A survey of Dutch GPs' attitudes towards help seeking and follow-up care for relatives bereaved by suicide
Open accessAbstract
BACKGROUND: Relatives who are bereaved by suicide likely consult their GP when they feel the need for professional help. GPs may play a key role in establishing who is at risk for adverse consequences of the loss as they are familiar with relatives' possible psychiatric vulnerabilities. The availability of evidence-based services for relatives of suicide victims is limited. Successful implementation of services needs analysis of key factors considered critical in the achievement of changes. We investigated GPs' management of help requests of relatives bereaved by suicide and examined determinants of GPs willingness to refer for evidence-based follow-up care. METHODS: A cross-sectional survey among 488 GPs in the northern part of The Netherlands. RESULTS: A 44% response was achieved (n = 214) during the last 3 years, 38 (18%) were exposed to suicide, 21 (10%) to help requests without being exposed to suicide and 52 (24%) to both suicide and help requests. Out of 106 requests, 69 (65%) were handled by the GP; 60 (57%) were either directly or additionally referred, principally for mental health care. Suicide exposure and female gender were associated with the doctor's perception that follow-up care following a loss through suicide is useful. The perception that help is useful increased the likelihood of GPs' referral for evidence-based follow-up care. CONCLUSIONS: GPs support the availability of evidence-based follow-up care for relatives of suicide victims. To modify GPs' key role in referring relatives for it, GPs should be well informed of its usefulness and to whom.
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Participants' grief responses matched complex grief patterns reported in the international literature.
“The grief responses expressed by the participants were reflective of complex grief patterns reported in the international literature.3,5,9”
From Experiences of suicide bereavement: A qualitative study exploring the role of the GP (2016) · cites this paper as [9]
The literature indicates a need for a unique, proactive approach to supporting and assessing the psychological wellbeing of suicide survivors.
“The current literature points to a need to develop a unique, proactive approach to the provision of support and assessment of the psychological wellbeing of survivors of suicide.2,9”
From Experiences of suicide bereavement: A qualitative study exploring the role of the GP (2016) · cites this paper as [9]
Suicide bereavement is a risk factor for complicated mourning, described as prolonged unresolved grief that often interferes with functioning.
“It is a risk factor for development of complicated mourning, described as prolonged, unresolved grief often interfering with functioning.8,9”
From Experiences of suicide bereavement: A qualitative study exploring the role of the GP (2016) · cites this paper as [9]
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- Authors
- de Groot, M., van der Meer, K., & Burger, H.
- Affiliations
- University Medical Center Groningen (NL)
- ORCID
- Burger, H.
- Venue
- Family Practice
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-07-14
- Volume
- 26
- Issue
- 5
- Pages
- 372-376
- ISSN
- 0263-2136 (ISSN-L)
- 1460-2229
- PMC
- PMC2743735
- OpenAlex
- W2118161522
- Cited by
- 8
- References
- 32
- Citations by year
- 2019: 1 · 2017: 1 · 2016: 1 · 2014: 1 · 2013: 2
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Family Practice (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- suicide bereavement, relatives of suicide victims, general practitioners, help-seeking, evidence-based care, suicide exposure, GP attitudes, mental health services, bereavement support services
- MeSH terms
- Adult, Attitude of Health Personnel, Bereavement, Counseling, Cross-Sectional Studies, Family Health, Female, Humans, Male, Mental Health Services, Netherlands, Physician-Patient Relations, Physicians, Family, Physicians, Women, Suicide
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