“Suicide’s very abstract”: A qualitative analysis of risk assessment training recommendations from family physicians

Suicide risk has consistently increased over the past 2.5 decades, despite growing awareness and tailored programs aimed at combating this epidemic. Suicide prevention initiatives include ensuring 24/7 access to crisis hotlines, encouraging individuals to seek mental health care, and reducing acces...

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Main Authors: Mark A. Dixon, Kathleen A. McNamara, David A. Moss
Format: Article
Language:English
Published: PAGEPress Publications 2025-01-01
Series:Qualitative Research in Medicine & Healthcare
Subjects:
Online Access:https://www.pagepressjournals.org/qrmh/article/view/12676
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author Mark A. Dixon
Kathleen A. McNamara
David A. Moss
author_facet Mark A. Dixon
Kathleen A. McNamara
David A. Moss
author_sort Mark A. Dixon
collection DOAJ
description Suicide risk has consistently increased over the past 2.5 decades, despite growing awareness and tailored programs aimed at combating this epidemic. Suicide prevention initiatives include ensuring 24/7 access to crisis hotlines, encouraging individuals to seek mental health care, and reducing access to lethal means among high-risk populations. A recent area of focus is the physician’s office, as research shows that nearly half of those who die by suicide had seen a primary care physician within one month of their death. However, primary care physicians do not consistently inquire about suicide risk among their patients. This study presents findings from 15 interviews with family medicine residents at a U.S. military hospital. Participants identified gaps in three key areas of training: i) foundational knowledge (e.g., risk assessment flow, available tools and resources, and therapeutic skills), ii) training program structure (e.g., timing, exposure, and effectiveness), and iii) training culture (e.g., fostering courage and support). Residents recognized their central role in suicide prevention and were eager to address perceived gaps in their knowledge. They also shared their ideal training environment, which would support learning and skill development. This paper offers clear and actionable recommendations for family medicine residency programs to advance the suicide prevention agenda.
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spelling doaj-art-d5623f7d84f643b2a84cdad0bc2336902025-01-22T10:55:58ZengPAGEPress PublicationsQualitative Research in Medicine & Healthcare2532-20442025-01-018310.4081/qrmh.2024.12676“Suicide’s very abstract”: A qualitative analysis of risk assessment training recommendations from family physiciansMark A. Dixon0Kathleen A. McNamara1David A. Moss2United States Air Force, Mental Health Clinic, Travis Air Force Base, CAUnited States Air Force, Family Medicine Residency Clinic, Nellis Air Force Base, NVIntegrative Medicine Clinic, Nellis Air Force Base, NV Suicide risk has consistently increased over the past 2.5 decades, despite growing awareness and tailored programs aimed at combating this epidemic. Suicide prevention initiatives include ensuring 24/7 access to crisis hotlines, encouraging individuals to seek mental health care, and reducing access to lethal means among high-risk populations. A recent area of focus is the physician’s office, as research shows that nearly half of those who die by suicide had seen a primary care physician within one month of their death. However, primary care physicians do not consistently inquire about suicide risk among their patients. This study presents findings from 15 interviews with family medicine residents at a U.S. military hospital. Participants identified gaps in three key areas of training: i) foundational knowledge (e.g., risk assessment flow, available tools and resources, and therapeutic skills), ii) training program structure (e.g., timing, exposure, and effectiveness), and iii) training culture (e.g., fostering courage and support). Residents recognized their central role in suicide prevention and were eager to address perceived gaps in their knowledge. They also shared their ideal training environment, which would support learning and skill development. This paper offers clear and actionable recommendations for family medicine residency programs to advance the suicide prevention agenda. https://www.pagepressjournals.org/qrmh/article/view/12676Primary carefamily medicineresidencytrainingsuicide assessment
spellingShingle Mark A. Dixon
Kathleen A. McNamara
David A. Moss
“Suicide’s very abstract”: A qualitative analysis of risk assessment training recommendations from family physicians
Qualitative Research in Medicine & Healthcare
Primary care
family medicine
residency
training
suicide assessment
title “Suicide’s very abstract”: A qualitative analysis of risk assessment training recommendations from family physicians
title_full “Suicide’s very abstract”: A qualitative analysis of risk assessment training recommendations from family physicians
title_fullStr “Suicide’s very abstract”: A qualitative analysis of risk assessment training recommendations from family physicians
title_full_unstemmed “Suicide’s very abstract”: A qualitative analysis of risk assessment training recommendations from family physicians
title_short “Suicide’s very abstract”: A qualitative analysis of risk assessment training recommendations from family physicians
title_sort suicide s very abstract a qualitative analysis of risk assessment training recommendations from family physicians
topic Primary care
family medicine
residency
training
suicide assessment
url https://www.pagepressjournals.org/qrmh/article/view/12676
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AT kathleenamcnamara suicidesveryabstractaqualitativeanalysisofriskassessmenttrainingrecommendationsfromfamilyphysicians
AT davidamoss suicidesveryabstractaqualitativeanalysisofriskassessmenttrainingrecommendationsfromfamilyphysicians