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      Facing a Patient Who Seeks Help After a Suicide Attempt : The Difficulties of Health Professionals

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          Abstract

          Background: Although intervention with suicidal patients is one of the hardest tasks in clinical practice, little is known about health professionals’ perceptions about the difficulties of working with suicidal patients. Aims: The aims of this study were to: (1) describe the difficulties of professionals facing a suicidal patient; (2) analyze the differences in difficulties according to the sociodemographic and professional characteristics of the health professionals; and (3) identify the health professionals’ perceived skills and thoughts on the need for training in suicide. Method: A self-report questionnaire developed for this purpose was filled out by 196 health professionals. Exploratory principal components analyses were used. Results: Four factors were found: technical difficulties; emotional difficulties; relational and communicational difficulties; and family-approaching and logistic difficulties. Differences were found between professionals who had or did not have training in suicide, between professional groups, and between the number of patient suicide attempts. Sixty percent of the participants reported a personal need for training and 85% thought it was fundamental to implement training plans targeted at health professionals. Conclusion: Specific training is fundamental. Experiential and active methodologies should be used and technical, relational, and emotional questions must be included in the training syllabus.

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          Respondent-Driven Sampling: A New Approach to the Study of Hidden Populations

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            Sampling hard to reach populations.

            Studies on 'hidden populations', such as homeless people, prostitutes and drug addicts, raise a number of specific methodological questions usually absent from research involving known populations and less sensitive subjects. This paper examines the advantages and limitations of nonrandom methods of data collection such as snowball sampling. It reviews the currently available literature on sampling hard to reach populations and highlights the dearth of material currently available on this subject. The paper also assesses the potential for using these methods in nursing research. The sampling methodology used by Faugier (1996) in her study of prostitutes, HIV and drugs is used as a current example within this context.
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              Is Open Access

              Best Practice Elements of Multilevel Suicide Prevention Strategies

              Background: Evidence-based best practices for incorporation into an optimal multilevel intervention for suicide prevention should be identifiable in the literature. Aims: To identify effective interventions for the prevention of suicidal behavior. Methods: Review of systematic reviews found in the Pubmed, Cochrane, and DARE databases. Steps include risk-of-bias assessment, data extraction, summarization of best practices, and identification of synergistic potentials of such practices in multilevel approaches. Results: Six relevant systematic reviews were found. Best practices identified as effective were as follows: training general practitioners (GPs) to recognize and treat depression and suicidality, improving accessibility of care for at-risk people, and restricting access to means of suicide. Although no outcomes were reported for multilevel interventions or for synergistic effects of multiple interventions applied together, indirect support was found for possible synergies in particular combinations of interventions within multilevel strategies. Conclusions: A number of evidence-based best practices for the prevention of suicide and suicide attempts were identified. Research is needed on the nature and extent of potential synergistic effects of various preventive activities within multilevel interventions.
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                Author and article information

                Journal
                cri
                Crisis
                The Journal of Crisis Intervention and Suicide Prevention
                Hogrefe Publishing
                0227-5910
                2151-2396
                December 13, 2013
                2014
                : 35
                : 2
                : 110-122
                Affiliations
                [ 1 ] Faculty of Psychology and Educational Sciences, University of Porto, Porto, Portugal
                Author notes
                Inês Areal Rothes, Faculty of Psychology and Educational Sciences of Porto University, Psychology Department (FPCEUP), Rua Alfredo Allen 4200-135 Porto, Portugal +351 226 079 700 +351 226 079 725 irothes@ 123456gmail.com dout07021@ 123456fpce.up.pt
                Article
                cri_35_2_110
                10.1027/0227-5910/a000242
                24322823
                7a1c4a3c-b668-4285-a987-a6134585b985
                Copyright @ 2013
                History
                : January 25, 2013
                : August 28, 2013
                : October 4, 2013
                Categories
                Research Trends

                Emergency medicine & Trauma,Psychology,Health & Social care,Clinical Psychology & Psychiatry,Public health
                difficulties,perceived skills,suicidal behaviors,needs,health professionals

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