Training general practitioners to recognise and respond to psychological distress and suicidal ideation in young people

J. J. Pfaff, J. G. Acres, Robert (Bob) McKelvey

Research output: Contribution to journalArticle

67 Citations (Scopus)

Abstract

Objective: To determine the effectiveness of a training program for general practitioners in recognising and responding to psychological distress and suicidal ideation in young people. Design and setting: The study, conducted in general practice surgeries in Tasmania, Victoria and Western Australia in 1996 and 1997, used a pre-/post-test design to audit consecutive young patients presenting in the six weeks before and the six weeks after the GPs' participation in the training program. Participants: Consisted of 23 GPs who attended a youth suicide prevention workshop and 423 patients aged 15-24 years who presented to the GPs' surgeries (203 pre-workshop and 220 post-workshop). Intervention: GPs attended a one-day training workshop designed to enhance their ability to recognise, assess and manage young patients at risk of suicide. Main outcome measures: Scores on three patient self-report inventories (General Health Questionnaire-12 [GHQ-12], Center for Epidemiological Studies Depression Scale [CES-D] and Depressive Symptom Inventory - Suicidality Subscale [DSI-SS]); a GP-completed form for each patient summarising presenting complaint(s), psychological assessment and proposed management plan. Results: After training, GPs demonstrated increased recognition rates of psychologically distressed patients scoring above the cut-offs of the GHQ-12 (48% increase; odds ratio [OR], 1.748; 95% CI, 0.904-03.381) and CES-D (39.5% increase; OR, 2.067; 95% CI, 1.031-4.143); enquiry about suicidal ideation increased by 32.5% (OR, 1.483; 95% CI, 0.929-2.366); and identification of suicidal patients (determined by DSI-SS score) increased by 130% (OR, 3.949; 95% CI, 1.577-9.888). Training did not lead to any significant change in GPs' patient management strategies. Conclusions: A one-day training course can significantly enhance GP detection rates of psychological distress and suicidal ideation in young patients, but higher recognition rates do not necessarily lead to changes in patient management.

Original languageEnglish (US)
Pages (from-to)222-226
Number of pages5
JournalMedical Journal of Australia
Volume174
Issue number5
StatePublished - Mar 5 2001
Externally publishedYes

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Suicidal Ideation
General Practitioners
Psychology
Education
Odds Ratio
Depression
Equipment and Supplies
Suicide
Epidemiologic Studies
Tasmania
Western Australia
Aptitude
Victoria
Health
General Practice
Self Report
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Training general practitioners to recognise and respond to psychological distress and suicidal ideation in young people. / Pfaff, J. J.; Acres, J. G.; McKelvey, Robert (Bob).

In: Medical Journal of Australia, Vol. 174, No. 5, 05.03.2001, p. 222-226.

Research output: Contribution to journalArticle

Pfaff, J. J. ; Acres, J. G. ; McKelvey, Robert (Bob). / Training general practitioners to recognise and respond to psychological distress and suicidal ideation in young people. In: Medical Journal of Australia. 2001 ; Vol. 174, No. 5. pp. 222-226.
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abstract = "Objective: To determine the effectiveness of a training program for general practitioners in recognising and responding to psychological distress and suicidal ideation in young people. Design and setting: The study, conducted in general practice surgeries in Tasmania, Victoria and Western Australia in 1996 and 1997, used a pre-/post-test design to audit consecutive young patients presenting in the six weeks before and the six weeks after the GPs' participation in the training program. Participants: Consisted of 23 GPs who attended a youth suicide prevention workshop and 423 patients aged 15-24 years who presented to the GPs' surgeries (203 pre-workshop and 220 post-workshop). Intervention: GPs attended a one-day training workshop designed to enhance their ability to recognise, assess and manage young patients at risk of suicide. Main outcome measures: Scores on three patient self-report inventories (General Health Questionnaire-12 [GHQ-12], Center for Epidemiological Studies Depression Scale [CES-D] and Depressive Symptom Inventory - Suicidality Subscale [DSI-SS]); a GP-completed form for each patient summarising presenting complaint(s), psychological assessment and proposed management plan. Results: After training, GPs demonstrated increased recognition rates of psychologically distressed patients scoring above the cut-offs of the GHQ-12 (48{\%} increase; odds ratio [OR], 1.748; 95{\%} CI, 0.904-03.381) and CES-D (39.5{\%} increase; OR, 2.067; 95{\%} CI, 1.031-4.143); enquiry about suicidal ideation increased by 32.5{\%} (OR, 1.483; 95{\%} CI, 0.929-2.366); and identification of suicidal patients (determined by DSI-SS score) increased by 130{\%} (OR, 3.949; 95{\%} CI, 1.577-9.888). Training did not lead to any significant change in GPs' patient management strategies. Conclusions: A one-day training course can significantly enhance GP detection rates of psychological distress and suicidal ideation in young patients, but higher recognition rates do not necessarily lead to changes in patient management.",
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