Stakeholder views regarding a planned primary care office-based interactive multimedia suicide prevention tool. Issue 2 (February 2019)

• Record Type: Journal Article
• Authors: Jerant, Anthony; Duberstein, Paul; Cipri, Camille; Bullard, Bethany; Stone, Deborah; Paterniti, Debora
• Is Part Of: Patient education and counseling. Volume 102:Issue 2(2019)
• Page Start: 332
• Page End: 339
• Publication Date: 2019-02
• Subjects: Gender identity -- Health education/methods -- Interviews as topic -- Masculinity -- Men -- Middle aged -- Multimedia -- Patient acceptance of health care -- Patient participation -- Physicians -- Primary care -- Prevention -- Primary health care -- Qualitative research -- Software -- Suicidal ideation -- Suicide; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2018.09.007
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: Suicide, often preceded by suicide thoughts (ST), is a leading cause of death in men. 50% of men who die by suicide recently visited primary care (PC); few disclose ST. We interviewed stakeholders to help design a PC activation program for men with ST. Male identity and masculinity affect interpretation of ST and disclosure in PC. Concerns about PC clinician preparedness and hospitalization also affect disclosure. 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. 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. 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). 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.