Citation

Jerant A, Duberstein P, Cipri C, Bullard B, Stone D, Paterniti D. Patient Educ. Couns. 2019; 102(2): 332-339.

Affiliation

Department of Sociology, Sonoma State University, 1801 East Cotati Ave, Rohnert Park, California, USA; Department of Internal Medicine, University of California, Davis, School of Medicine, 4150 V St, Suite 3100, Sacramento, CA, USA.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.pec.2018.09.007

PMID

30220599

Abstract

OBJECTIVES: Nearly half of all men who die by suicide visit a primary care clinician (PCC) in the month before death, yet few disclose suicide thoughts. We solicited stakeholders' views to guide development of a tailored multimedia program to activate middle-aged men experiencing suicide thoughts to engage with PCCs.

METHODS: We conducted semi-structured interviews with 44 adults self-identifying as: suicide attempt survivor; family member/loved one of person(s) who attempted or died by suicide; PCC; non-PCC office staff; health administrator; and/or prevention advocate. We coded recorded interview transcripts and identified relevant themes using grounded theory.

RESULTS: Two thematic groupings emerged, informing program design: structure and delivery (including belief the program could be effective and desire for use of plain language and media over text); and informational and motivational content (including concerns about PCC preparedness; fear that disclosing suicide thoughts would necessitate hospitalization; and influence of male identity and masculinity, respectively, in care-seeking for and interpreting suicide thoughts).

CONCLUSION: Stakeholder input informed the design of a primary care tailored multimedia suicide prevention tool. PRACTICE IMPLICATIONS: In revealing a previously unreported barrier to disclosing suicide thoughts to PCCs (fear of hospitalization), and underscoring known barriers, the findings may suggest additional suicide prevention approaches.

Copyright © 2018 Elsevier B.V. All rights reserved.

Language: en

Keywords

Gender identity; Health education/methods; Interviews as topic; Masculinity; Men; Middle aged; Multimedia; Patient acceptance of health care; Patient participation; Physicians; Prevention; Primary care; Primary health care; Qualitative research; Software; Suicidal ideation; Suicide