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Care of general practice patients preceding and following a suicide attempt: observational study in Flemish general practices.

Surveillance de la santé et des maladies  

Public Access

Published

Peer reviewed scientific article

Anglais

DOI : https://doi.org/10.1136/bmjopen-2018-028546 [1]

Auteurs

Nicole Boffin [2]; Viviane Van Casteren [3]; Karin De Ridder [4]

Mots-clés

    Article written during project(s) : 
    SGPs Réseau de médecins généralistes vigies [5]

    Résumé:

    OBJECTIVES: First, to examine general practitioner (GP) knowledge about the care (needs) of their patients; second, to examine the quality of GP follow-up care; third, to examine the transmission of patient care information from hospitals/emergency services (ES) to GPs. SETTING: 105 general practices from the representative Belgian Network of Sentinel General Practices (SGP) in Flanders, the largest region of Belgium, during 2013-2016. PARTICIPANTS: 245 suicide attempts by regular patients. OUTCOMES MEASURES: Ten care-related measures, including three indicators of quality of follo…
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    Résumé

    OBJECTIVES: First, to examine general practitioner (GP) knowledge about the care (needs) of their patients; second, to examine the quality of GP follow-up care; third, to examine the transmission of patient care information from hospitals/emergency services (ES) to GPs.

    SETTING: 105 general practices from the representative Belgian Network of Sentinel General Practices (SGP) in Flanders, the largest region of Belgium, during 2013-2016.

    PARTICIPANTS: 245 suicide attempts by regular patients.

    OUTCOMES MEASURES: Ten care-related measures, including three indicators of quality of follow-up care, were based on data reported by the SGP on structured forms at baseline and at two follow-up points in time.

    RESULTS: As for GP knowledge, 10.5% of SGP failed to report whether suicidal risk was noticed in patients seen in the month preceding the attempt; 9.0% whether there were previous attempts; 22.5% whether the patient was receiving mental health treatment at follow-up and 22.0% whether suicidal behaviour was repeated at follow-up. Relatively more patients≥65 years had no suicide risk evaluation (OR 3.54; 95% CI 1.11 to 11.26). As for quality of follow-up care, there was a GP-patient contact following 90.5% of the attempts, follow-up appointments were planned following 43.4% of the attempts and there was a GP contact with patient proxies following 62.8% of the attempts. Patient age ≥65 years (OR 4.09; 95% CI 1.79 to 9.33), a recent GP-patient contact preceding the attempt (OR 1.97; 95% CI 1.13 to 3.43), depression of patient (OR 1.96; 95% CI 1.14 to 3.37) and a suburban SGP area (OR 2.34; 95% CI 1.13 to 4.82) were determinants of an increased quality of care sum. GPs received patient care information from a hospital (ES) for 67.8% of eligible attempts, with SGP practice location being a determinant.

    CONCLUSIONS: GPs are highly involved in the care of suicide attempters but there is room for improvement, also in informational continuity from hospital (ES) to GPs.

    Associated health topics:

    Surveillance de la santé et des maladies [6]

    Source URL: https://www.sciensano.be/fr/biblio/care-general-practice-patients-preceding-and-following-a-suicide-attempt-observational-study-flemish

    Liens
    [1] https://doi.org/10.1136/bmjopen-2018-028546
    [2] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=50043&f%5Bsearch%5D=Nicole%20Boffin
    [3] https://www.sciensano.be/fr/people/viviane-van-casteren/biblio
    [4] https://www.sciensano.be/fr/people/karin-de-ridder/biblio
    [5] https://www.sciensano.be/fr/projets/reseau-de-medecins-generalistes-vigies
    [6] https://www.sciensano.be/fr/sujets-sante/surveillance-de-la-sante-et-des-maladies