Citation

Roy W, Roaten K, Downs D, Khan F, Pollio DE, North CS. Arch. Suicide Res. 2016; 21(3): 365-378.

Affiliation

The Nancy and Ray L. Hunt Chair in Crisis Psychiatry and Professor of Psychiatry, The University of Texas Southwestern Medical Center , Dallas , TX , USA.

Copyright

(Copyright © 2016, International Academy of Suicide Research, Publisher Informa - Taylor and Francis Group)

DOI

10.1080/13811118.2016.1199987

PMID

27309841

Abstract

OBJECTIVE: To examine gaps in effective self-directed violence risk assessments by emergency medicine physicians.

METHODS: Four focus groups (N = 16 physicians) were conducted, followed by thematic analysis.

RESULTS: Eight themes were identified in 1,293 coded passages. Participants discussed the practical ways they deal with the challenges of assessing and managing self-directed violence in low-resource settings.

CONCLUSION: Emergency medicine physicians find mechanistic suicide screenings problematic, especially when intervention options are scarce; they find patient rapport, clinical experience, and corroboration from colleagues to be valuable in addressing the complex challenges of suicide risk assessment and management.

Language: en