Effectiveness of general practitioner training to improve suicide awareness and knowledge and skills towards depression

dc.check.date2018-09-25
dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisheren
dc.contributor.authorCoppens, Evelien
dc.contributor.authorVan Audenhove, Chantal
dc.contributor.authorGusmão, Ricardo
dc.contributor.authorPurebl, György
dc.contributor.authorSzékely, András
dc.contributor.authorMaxwell, Margaret
dc.contributor.authorKoburger, Nicole
dc.contributor.authorArensman, Ella
dc.contributor.authorHegerl, Ulrich
dc.contributor.funderSeventh Framework Programmeen
dc.date.accessioned2018-05-16T12:30:37Z
dc.date.available2018-05-16T12:30:37Z
dc.date.issued2017-09-25
dc.date.updated2018-05-16T12:07:43Z
dc.description.abstractBackground General Practitioners (GPs) are well placed as gatekeepers for managing depression and suicidal ideation but not always well prepared. Capacity building has therefore been recommended as a useful strategy for suicide prevention. This study aimed to examine whether GPsâ knowledge and attitudes towards and confidence to deal with depression and suicide improve after following a training program. Methods As part of the OSPI-Europe multilevel intervention, a standardized training on depression and suicide was provided to 208 GPs in three European countries. Core outcomes were assessed using the Depression Attitude Questionnaire, the Attitude towards Suicide Prevention Scale, and the Morriss Confidence Scale. Data were collected before and after training, and at three to six months follow-up. Results At baseline, GPs demonstrated various stigmatizing attitudes towards depression and low optimism about the therapeutic treatment of depression. They showed moderately positive attitudes towards suicide prevention but felt little confident in dealing with depression and suicide in daily practice. The training resulted in improved knowledge, attitudes and confidence regarding depression and suicide and their prevention and treatment. At follow-up, only the increase in confidence to deal with depression and suicide was sustained. Limitations The Depression Attitude Questionnaire has rather weak psychometric properties. Other external factors may have contributed to the observed training effects as the study included no control group. Conclusions The OSPI-Europe training program was able to improve the GPs' attitudes towards suicide prevention, several attitudes towards depression and its treatment as well as the GPs' confidence to deal with depression and suicide in everyday practice. At follow, only the GPs' confidence to deal with depression and suicide was preserved.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationCoppens, E., Van Audenhove, C., Gusmão, R., Purebl, G., Székely, A., Maxwell, M., Koburger, N., Arensman, E. and Hegerl, U. (2018) 'Effectiveness of General Practitioner training to improve suicide awareness and knowledge and skills towards depression', Journal of Affective Disorders, 227, pp. 17-23. doi:10.1016/j.jad.2017.09.039en
dc.identifier.doihttps://doi.org/10.1016/j.jad.2017.09.039
dc.identifier.endpage23en
dc.identifier.issn0165-0327
dc.identifier.journaltitleJournal of Affective Disordersen
dc.identifier.startpage17en
dc.identifier.urihttps://hdl.handle.net/10468/6127
dc.identifier.volume227en
dc.language.isoenen
dc.publisherElsevier B.V.en
dc.relation.projectinfo:eu-repo/grantAgreement/EC/FP7::SP1::HEALTH/223138/EU/Optimizing suicide prevention programs and their implementation in Europe/OSPI-EUROPEen
dc.rights© 2017, Elsevier B.V. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license.en
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectDepressionen
dc.subjectGeneral practitioneren
dc.subjectPreventionen
dc.subjectSuicideen
dc.subjectTrainingen
dc.titleEffectiveness of general practitioner training to improve suicide awareness and knowledge and skills towards depressionen
dc.typeArticle (peer-reviewed)en
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