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Master Thesis

Difficultés rencontrées par les médecins généralistes dans l’évaluation et la prise en charge des patients suicidaires en ambulatoire dans le Sud de l’île de la Réunion

Abstract : Introduction: The management of suicide risk in depressed patients is a public health issue. More than 50% of patients who have committed suicide consulted their GP in the month leading up to the act. GP’s have a key-role to play in the assessment and management of suicidal patients. The primary objective of our study is to show the main difficulties GP’s have to deal with in assessing the risk and management of suicidal patients, in the southern region of Reunion Island. Method: Cross-sectional study undertaken from November 2014 to January 2015, in the form of anonymous questionnaires, sent to all the GPs working in the south of Reunion Island. Results: 137 questionnaires were completed. The main difficulties we found were; overly long waiting-lists in consultation centres (‘always’ or ‘often’ a problem for 80% of the GPs asked), the difficulty in obtaining a psychiatric opinion in emergency cases (63%), the lack of training (44%), patient reluctancy (43%) and the lack of time (40%). Conclusion: Many areas can still be improved in the risk assessment and the management of suicidal patients: the strengthening of both initial and ongoing GP training, improving access to psychiatric care (reducing the consultation deadline period), improving the communication between GPs and psychiatrists and the destigmatisation of psychiatry among the general public.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01215139
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Tuesday, October 13, 2015 - 3:39:06 PM
Last modification on : Wednesday, August 23, 2017 - 4:30:14 PM
Long-term archiving on: : Thursday, April 27, 2017 - 12:26:16 AM

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Antoine Charazac. Difficultés rencontrées par les médecins généralistes dans l’évaluation et la prise en charge des patients suicidaires en ambulatoire dans le Sud de l’île de la Réunion. Médecine humaine et pathologie. 2015. ⟨dumas-01215139⟩

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