دورية أكاديمية
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Knowledge, attitudes, and experiences in suicide assessment and management: a qualitative study among primary health care workers in southwestern Uganda.

التفاصيل البيبلوغرافية
العنوان: Knowledge, attitudes, and experiences in suicide assessment and management: a qualitative study among primary health care workers in southwestern Uganda.
المؤلفون: Rukundo GZ; Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda. grukundo@must.ac.ug.; African Center for Suicide Prevention and Research, Mbarara, Uganda. grukundo@must.ac.ug., Wakida EK; African Center for Suicide Prevention and Research, Mbarara, Uganda.; Office of Research Administration, Mbarara University of Science and Technology, Mbarara, Uganda., Maling S; Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda., Kaggwa MM; Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda.; African Center for Suicide Prevention and Research, Mbarara, Uganda.; Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Canada., Sserumaga BM; Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda., Atim LM; Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda., Atuhaire CD; Office of Research Administration, Mbarara University of Science and Technology, Mbarara, Uganda., Obua C; Department of Pharmacology and Therapeutics, Mbarara University of Science and Technology, Mbarara, Uganda.
المصدر: BMC psychiatry [BMC Psychiatry] 2022 Sep 12; Vol. 22 (1), pp. 605. Date of Electronic Publication: 2022 Sep 12.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968559 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-244X (Electronic) Linking ISSN: 1471244X NLM ISO Abbreviation: BMC Psychiatry Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Health Knowledge, Attitudes, Practice* , Health Personnel*, Cross-Sectional Studies ; Humans ; Primary Health Care ; Uganda
مستخلص: Background: Suicide is one of the leading causes of death globally, with over 75% of all suicides occurring in low-and middle-income Countries. Although 25% of people have contact with their health care workers before suicide attempts, most never receive proper suicide assessment and management. We explored primary care health workers' knowledge, attitudes, and experiences in evaluating and managing suicidality in structured primary healthcare services in Uganda.
Methods: This was a cross-sectional qualitative study among health workers in southwestern Uganda from purposively selected health facilities. A semi-structured interview guide was used, and data were analyzed using thematic analysis.
Results: The in-depth interviews were conducted with 18 individuals (i.e., five medical doctors, two clinical officers, two midwives, and nine nurses) from 12 health facilities in the five selected districts. Four themes emerged from the discussions: a) Knowledge and attitudes of primary healthcare workers in the assessment and management of suicidality, b) Experiences in the assessment and management of suicidality, c) challenges faced by primary healthcare workers while assessing and managing suicidality, and d) Recommendations for improving assessment and management of suicidality in PHC. Most participants were knowledgeable about suicide and the associated risk factors but reported challenges in assessing and managing individuals with suicide risk. The participants freely shared individual experiences and attitudes in the assessment and management of suicide. They also proposed possible ways to improve the evaluation and management of suicidality in PHC, such as setting up a system of managing suicidality, regularizing community sensitization, and training health workers.
Conclusion: Suicidality is commonly encountered by primary health care workers in Uganda who struggle with its assessment and management. Improving the knowledge and attitudes of primary health care workers would be a big step towards ensuring equitable services.
(© 2022. The Author(s).)
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معلومات مُعتمدة: D43 TW010128 United States TW FIC NIH HHS
فهرسة مساهمة: Keywords: Suicide assessment; Uganda; management of suicidal behaviors; primary health care
تواريخ الأحداث: Date Created: 20220912 Date Completed: 20220914 Latest Revision: 20221001
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC9465925
DOI: 10.1186/s12888-022-04244-z
PMID: 36096787
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-244X
DOI:10.1186/s12888-022-04244-z