Navigation Links
Doctors Often Fail to Spot Suicidal Patients
Date:9/24/2007

Actresses posing as depressed, distraught were seldom questioned, study found

MONDAY, Sept. 24 (HealthDay News) -- Pointing to a disconnect between doctors and some of their neediest patients, a new study suggests that large numbers of physicians fail to spot symptoms that raise suicide risk.

U.S. researchers recruited actresses to act as patients and visit physicians while showing signs of depression or a similar disorder.

Only 36 percent of the doctors asked the "patients" about suicidal thoughts, the team found.

"There is often a window of opportunity for doctors to screen for suicidality and intervene appropriately, but, as we found, they frequently miss this opportunity," said study lead author Dr. Mitchell Feldman, professor of medicine at the University of California at San Francisco.

According to Feldman, an estimated 2 percent to 7 percent of patients who visit primary-care physicians are thinking about suicide. In fact, as many as 75 percent of people who commit suicide visited a primary-care provider in the 30 days before killing themselves, the research shows.

Still, patients at risk of suicide rarely mention the topic directly to physicians, leaving it up to doctors to figure out what's going on.

"Remarkably little is known about the factors that influence whether primary-care physicians broach the topic of suicide with their depressed patients," Feldman said.

In the new study, researchers recruited 152 physicians from northern California and Rochester, N.Y., to take part. All were told they would get unannounced visits by actors portraying patients who would tape-record their conversations.

A total of 18 actresses visited the doctors playing two types of patients -- a person with major depression or a person with an "adjustment disorder," a catch-all term encompassing a variety of mental problems. Some of the "patients" asked for medication.

The findings are published in the September/October issue of the Annals of Family Medicine.

Doctors were more likely to pursue the prospect of suicide if the "patients" said they had major depression or asked for medication. Doctors who had personal experience with depression were three times more likely to look into suicide.

"Most physicians are not adequately trained to diagnose and treat mental and behavioral problems generally, and this problem is magnified with an issue like suicide that may evoke discomfort in some physicians who will then avoid the topic," Feldman said. "Some mistakenly believe that if they inquire about suicide, they will prompt the patient to consider it."

Feldman added: "I describe suicide as another of the Pandora's Box issues -- like domestic violence -- that doctors may avoid broaching for fear that once they bring it up, they will be unable to contain the patient's emotional responses. And, in addition, they will put themselves way behind schedule."

David Rudd, chair of the psychology department at Texas Tech University, agreed with Feldman. Rudd, who's familiar with the study findings, blamed physician inaction on inadequate training, a fear of making things worse, and "anxiety and apprehension about handling suicidal crises."

What to do? Feldman said doctors need better education about suicidal patients, and patients need to know more about depression and feel comfortable asking for help. "We found that patients who make requests get more thorough and appropriate care including more inquiries about suicide from their physician."

Rudd put it this way: "Physicians are the primary access point for the majority of distressed, suicidal patients. This is critical to saving lives."

More information

Learn more about suicide from the U.S. National Institutes of Health.



SOURCES: Mitchell Feldman, M.D., professor, medicine, University of California at San Francisco; and David Rudd, Ph.D., chair, psychology department, Texas Tech University, Lubbock; September/October 2007, Annals of Family Medicine


'/>"/>
Copyright©2007 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Cancer Doctors Okays Controversial Prostate Therapy
2. Doctors needed urgently in Gujarat
3. Doctors operate upon patients in candlelight- latest from the quake scene
4. Two doctors suspended for wrong brain surgery
5. Doctors at risk- the ugly side of the noble profession
6. Lure of the home turf brings back NRI doctors
7. Thakur warns doctors
8. Negligent doctors asked to cough up 3 lakhs for death of patient
9. Doctors advice early anemia tests
10. Emphasis to ban Drugs ads by Doctors
11. Doctors In UK Have Reservations About NHS Plan
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... June 25, 2016 , ... Experts from the ... AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the Hynes Convention Center in ... topics including advance care planning, healthcare costs and patient and family engagement. , ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, Dr. Omkar ... M.D from the David Geffen School of Medicine at UCLA. He trained in Internal ... complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had ...
(Date:6/24/2016)... ... June 24, 2016 , ... Those who have experienced traumatic events may suffer ... unhealthy avenues, such as drug or alcohol abuse, as a coping mechanism. To avoid ... healthy coping following a traumatic event. , Trauma sufferers tend to feel a range ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda Cheng, an ... Dr. Cheng has extensive experience with all areas of orthodontics, including robotic Suresmile ... orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. It can ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Haute Beauty Network, affiliated ... Weintraub as a prominent plastic surgeon and the network’s newest partner. , ... most handsome men, look naturally attractive. Plastic surgery should be invisible.” He stands ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 , ... Thursday, July 7, 2016 , , , , LOCATION: , ... , , , , EXPERT PANELISTS:  , , , Frost ... Industry Analyst, Christi Bird; Senior Industry Analyst, Divyaa Ravishankar and Unmesh ... The global pharmaceutical industry is witnessing an exceptional era. Several ...
(Date:6/23/2016)...  Guerbet announced today that it has been named ... . One of 12 suppliers to receive ... support of Premier members through exceptional local customer service ... to lower costs. ... outstanding customer service from Premier," says Massimo Carrara ...
(Date:6/23/2016)... 2016 The Biotechnology industry might ... present great opportunities to investors. Stock-Callers.com assesses the recent ... (NYSE: XON ), Vertex Pharmaceuticals Inc. (NASDAQ: ... ARNA ), and Regeneron Pharmaceuticals Inc. (NASDAQ: ... receive your complimentary trade alerts at: ...
Breaking Medicine Technology: