Background
Aims
Methods
Subjects
CAPn = 105–107n (%) | DPCn = 221–122n (%) | Totaln = 226–229n (%) | p | |
---|---|---|---|---|
Profession
| ||||
Physicians | 14 (13) | 19 (15) | 33 (15) | n.s. |
Psychologists | 54 (51) | 52 (43) | 106 (46) | n.s. |
Nurses | 0 | 34 (28) | 34 (15) | <0.001 |
Social workers | 15 (14) | 11 (9) | 26 (11) | n.s. |
Other | 24 (22) | 6 (5) | 30 (13) | <0.001 |
Gender
| ||||
Women | 71 (68) | 76 (63) | 147 (65) | n.s. |
Men | 34 (33) | 45 (37) | 79 (35) | |
Religion | ||||
Christian | 63 (59) | 74 (61) | 137 (60) | n.s. |
No religion | 39 (37) | 47 (39) | 86 (37) | n.s. |
Other religion | 5 (5) | 1 (1) | 6 (3) | n.s. |
Age
| ||||
30 years | 5 (5) | 11 (9) | 16 (7) | n.s. |
31–40 years | 40 (38) | 38 (31) | 78 (35) | n.s. |
41–50 years | 22 (21) | 29 (24) | 51 (23) | n.s. |
50 years | 38 (36) | 43 (36) | 81 (36) | n.s. |
Assessments
Statistics
Ethics
Results
Attitudes in child and adolescence (CAP) and adult psychiatry (DPC) professionals
CAPn = 100Mean (95% CI) | DPCn = 120Mean (95% CI) | Totaln = 220Mean (95% CI) | p | |
---|---|---|---|---|
Women (n = 140) | 19.4 (18.3–20.6) | 18.1 (17.2–19.0) | 18.7 (17.7–19.2) | 0.065 |
Men (n = 77) | 18.8 (17.4–20.2) | 18.6 (17.4–19.8) | 18.7 (17.8–19.6) | 0.848 |
Physicians (n = 32) | 18.9 (15.9–21.8) | 18.9 (17.0–20.8) | 18.9 (17.3–20.4) | 0.976 |
Psychologists (n = 103) | 18.5 (17.4–19.7) | 18. 3 (17.2–19.4) | 18.4 (17.6–19.2) | 0.802 |
Nurses (n = 33) | * | 18.1 (16.8–19.4) | 18.1 (16.8–19.4) | * |
Social workers (n = 23) | 20.5 (17.6–23.4) | 18.5 (16.4–20.6) | 19.6 (17.8–21.4) | 0.269 |
Others (n = 29) | 20.2 (18.1–22.3) | 17.1 (13.3–21.1)** | 19.6 (17.8–21.4) | 0.163 |
Total (n = 220) | 19.2 (18.3–20.1) | 18.3 (17.6–19.0) | 18.7 (18.2–19.3) | 0.108 |
CAPn = 107Mean (95% CI) | DPCn = 122Mean (95% CI) | Totaln = 229Mean (95% CI) | |
---|---|---|---|
Factor 1: Suicide is acceptable
| 2.6 (2.5–2.7) | 2.4 (2.3–2.5) | 2.5 (2.4–2.6) |
Physicians | 2.3 (2.1–2.6) | 2.2 (2.0–2.5) | 2.3 (2.1–2.4) |
Nurses | * | 2.2 (2.0–2.4) | 2.2 (2.0–2.4) |
Psychologists | 2.7 (2.5–2.8) | 2.7 (2.5–2.8) | 2.7 (2.6–2.8) |
Social workers | 2.8 (2.4–3.1) | 2.7 (2.5–2.9) | 2.7 (2.4–2.9) |
Other | 2.4 (2.2–2.6) | 2.2 (1.6–2.7)** | 2.3 (2.2–2.3) |
Between professions | p = 0.035 | p < 0.001 | p < 0.001 |
Christians | 2.6 (2.5–2.8) | 2.3 (2.2–2.4) | 2.5 (2.4–2.6) |
No religion | 2.7 (2.5–2.9) | 2.9 (2.7–3.0) | 2.8 (2.7–2.9) |
Between religion | p = 0.589 | p < 0.001 | p < 0.001 |
Factor 2: Suicide should not be talked about and cannot be prevented
| 2.3 (2.2–2.3) | 2.2 (2.1–2.3) | 2.2 (2.2–2.3) |
Physicians | 2.2 (2.0–2.4) | 2.2 (2.0–2.5) | 2.2 (2.1–2.3) |
Nurses | * | 2.2 (2.1–2.4) | 2.2 (2.1–2.4) |
Psychologists | 2.2 (2.1–2.3) | 2.2 (2.1–2.3) | 2.2 (2.1–2.2) |
Social workers | 2.4 (2.1–2.6) | 2.3 (2.0–2.5) | 2.3 (2.3–2.5) |
Other | 2.5 (2.2–2.7) | 2.4 (1.9–2.9)** | 2.4 (2.2–2.6) |
Between professions | p = 0.026 | p = 0.976 | p = 0.025 |
Christians | 2.3 (2.2–2.4) | 2.2 (2.2–2.4) | 2.2 (2.2–2.4) |
No religion | 2.3 (2.2–2.6) | 2.3 (2.2–2.5) | 2.3 (2.3–2.5) |
Between religions | p = 0.497 | p = 0.317 | p = 0.238 |
Experiences with suicidal patients, competence, written guidelines, and understanding of reasons for suicidal behaviour
Experience
Courses, supervision and written guidelines
Views on causes of suicidal behaviour
CAP n = 102–107 Mean (95% CI) | DPC n = 117–122 Mean (95% CI) | p | |
---|---|---|---|
Causes of suicide
| |||
Psychiatric disorder | 3.4 (3.3–3.5) | 3.4 (3.3–3.5) | 0.856 |
Inner turmoil and stress | 2.9 (2.7–3.1) | 2.7 (2.5–2.9) | 0.123 |
Problems in the family | 2.8 (2.7–3.0) | 2.7 (2.6–2.8) | 0.170 |
Use of alcohol | 2.7 (2.5–2.9) | 2.8 (2.7–3.0) | 0.219 |
Biological changes in the brain | 1.9 (1.7–2.0) | 1.8 (1.7–2.0) | 0.594 |
Importance in treatment
| |||
Psychotherapy | 3.5 (3.3–3.6) | 3.3 (3.1–3.4) | 0.039 |
Sleep and rest | 2.9 (2.7–3.1) | 2.9 (2.8–3.1) | 0.867 |
Psychiatric in-patient treatment | 2.7 (2.5–2.9) | 2.8 (2.6–2.9) | 0.566 |
Use of medication | 2.4 (2.3–2.5) | 2.8 (2.7–3.0) | < 0.001 |
Family therapy | 2.7 (2.5–2.8) | 2.5 (2.4–2.7) | 0.138 |
Talk with priest/imam | 2.0 (1.9–2.2) | 2.2 (2.0–2.3) | 0.254 |
Electroconvulsive therapy | 1.3 (1.1–1.5) | 1.4 (1.3–1.6) | 0.286 |
Satisfaction with treatment
| |||
Opportunity for hospitalization if needed | 2.2 (2.0–2.4) | 2.6 (2.5–2.8) | < 0.001 |
Adequate follow-up | 1.9 (1.7–2.1) | 2.2 (2.1–2.4) | 0.008 |
Follow-up as good as for patients with heart disease | 1.5 (1.3–1.7) | 1.7 (1.6–1.9) | 0.007 |
The suicide of a patient is a professional failure | 1.6 (1.4–1.7) | 1.3 (1.2–1.4) | 0.008 |