109 lines
3.7 KiB
YAML
109 lines
3.7 KiB
YAML
|
abstract: 'Background: Substance use is a well-established, and potentially
|
||
|
|
|
||
|
|
modifiable, risk factor for suicide. Suicide prevention interventions
|
||
|
|
|
||
|
|
are typically framed within the biomedical paradigm and focus on
|
||
|
|
|
||
|
|
addressing individual risk factors, improving access to psychiatric
|
||
|
|
|
||
|
|
care, and improving the skills of medical personnel to recognise at-risk
|
||
|
|
|
||
|
|
individuals. Few studies have focused on contextual factors that hinder
|
||
|
|
|
||
|
|
suicide prevention in people with substance use disorders, particularly
|
||
|
|
|
||
|
|
in low-resource settings. The aim of this qualitative study was to
|
||
|
|
|
||
|
|
explore mental health care providers'' perceptions of barriers to suicide
|
||
|
|
|
||
|
|
prevention in people with substance use disorders in South Africa.
|
||
|
|
|
||
|
|
Methods: Semi-structured interviews were conducted with 18 mental health
|
||
|
|
|
||
|
|
care providers who worked with suicidal people with substance use
|
||
|
|
|
||
|
|
disorders in Cape Town, South Africa. Data were analysed using thematic
|
||
|
|
|
||
|
|
analysis and Atlas. ti software was used to code the data inductively.
|
||
|
|
|
||
|
|
Results: Two superordinate themes were identified: structural issues in
|
||
|
|
|
||
|
|
service provision and broad contextual issues that pose barriers to
|
||
|
|
|
||
|
|
suicide prevention. Participants thought that inadequate resources and
|
||
|
|
|
||
|
|
insufficient training hindered them from preventing suicide. Fragmented
|
||
|
|
|
||
|
|
service provision was perceived to lead to patients not receiving the
|
||
|
|
|
||
|
|
psychiatric, psychological, and social care that they needed. Contextual
|
||
|
|
|
||
|
|
problems such as poverty and inequality, the breakdown of family, and
|
||
|
|
|
||
|
|
stigma made participants think that preventing suicide in people with
|
||
|
|
|
||
|
|
substance use disorders was almost impossible.
|
||
|
|
|
||
|
|
Conclusions: These findings suggest that structural, social, and
|
||
|
|
|
||
|
|
economic issues serve as barriers to suicide prevention. This challenges
|
||
|
|
|
||
|
|
individual risk-factor models of suicide prevention and highlights the
|
||
|
|
|
||
|
|
need to consider a broad range of contextual and socio-cultural factors
|
||
|
|
|
||
|
|
when planning suicide prevention interventions. Findings suggest that
|
||
|
|
|
||
|
|
the responsibility for suicide prevention may need to be distributed
|
||
|
|
|
||
|
|
between multiple stakeholders, necessitating intersectoral
|
||
|
|
|
||
|
|
collaboration, more integrated health services, cautious use of task
|
||
|
|
|
||
|
|
shifting, and addressing contextual factors in order to effectively
|
||
|
|
|
||
|
|
prevent suicide in people with substance use disorders.'
|
||
|
|
affiliation: 'Goldstone, D (Corresponding Author), Stellenbosch Univ, Dept Psychol,
|
||
|
|
Stellenbosch, South Africa.
|
||
|
|
|
||
|
|
Goldstone, Daniel; Bantjes, Jason, Stellenbosch Univ, Dept Psychol, Stellenbosch,
|
||
|
|
South Africa.'
|
||
|
|
article-number: '46'
|
||
|
|
author: Goldstone, Daniel and Bantjes, Jason
|
||
|
|
author-email: dgdanielgoldie@gmail.com
|
||
|
|
author_list:
|
||
|
|
- family: Goldstone
|
||
|
|
given: Daniel
|
||
|
|
- family: Bantjes
|
||
|
|
given: Jason
|
||
|
|
da: '2023-09-28'
|
||
|
|
doi: 10.1186/s13033-017-0153-3
|
||
|
|
files: []
|
||
|
|
issn: 1752-4458
|
||
|
|
journal: INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS
|
||
|
|
keywords: 'South Africa; Suicide prevention; Substance use disorder; Mental health
|
||
|
|
|
||
|
|
care; Qualitative research; Low- and middle-income country'
|
||
|
|
keywords-plus: DRUG-USE; PREVALENCE; IDEATION; ALCOHOL; INDIA
|
||
|
|
language: English
|
||
|
|
month: AUG 11
|
||
|
|
number-of-cited-references: '73'
|
||
|
|
orcid-numbers: 'Bantjes, Jason/0000-0002-3626-9883
|
||
|
|
|
||
|
|
Bantjes, Jason/0000-0002-3626-9883'
|
||
|
|
papis_id: c4b5593f97940857fc0574758ad1fe07
|
||
|
|
ref: Goldstone2017mentalhealth
|
||
|
|
researcherid-numbers: 'Bantjes, Jason/AFP-1140-2022
|
||
|
|
|
||
|
|
Bantjes, Jason/T-8294-2019'
|
||
|
|
times-cited: '6'
|
||
|
|
title: 'Mental health care providers'' perceptions of the barriers to suicide prevention
|
||
|
|
amongst people with substance use disorders in South Africa: a qualitative study'
|
||
|
|
type: Article
|
||
|
|
unique-id: WOS:000408000600001
|
||
|
|
usage-count-last-180-days: '0'
|
||
|
|
usage-count-since-2013: '8'
|
||
|
|
volume: '11'
|
||
|
|
web-of-science-categories: Psychiatry
|
||
|
|
year: '2017'
|