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Saini, P, Chantler, K and Kapur, N (2017) GPs’ views and perspectives on patient non-adherence to treatment in primary care prior to suicide. Journal of Mental Health, 27 (2). pp. 112-119. ISSN 0963-8237
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GPs’ views and perspectives on patient non-adherence to treatment in primary care prior to suicide.pdf - Accepted Version Download (564kB) | Preview |
Abstract
Background: Individuals who do not adhere to their treatment regimens may be at greater risk of suicide but these issues are relatively unexplored in primary care services.
Aim: To explore GPs’ views and perspectives on the reasons why patients who were in contact with mental health services in the year prior to suicide was non-adherent to treatment prior to their death.
Method: In total, 198 semi-structured face-to-face interviews with GPs of people who had died by suicide. Interviews were transcribed verbatim and analyzed using a thematic approach.
Results: The following themes were conceptualized from GP interviews: (i) “Lack of insight or denial?” relates to what GPs perceived as their patients lack of insight into their psychiatric illness; (ii) “Lack of treatment choices” discusses GPs’ understanding of patient treatment choices; (iii) “Services for comorbidity and dual diagnosis” refers to treatment availability for suicidal patients with two or more mental health diagnoses.
Conclusions: For suicide prevention, it is crucial for health professionals to assess patients and manage the possible causes of non-adherence. Policies for increasing treatment adherence, improving services for dual diagnosis, or providing alternative treatments to meet individual patient needs may help to achieve the best health outcomes and could potentially prevent suicide.
| Item Type: | Article |
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| Additional Information: | This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Mental Health on 1/03/2017, available online: http://www.tandfonline.com/10.1080/09638237.2017.1294736 |
| Uncontrolled Keywords: | 1103 Clinical Sciences, 1701 Psychology |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine > RA0440 Study and Teaching. Research |
| Divisions: | Natural Sciences & Psychology (closed 31 Aug 19) |
| Publisher: | Taylor & Francis |
| Date Deposited: | 05 Feb 2019 10:34 |
| Last Modified: | 04 Sep 2021 02:55 |
| DOI or ID number: | 10.1080/09638237.2017.1294736 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/8246 |
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