GPs’ experiences of dealing with parents bereaved by suicide: A qualitative study
Open accessAbstract
BACKGROUND: Suicide prevention is an NHS priority in England. Bereavement by suicide is a risk factor for suicide, but the needs of those bereaved by suicide have not been addressed, and little is known about how GPs support these patients, and how they deal with this aspect of their work. AIM: This study explores the experiences of GPs dealing with parents bereaved by suicide. DESIGN AND SETTING: Qualitative study using interviews with 13 GPs in the UK. METHOD: Parents, whose adult offspring had died by suicide between 2002 and 2012, were recruited and gave the name of their GP to be invited for interview. Semi-structured interviews were conducted. The topic guide explored experiences of dealing with suicide and bereavement. Data were analysed thematically using constant comparison techniques. RESULTS: GPs described mental health as 'part and parcel' of primary care, but disclosed low confidence in dealing with suicide and an unpreparedness to face parents bereaved by suicide. Some GPs described guilt surrounding the suicide, and a reluctance to initiate contact with the bereaved parents. GPs talked of their duty to care for the bereaved patients, but admitted difficulties in knowing what to do, particularly in the perceived absence of other services. GPs reflected on the impact of the suicide on themselves and described a lack of support or supervision. CONCLUSION: GPs need to feel confident and competent to support parents bereaved by suicide. Although this may be facilitated through training initiatives, and accessible services to refer parents to, GPs also require formal support and supervision, particularly around significant events such as suicide. Results from this qualitative study have informed the development of evidence-based suicide bereavement training for health professionals.
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General practitioners report a lack of training and confidence in how to respond after suicide, despite bereaved people viewing their GP as a key source of support.
“For their own part, general practitioners (GP) report a lack of training and confidence in how to respond after suicide, despite bereaved people viewing their GP as a key source of support [23,24].”
From Support Needs and Experiences of People Bereaved by Suicide: Qualitative Findings from a Cross-Sectional British Study of Bereaved Young Adults (2018) · cites this paper as [24]
The Results report low GP confidence, and Implications for research and practice says most felt uncertain how to respond because of a lack of training. The Conclusion says bereaved individuals are reliant on their GP or third-sector services for care, but this study of GPs’ experiences does not establish that bereaved people themselves view their GP as a key source of support. (LLM, conf=0.84)
Experimental — accuracy not yet measuredOur qualitative findings regarding others' avoidance complement those of a British qualitative study of GPs, in which reported hesitance in offering support to suicide-bereaved parents was explained by guilt and a lack of confidence in knowing what to say.
“Our qualitative findings regarding others' avoidance complement those of a British qualitative study of GPs, in which reported hesitance in offering support to suicide-bereaved parents was explained by guilt and a lack of confidence in knowing what to say (Foggin et al., 2016).”
From The stigma associated with bereavement by suicide and other sudden deaths: A qualitative interview study (2018) · cites this paper as Foggin et al., 2016
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- Authors
- Foggin, E., McDonnell, S., Cordingley, L., Kapur, N., Shaw, J., & Chew-Graham, C. A.
- Affiliations
- University of Oxford (GB)
- University of Manchester (GB)
- Keele University (GB)
- Venue
- British Journal of General Practice
- Published
- 2016-08-15
- Volume
- 66
- Issue
- 651
- Pages
- e737-e746
- ISSN
- 0960-1643 (ISSN-L)
- 1478-5242
- PMC
- PMC5033310
- OpenAlex
- W2514018809
- Cited by
- 49
- References
- 40
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 4 · 2023: 3 · 2022: 6 · 2021: 7 · 2020: 7 · 2019: 4 · 2018: 5 · 2017: 2 · 2016: 3
- FWCI
- 6.25
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal of General Practice (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion, other-oa)
- Keele Research Repository (Keele University) (submittedVersion, cc-by)
- Funders
- National Institute for Health and Care Research (WMCLAHRC-2014-1, PB-PG-0110-21047)
- Research for Patient Benefit Programme
- 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, parents of suicide victims, general practitioners, GP experiences, suicide prevention, primary care mental health, referral services
- MeSH terms
- Adolescent, Adult, Attitude of Health Personnel, Bereavement, Education, Medical, Continuing, England, Female, Humans, Life Change Events, Male, Mental Health, Middle Aged, Parents, Physician-Patient Relations, Suicide, Qualitative Research, Evidence-Based Practice, General Practitioners, General Practice
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