@article{ref1,
title="Stakeholder views regarding a planned primary care office-based interactive multimedia suicide prevention tool",
journal="Patient education and counseling",
year="2019",
author="Jerant, Anthony and Duberstein, Paul and Cipri, Camille and Bullard, Bethany and Stone, Deborah and Paterniti, Debora",
volume="102",
number="2",
pages="332-339",
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. <br><br>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. <br><br>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). <br><br>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.<br><br>Copyright © 2018 Elsevier B.V. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0738-3991",
doi="10.1016/j.pec.2018.09.007",
url="http://dx.doi.org/10.1016/j.pec.2018.09.007"
}