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Attitudes and knowledge about suicide may influence psychiatrists' management of suicidal patients but there has been little research about this issue in China.
Given the high prevalence of mental disorders among individuals who attempt suicide or die by suicide [ 1- 3], the prevention and management of suicidal behavior is often the responsibility of psychiatric professionals, particularly in low- and middle-income countries where the resources for suicide prevention are very limited [ 4].
Thus efforts to improve clinicians' management of suicidal individuals must both change their knowledge about suicide and, more importantly, change their attitudes about suicide and suicidal individuals.
Our main quantitative outcome measures were change in attitude to suicide prevention and confidence in the management of suicidal patients/clients.
Other sources detail the PROSPECT treatment algorithm and implementation, including the role of the care manager, 22 the strategy for drug treatment, 21 management of suicidal ideation, 23 24 and types and proportions of treatment received over time by patients in practices randomized to the intervention condition or to usual care.
Post-crisis management of suicidal patients varies from hospital discharge to forced hospitalization.
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As part of a feasibility study, we built and tested the usability and acceptability of an avatar-based system (Virtual Collaborative Assessment and Management of Suicidality; V-CAMS) for use by suicidal emergency department (ED) patients and medical personnel.
For example, Williams et al 40 reported that suicide rates in QLD from the Queensland Suicide Register (QSR) were higher than those based on ABS data, with the disparity attributable to information management and definition of suicidal behaviours.
Thus, the identification and management of patients with suicidal behavior or ideation is an important part of psychiatric work that should be considered in the assessment of the quality of psychiatric services.
Cohort studies or experimental designs could help to evaluate the effect of improved management of depression on future suicidal behaviour [ 43].
This study suggests that direct management of thoughts of death, suicidal ideation or behaviour by appropriate psychological or behavioural strategies may well need to be the primary target – especially given the fact that many of these young people may not yet have reached conventional thresholds for initiating other illness-specific strategies.
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