基層醫師對自殺防治的經驗、知識、態度與信心

The Experiences, Knowledge, Attitudes and Confidence of General Practitioners in Suicide Prevention

10.29478/TJP.200606.0006

張家銘(Chia-Ming Chang)；賴德仁(Te-Jen Lai)；周明智(Ming-Chih Chou)；李孟智(Meng-Chih Lee)

基層醫師 ； 自殺防治 ； 知識 ； 態度 ； general practitioners ； suicide prevention ； knowledge ； attitude

台灣精神醫學

20卷2期（2006 / 06 / 01）

134 - 144

繁體中文

Objective: This study assessed general practitioners (GPs) experiences, knowledge, attitudes, and confidence about suicide prevention. Methods: A Suicide Prevention Experiences, Knowledge, Attitudes, and Confidence Questionnaire was constructed and administered to all the GPs (internal medicine, pediatrics, general medicine, and family medicine) in Taichung City and Taichung County (n=819). Results: A total of 279 GPs completed the questionnaire resulting in a complete response rate of 34%. Family physicians had more experiences in discussing suicide (61% vs. 44%, p＜0.05), prescribing (76% vs. 65%, p＜0.05) and administering (68% vs. 56%, p＜0.05) antidepressants than non-family physicians, but fewer referred patients at risk of suicide compared to psychiatrists (56% vs. 72%, p＜0.01). Both of types of physicians had inadequate knowledge and low confidence about suicide prevention. Their attitudes and willingness to participate in the suicide prevention network also showed no significant difference. Conclusion: Family physicians had more experience with suicide prevention than non-family physicians, but knowledge, attitudes, and confidence about suicide prevention showed no significant difference between the two groups. These results suggest the need for all GPs to complete training programs about depression, use of antidepressants, and suicide prevention to improve their knowledge and capability in the managing of patients with depression and risk of suicide.

Objective: This study assessed general practitioners (GPs) experiences, knowledge, attitudes, and confidence about suicide prevention. Methods: A Suicide Prevention Experiences, Knowledge, Attitudes, and Confidence Questionnaire was constructed and administered to all the GPs (internal medicine, pediatrics, general medicine, and family medicine) in Taichung City and Taichung County (n=819). Results: A total of 279 GPs completed the questionnaire resulting in a complete response rate of 34%. Family physicians had more experiences in discussing suicide (61% vs. 44%, p＜0.05), prescribing (76% vs. 65%, p＜0.05) and administering (68% vs. 56%, p＜0.05) antidepressants than non-family physicians, but fewer referred patients at risk of suicide compared to psychiatrists (56% vs. 72%, p＜0.01). Both of types of physicians had inadequate knowledge and low confidence about suicide prevention. Their attitudes and willingness to participate in the suicide prevention network also showed no significant difference. Conclusion: Family physicians had more experience with suicide prevention than non-family physicians, but knowledge, attitudes, and confidence about suicide prevention showed no significant difference between the two groups. These results suggest the need for all GPs to complete training programs about depression, use of antidepressants, and suicide prevention to improve their knowledge and capability in the managing of patients with depression and risk of suicide.

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1. Chia-Ta Chan;Chia-Yi Wu;Ming-Been Lee;Chun-Ying Chen;I-Ming Chen;Chia-Ming Chang(2023)。Outcome Evaluation of an Online Suicide Prevention Program for Postgraduate Year Residents during the COVID-19 Pandemic (2020-2022)。Journal of Medical Education。27(1)。75-87。