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

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

《台灣精神醫學》 20卷2期 (2006/06) Pp. 134-144

https://doi.org/10.29478/TJP.200606.0006

摘要

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.

關鍵字

基層醫師 ； 自殺防治 ； 知識 ； 態度

並列摘要

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.

並列關鍵字

general practitioners ； suicide prevention ； knowledge ； attitude

參考文獻

(2002).World Health Report.(World Health Report).,::World Health Organization.

衛生統計

Cheng TA(1995).Mental illness and suicide.Arch Gen Psychiatry.52,594-603.

Luoma JB,Martin CE,Pearson JL(2002).Contact with mental health and primary care providers before suicide: a review of the evidence.Am J Psychiatry.159,909-916.

Rutz W,von Knorring L,Walinder J(1992).Long-term effects of an educational program for general practitioners given by the Swedish Committee for the Prevention and Treatment of Depression.Acta Psychiatr Scand.85,83-88.