Survey of Australian and Canadian Community Pharmacists' Experiences With Patients at Risk of Suicide.

Attitude of Health Personnel Australia Canada Community Pharmacy Services / statistics & numerical data Female Humans Logistic Models Male Multivariate Analysis Pharmacists / psychology Professional Role / psychology Surveys and Questionnaires Suicide Prevention
Community mental health services Suicide and self-destructive behavior

Journal

Psychiatric services (Washington, D.C.)
ISSN: 1557-9700
Titre abrégé: Psychiatr Serv
Pays: United States
ID NLM: 9502838

Informations de publication

Date de publication:
01 03 2020
Historique:
pubmed: 21 11 2019
medline: 15 1 2021
entrez: 21 11 2019
Statut: ppublish

Résumé

The study's objective was to examine Canadian and Australian community pharmacists' experiences with people at risk of suicide. A survey was developed and administered online. Countries were compared by Fisher's exact and t tests. Multivariable logistic-regression analysis was used to identify variables associated with preparedness to help someone in a suicidal crisis. The survey was completed by 235 Canadian and 161 Australian pharmacists. Most (85%) interacted with someone at risk of suicide at least once, and 66% experienced voluntary patient disclosure of suicidal thoughts. More Australians than Canadians had mental health crisis training (p<0.001). Preparedness to help in a suicidal crisis was negatively associated with being Canadian, having a patient who died by suicide, lacking training and confidence, and permissive attitudes toward suicide. Several perceived barriers impede pharmacists' abilities to help patients who voluntarily disclose suicidal thoughts. Gatekeeper and related suicide prevention strategy training for community pharmacists is warranted.

Identifiants

DOI: 10.1176/appi.ps.201900244 PMID: 31744430
pubmed: 31744430
doi: 10.1176/appi.ps.201900244
doi:

Types de publication

Comparative Study Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

293-296

Auteurs

Andrea L Murphy (AL)

College of Pharmacy (Murphy, Ataya, Gardner), Department of Psychiatry (Murphy, Kutcher, Gardner), Department of Family Medicine (Burge), and School of Nursing (Martin-Misener), all at Dalhousie University, Halifax, Nova Scotia, Canada; School of Pharmacy, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia (O'Reilly, Chen); Research Methods Unit, Nova Scotia Health Authority, Halifax (Doucette); Centre for Mental Health Research, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory (Salvador-Carulla); Schizophrenia Society of Nova Scotia, Halifax (Himmelman); Brain & Mind Centre, University of Sydney, Sydney (Rosen); Illawarra Institute for Mental Health, University of Wollongong, Wollongong, New South Wales, Australia (Rosen); Independent Senators Group, Senate of Canada, Ottawa, Ontario, Canada (Kutcher). Dr. Kutcher was with IWK Health Centre, Dalhousie University, Halifax, at the time of this study.

Claire L O'Reilly (CL)

College of Pharmacy (Murphy, Ataya, Gardner), Department of Psychiatry (Murphy, Kutcher, Gardner), Department of Family Medicine (Burge), and School of Nursing (Martin-Misener), all at Dalhousie University, Halifax, Nova Scotia, Canada; School of Pharmacy, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia (O'Reilly, Chen); Research Methods Unit, Nova Scotia Health Authority, Halifax (Doucette); Centre for Mental Health Research, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory (Salvador-Carulla); Schizophrenia Society of Nova Scotia, Halifax (Himmelman); Brain & Mind Centre, University of Sydney, Sydney (Rosen); Illawarra Institute for Mental Health, University of Wollongong, Wollongong, New South Wales, Australia (Rosen); Independent Senators Group, Senate of Canada, Ottawa, Ontario, Canada (Kutcher). Dr. Kutcher was with IWK Health Centre, Dalhousie University, Halifax, at the time of this study.

Randa Ataya (R)

College of Pharmacy (Murphy, Ataya, Gardner), Department of Psychiatry (Murphy, Kutcher, Gardner), Department of Family Medicine (Burge), and School of Nursing (Martin-Misener), all at Dalhousie University, Halifax, Nova Scotia, Canada; School of Pharmacy, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia (O'Reilly, Chen); Research Methods Unit, Nova Scotia Health Authority, Halifax (Doucette); Centre for Mental Health Research, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory (Salvador-Carulla); Schizophrenia Society of Nova Scotia, Halifax (Himmelman); Brain & Mind Centre, University of Sydney, Sydney (Rosen); Illawarra Institute for Mental Health, University of Wollongong, Wollongong, New South Wales, Australia (Rosen); Independent Senators Group, Senate of Canada, Ottawa, Ontario, Canada (Kutcher). Dr. Kutcher was with IWK Health Centre, Dalhousie University, Halifax, at the time of this study.

Steve P Doucette (SP)

College of Pharmacy (Murphy, Ataya, Gardner), Department of Psychiatry (Murphy, Kutcher, Gardner), Department of Family Medicine (Burge), and School of Nursing (Martin-Misener), all at Dalhousie University, Halifax, Nova Scotia, Canada; School of Pharmacy, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia (O'Reilly, Chen); Research Methods Unit, Nova Scotia Health Authority, Halifax (Doucette); Centre for Mental Health Research, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory (Salvador-Carulla); Schizophrenia Society of Nova Scotia, Halifax (Himmelman); Brain & Mind Centre, University of Sydney, Sydney (Rosen); Illawarra Institute for Mental Health, University of Wollongong, Wollongong, New South Wales, Australia (Rosen); Independent Senators Group, Senate of Canada, Ottawa, Ontario, Canada (Kutcher). Dr. Kutcher was with IWK Health Centre, Dalhousie University, Halifax, at the time of this study.

Frederick I Burge (FI)

College of Pharmacy (Murphy, Ataya, Gardner), Department of Psychiatry (Murphy, Kutcher, Gardner), Department of Family Medicine (Burge), and School of Nursing (Martin-Misener), all at Dalhousie University, Halifax, Nova Scotia, Canada; School of Pharmacy, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia (O'Reilly, Chen); Research Methods Unit, Nova Scotia Health Authority, Halifax (Doucette); Centre for Mental Health Research, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory (Salvador-Carulla); Schizophrenia Society of Nova Scotia, Halifax (Himmelman); Brain & Mind Centre, University of Sydney, Sydney (Rosen); Illawarra Institute for Mental Health, University of Wollongong, Wollongong, New South Wales, Australia (Rosen); Independent Senators Group, Senate of Canada, Ottawa, Ontario, Canada (Kutcher). Dr. Kutcher was with IWK Health Centre, Dalhousie University, Halifax, at the time of this study.

Luis Salvador-Carulla (L)

College of Pharmacy (Murphy, Ataya, Gardner), Department of Psychiatry (Murphy, Kutcher, Gardner), Department of Family Medicine (Burge), and School of Nursing (Martin-Misener), all at Dalhousie University, Halifax, Nova Scotia, Canada; School of Pharmacy, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia (O'Reilly, Chen); Research Methods Unit, Nova Scotia Health Authority, Halifax (Doucette); Centre for Mental Health Research, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory (Salvador-Carulla); Schizophrenia Society of Nova Scotia, Halifax (Himmelman); Brain & Mind Centre, University of Sydney, Sydney (Rosen); Illawarra Institute for Mental Health, University of Wollongong, Wollongong, New South Wales, Australia (Rosen); Independent Senators Group, Senate of Canada, Ottawa, Ontario, Canada (Kutcher). Dr. Kutcher was with IWK Health Centre, Dalhousie University, Halifax, at the time of this study.

Timothy F Chen (TF)

College of Pharmacy (Murphy, Ataya, Gardner), Department of Psychiatry (Murphy, Kutcher, Gardner), Department of Family Medicine (Burge), and School of Nursing (Martin-Misener), all at Dalhousie University, Halifax, Nova Scotia, Canada; School of Pharmacy, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia (O'Reilly, Chen); Research Methods Unit, Nova Scotia Health Authority, Halifax (Doucette); Centre for Mental Health Research, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory (Salvador-Carulla); Schizophrenia Society of Nova Scotia, Halifax (Himmelman); Brain & Mind Centre, University of Sydney, Sydney (Rosen); Illawarra Institute for Mental Health, University of Wollongong, Wollongong, New South Wales, Australia (Rosen); Independent Senators Group, Senate of Canada, Ottawa, Ontario, Canada (Kutcher). Dr. Kutcher was with IWK Health Centre, Dalhousie University, Halifax, at the time of this study.

Dani Himmelman (D)

College of Pharmacy (Murphy, Ataya, Gardner), Department of Psychiatry (Murphy, Kutcher, Gardner), Department of Family Medicine (Burge), and School of Nursing (Martin-Misener), all at Dalhousie University, Halifax, Nova Scotia, Canada; School of Pharmacy, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia (O'Reilly, Chen); Research Methods Unit, Nova Scotia Health Authority, Halifax (Doucette); Centre for Mental Health Research, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory (Salvador-Carulla); Schizophrenia Society of Nova Scotia, Halifax (Himmelman); Brain & Mind Centre, University of Sydney, Sydney (Rosen); Illawarra Institute for Mental Health, University of Wollongong, Wollongong, New South Wales, Australia (Rosen); Independent Senators Group, Senate of Canada, Ottawa, Ontario, Canada (Kutcher). Dr. Kutcher was with IWK Health Centre, Dalhousie University, Halifax, at the time of this study.

Stanley Kutcher (S)

College of Pharmacy (Murphy, Ataya, Gardner), Department of Psychiatry (Murphy, Kutcher, Gardner), Department of Family Medicine (Burge), and School of Nursing (Martin-Misener), all at Dalhousie University, Halifax, Nova Scotia, Canada; School of Pharmacy, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia (O'Reilly, Chen); Research Methods Unit, Nova Scotia Health Authority, Halifax (Doucette); Centre for Mental Health Research, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory (Salvador-Carulla); Schizophrenia Society of Nova Scotia, Halifax (Himmelman); Brain & Mind Centre, University of Sydney, Sydney (Rosen); Illawarra Institute for Mental Health, University of Wollongong, Wollongong, New South Wales, Australia (Rosen); Independent Senators Group, Senate of Canada, Ottawa, Ontario, Canada (Kutcher). Dr. Kutcher was with IWK Health Centre, Dalhousie University, Halifax, at the time of this study.

Ruth Martin-Misener (R)

College of Pharmacy (Murphy, Ataya, Gardner), Department of Psychiatry (Murphy, Kutcher, Gardner), Department of Family Medicine (Burge), and School of Nursing (Martin-Misener), all at Dalhousie University, Halifax, Nova Scotia, Canada; School of Pharmacy, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia (O'Reilly, Chen); Research Methods Unit, Nova Scotia Health Authority, Halifax (Doucette); Centre for Mental Health Research, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory (Salvador-Carulla); Schizophrenia Society of Nova Scotia, Halifax (Himmelman); Brain & Mind Centre, University of Sydney, Sydney (Rosen); Illawarra Institute for Mental Health, University of Wollongong, Wollongong, New South Wales, Australia (Rosen); Independent Senators Group, Senate of Canada, Ottawa, Ontario, Canada (Kutcher). Dr. Kutcher was with IWK Health Centre, Dalhousie University, Halifax, at the time of this study.

Alan Rosen (A)

College of Pharmacy (Murphy, Ataya, Gardner), Department of Psychiatry (Murphy, Kutcher, Gardner), Department of Family Medicine (Burge), and School of Nursing (Martin-Misener), all at Dalhousie University, Halifax, Nova Scotia, Canada; School of Pharmacy, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia (O'Reilly, Chen); Research Methods Unit, Nova Scotia Health Authority, Halifax (Doucette); Centre for Mental Health Research, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory (Salvador-Carulla); Schizophrenia Society of Nova Scotia, Halifax (Himmelman); Brain & Mind Centre, University of Sydney, Sydney (Rosen); Illawarra Institute for Mental Health, University of Wollongong, Wollongong, New South Wales, Australia (Rosen); Independent Senators Group, Senate of Canada, Ottawa, Ontario, Canada (Kutcher). Dr. Kutcher was with IWK Health Centre, Dalhousie University, Halifax, at the time of this study.

David M Gardner (DM)

College of Pharmacy (Murphy, Ataya, Gardner), Department of Psychiatry (Murphy, Kutcher, Gardner), Department of Family Medicine (Burge), and School of Nursing (Martin-Misener), all at Dalhousie University, Halifax, Nova Scotia, Canada; School of Pharmacy, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia (O'Reilly, Chen); Research Methods Unit, Nova Scotia Health Authority, Halifax (Doucette); Centre for Mental Health Research, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory (Salvador-Carulla); Schizophrenia Society of Nova Scotia, Halifax (Himmelman); Brain & Mind Centre, University of Sydney, Sydney (Rosen); Illawarra Institute for Mental Health, University of Wollongong, Wollongong, New South Wales, Australia (Rosen); Independent Senators Group, Senate of Canada, Ottawa, Ontario, Canada (Kutcher). Dr. Kutcher was with IWK Health Centre, Dalhousie University, Halifax, at the time of this study.

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Classifications MeSH

questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Attitude du personnel soignant › Survey of Australian and Canadian Community...
questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › Survey of Australian and Canadian Community...
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › Canada › Survey of Australian and Canadian Community...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services pharmaceutiques › Services des pharmacies communautaires › Survey of Australian and Canadian Community...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Survey of Australian and Canadian Community...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Analyse de régression › Modèles logistiques › Survey of Australian and Canadian Community...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Analyse de variance › Analyse multifactorielle › Survey of Australian and Canadian Community...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Pharmaciens › Survey of Australian and Canadian Community...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Processus de groupe › Rôle › Rôle professionnel › Survey of Australian and Canadian Community...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Survey of Australian and Canadian Community...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services de médecine préventive › Prévention du suicide › Survey of Australian and Canadian Community...