2023-09-28 14:46:10 +00:00
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abstract: 'Background: Substance use is a well-established, and potentially
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modifiable, risk factor for suicide. Suicide prevention interventions
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are typically framed within the biomedical paradigm and focus on
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addressing individual risk factors, improving access to psychiatric
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care, and improving the skills of medical personnel to recognise at-risk
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individuals. Few studies have focused on contextual factors that hinder
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suicide prevention in people with substance use disorders, particularly
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in low-resource settings. The aim of this qualitative study was to
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explore mental health care providers'' perceptions of barriers to suicide
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prevention in people with substance use disorders in South Africa.
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Methods: Semi-structured interviews were conducted with 18 mental health
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care providers who worked with suicidal people with substance use
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disorders in Cape Town, South Africa. Data were analysed using thematic
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analysis and Atlas. ti software was used to code the data inductively.
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Results: Two superordinate themes were identified: structural issues in
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service provision and broad contextual issues that pose barriers to
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suicide prevention. Participants thought that inadequate resources and
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insufficient training hindered them from preventing suicide. Fragmented
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service provision was perceived to lead to patients not receiving the
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psychiatric, psychological, and social care that they needed. Contextual
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problems such as poverty and inequality, the breakdown of family, and
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stigma made participants think that preventing suicide in people with
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substance use disorders was almost impossible.
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Conclusions: These findings suggest that structural, social, and
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economic issues serve as barriers to suicide prevention. This challenges
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individual risk-factor models of suicide prevention and highlights the
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need to consider a broad range of contextual and socio-cultural factors
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when planning suicide prevention interventions. Findings suggest that
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the responsibility for suicide prevention may need to be distributed
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between multiple stakeholders, necessitating intersectoral
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collaboration, more integrated health services, cautious use of task
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shifting, and addressing contextual factors in order to effectively
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prevent suicide in people with substance use disorders.'
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affiliation: 'Goldstone, D (Corresponding Author), Stellenbosch Univ, Dept Psychol,
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Stellenbosch, South Africa.
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Goldstone, Daniel; Bantjes, Jason, Stellenbosch Univ, Dept Psychol, Stellenbosch,
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South Africa.'
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article-number: '46'
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author: Goldstone, Daniel and Bantjes, Jason
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author-email: dgdanielgoldie@gmail.com
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author_list:
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- family: Goldstone
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given: Daniel
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- family: Bantjes
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given: Jason
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da: '2023-09-28'
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doi: 10.1186/s13033-017-0153-3
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files: []
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issn: 1752-4458
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journal: INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS
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keywords: 'South Africa; Suicide prevention; Substance use disorder; Mental health
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care; Qualitative research; Low- and middle-income country'
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keywords-plus: DRUG-USE; PREVALENCE; IDEATION; ALCOHOL; INDIA
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language: English
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month: AUG 11
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number-of-cited-references: '73'
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orcid-numbers: 'Bantjes, Jason/0000-0002-3626-9883
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Bantjes, Jason/0000-0002-3626-9883'
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papis_id: c4b5593f97940857fc0574758ad1fe07
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ref: Goldstone2017mentalhealth
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researcherid-numbers: 'Bantjes, Jason/AFP-1140-2022
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Bantjes, Jason/T-8294-2019'
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times-cited: '6'
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title: 'Mental health care providers'' perceptions of the barriers to suicide prevention
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amongst people with substance use disorders in South Africa: a qualitative study'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000408000600001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '8'
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volume: '11'
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web-of-science-categories: Psychiatry
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year: '2017'
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