Deficiencies in suicide training in primary care specialties: A survey of training directors
Abstract
Objective A high percentage of suicide victims have seen a primary care physician in the months before committing suicide. Thus, primary care physicians may play an important role in suicide prevention.Method The authors mailed a survey to directors of training programs in family practice, internal medicine, and pediatrics, and 50.5% responded. Data obtained were analyzed with WebStat.Results Training directors reported deficiencies in training in suicide and depression. Notably, less than half of the internal medicine and pediatrics training directors who replied reported that teaching about suicide was adequate. The majority of them indicated a need for standardized curricular materials on suicide and depression.Conclusions Experts could provide standardized curricula to primary care residencies in the recognition and management of suicide and depression. More robust training about these vital mental health concerns in primary care could reduce morbidity and mortality.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Recent surveys indicate that primary care providers frequently do not have sufficient training in suicide prevention and intervention.
“Despite being at the forefront of suicide prevention, recent surveys suggest that PCPs often lack adequate training in suicide prevention and intervention strategies.101-103”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [101]
Cites
Contact With Mental Health and Primary Care Providers Before Suicide: A Review of the Evidence
Luoma, J. B., Martin, C. E., & Pearson, J. L. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.6.909 · Cited by 1,576 · see citing works
A Hundred Cases of Suicide: Clinical Aspects
Barraclough, B. M., Bunch, J., Nelson, B., & Sainsbury, P. (1974) · British Journal of Psychiatry · doi:10.1192/bjp.125.4.355 · Cited by 1,283 · see citing works
Pignone, M. P., Gaynes, B. N., Rushton, J. L., Burchell, C. M., Orleans, C. T., Mulrow, C. D., & Lohr, K. N. (2002) · Annals of Internal Medicine · doi:10.7326/0003-4819-136-10-200205210-00013 · Cited by 1,086 · see citing works
The quality of care for depressive and anxiety disorders in the United States
Young, A. S., Klap, R., Sherbourne, C. D., & Wells, K. B. (2001) · Archives of General Psychiatry · doi:10.1001/archpsyc.58.1.55 · Cited by 1,061 · see citing works
Hirschfeld, R. M. A. (1997) · JAMA · doi:10.1001/jama.277.4.333 · Cited by 896 · see citing works
Depression in Medical Outpatients
Pérez‐Stable, E. J. (1990) · Archives of Internal Medicine · doi:10.1001/archinte.1990.00390170113024 · Cited by 351 · see citing works
The underrecognition and undertreatment of depression: what is the breadth and depth of the problem?
Davidson, J. R. T., & Meltzer-Brody, S. E. (1999) · PubMed · Cited by 282 · see citing works
Utilization of Physician Offices by Adolescents in the United States
Ziv, A., Boulet, J. R., & Slap, G. B. (1999) · PEDIATRICS · doi:10.1542/peds.104.1.35 · Cited by 243 · see citing works
Hodges, B. D., Inch, C., & Silver, I. (2001) · American Journal of Psychiatry · doi:10.1176/appi.ajp.158.10.1579 · Cited by 236 · see citing works
Male adolescent use of health care services: where are the boys?
Marcell, A. V., Klein, J. D., Fischer, I., Allan, M. J., & Kokotailo, P. K. (2002) · Journal of Adolescent Health · doi:10.1016/s1054-139x(01)00319-6 · Cited by 179 · see citing works
Cost-Effectiveness of Mammography for Older Women
Mandelblatt, J. S., Saha, S., & Helfand, M. (2004) · Annals of Internal Medicine · doi:10.7326/0003-4819-140-10-200405180-00023 · Cited by 105 · see citing works
Recognition of depression by family medicine residents: the impact of screening.
Moore, J. T., Silimperi, D. R., & Bobula, J. A. (1978) · PubMed · Cited by 91 · see citing works
Bongar, B. M., & Harmatz, M. (1991) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1991.tb00947.x · Cited by 72 · see citing works
Patient Suicide in Psychiatry Residency Programs
Ellis, T. E., Dickey, T. O., & Jones, E. C. (1998) · Academic Psychiatry · doi:10.1007/bf03341922 · Cited by 65 · see citing works
Graduate training in clinical psychology and the study of suicide.
Bongar, B. M., & Harmatz, M. (1989) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.20.4.209 · Cited by 59 · see citing works
King, E. A. (1994) · The British Journal of Psychiatry · doi:10.1192/bjp.165.5.658 · Cited by 57 · see citing works
The meagerness of physiciansʼ training in emergency psychiatric intervention
Weissberg, M. (1990) · Academic Medicine · doi:10.1097/00001888-199012000-00009 · Cited by 30 · see citing works
Physicians' recognition of depression.
Ml, P. (1992) · PubMed · Cited by 24 · see citing works
Ebbage, J., Farr, C., Skinner, D. V., et al. (1994) · Journal of the Royal Society of Medicine · doi:10.1177/014107689408700909 · Cited by 22 · see citing works
Internal medical residents' ability to diagnose and characterize major depression.
Medow, M. A., Borowsky, S. J., Dysken, S., et al. (1999) · PubMed · Cited by 20 · see citing works
Recognition of depression by internal medicine residents
Sliman, R. J., Donohue, T. A., Jarjoura, D. G., & Ognibene, A. J. (1992) · Journal of Community Health · doi:10.1007/bf01324403 · Cited by 17 · see citing works
Kick, S. D. (1999) · The International Journal of Psychiatry in Medicine · doi:10.2190/073g-q95j-bajq-p9vn · Cited by 15 · see citing works
Pediatric Residents’ Experiences With Suicidal Patients
Boris, N. W., & Fritz, G. K. (1998) · Academic Psychiatry · doi:10.1007/bf03341440 · Cited by 9 · see citing works
Unrecognized depression in the elderly: a nursing assessment challenge.
Capriotti, T. (1995) · PubMed · Cited by 9 · see citing works
A successful psychiatric training program for medical residents
Cavanaugh, S. V. A., & Kennedy, S. (1986) · General Hospital Psychiatry · doi:10.1016/0163-8343(86)90088-5 · Cited by 6 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Schoen, L. E., Bogetz, A. L., Hom, M. A., & Bernert, R. A. (2019) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2019.02.012 · Cited by 21 · see citing works
O'Dell, S. M., Hosterman, S. J., Hostutler, C. A., Nordberg, C., Klinger, T., Petts, R. A., Whitehead, M. R., Faulkner, S. A., Garcia, A., & Massura, C. A. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.03.009 · Cited by 15 · see citing works
Schulz, P., Zapata, I., & Huzij, T. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1331208 · Cited by 13 · see citing works
Christensen LeCloux, M., Aguinaldo, L. D., Lanzillo, E. C., & Horowitz, L. M. (2022) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-022-09787-3 · Cited by 13 · see citing works
Evidence-based youth suicide prevention and intervention in pediatric primary care settings.
Ruch, D. A., Hughes, J. L., Bridge, J. A., & Fontanella, C. A. (2024) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2024.07.017 · Cited by 10 · see citing works
- Authors
- Sudak, D., Roy, A., Sudak, H., Lipschitz, A., Maltsberger, J., & Hendin, H.
- Affiliations
- Drexel University (US)
- VA New Jersey Health Care System (US)
- Hospital of the University of Pennsylvania (US)
- Wyeth (US)
- Harvard University (US)
- American Foundation for Suicide Prevention (US)
- Corresponding author
- Roy, A.
- Venue
- Academic Psychiatry
- Published
- 2007-10-01
- Volume
- 31
- Issue
- 5
- Pages
- 345-349
- ISSN
- 1042-9670 (ISSN-L)
- OpenAlex
- W2042740668
- Cited by
- 84
- References
- 25
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 1 · 2022: 6 · 2021: 4 · 2020: 5 · 2019: 5 · 2018: 10 · 2017: 6 · 2016: 2 · 2015: 2 · 2014: 6 · 2013: 12 · 2012: 4
- FWCI
- 1.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Academic Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- suicide prevention, primary care residency, medical education, depression, training directors, family medicine residency, internal medicine residency, pediatric residency, standardized curriculum
- MeSH terms
- Suicide Prevention, Clinical Competence, Curriculum, Data Collection, Depressive Disorder, Family Practice, Health Services Needs and Demand, Humans, Internal Medicine, Internship and Residency, Physician Executives, Pediatrics, Physicians, Family, Surveys and Questionnaires, Suicide
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review