Explanation

The study investigates the awareness and attitudes of nonpsychiatric physicians towards suicide in spinal cord injury (SCI) patients. It explores the necessity of suicide prevention education for these physicians. The research involved a questionnaire survey among medical staff treating SCI patients, including orthopedic surgeons, neurosurgeons, and rehabilitation medicine physicians. The findings highlight differences in attitudes and awareness between surgical and nonsurgical clinicians, emphasizing the importance of education and clinical experience for suicide prevention in SCI patients.

Study Duration
Not specified
Participants
29 subjects: 6 fellows and 23 residents
Evidence Level
Clinical Trial/Experimental Study

Key Findings

  • 1
    Significant differences were found between surgical and nonsurgical clinicians regarding awareness and attitude toward suicide and psychiatric consultation.
  • 2
    Older age correlated with a greater understanding that someone with an incurable disease might want to commit suicide.
  • 3
    A correlation exists between the perception that media reports on suicide are stimulating and the belief that suicide prevention education is necessary for physicians.

Research Summary

This study aimed to investigate the knowledge and attitudes of nonpsychiatric physicians regarding suicide in spinal cord injury (SCI) patients and the necessity of structured psychiatric education for suicide prevention. The research involved a survey of 29 medical professionals, including fellows and residents, from surgical and nonsurgical specialties, focusing on their perceptions, attitudes, and experiences related to suicide in SCI patients. The study concludes that education regarding suicide prevention and suicide-related clinical experience with SCI patients is important for nonpsychiatric clinicians, highlighting differences in awareness and attitudes between surgical and nonsurgical physicians.

Practical Implications

Enhanced Training Programs

Develop structured psychiatric education programs for nonpsychiatric physicians to improve their knowledge and skills in suicide prevention among SCI patients.

Improved Screening Protocols

Implement standardized screening protocols for depression and suicide risk in SCI patients across different medical specialties.

Interdisciplinary Collaboration

Foster better collaboration between surgical and nonsurgical specialties to ensure comprehensive assessment and intervention for SCI patients at risk of suicide.

Study Limitations

  • 1
    Potential for recall bias due to the self-report questionnaire method.
  • 2
    The questionnaire's validity was not verified by comparison with the general public and patients with psychiatric diagnoses.
  • 3
    The small sample size limits the generalizability of the findings to all surgical and nonsurgical physicians treating SCI patients.

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