wow-inequalities/02-data/intermediate/wos_sample/afd8ce7b36366ca0ef5aaabc0aab22a1-goldstone-daniel-an/info.yaml

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2023-09-28 14:46:10 +00:00
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'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000408000600001
usage-count-last-180-days: '0'
usage-count-since-2013: '8'
volume: '11'
web-of-science-categories: Psychiatry
year: '2017'