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Published in: BMC Psychiatry 1/2013

Open Access 01-12-2013 | Research article

Attitudes towards suicidal behaviour in outpatient clinics among mental health professionals in Oslo

Authors: Astrid Berge Norheim, Tine Kristin Grimholt, Øivind Ekeberg

Published in: BMC Psychiatry | Issue 1/2013

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Abstract

Background

To investigate attitudes of professionals working in mental health care outpatient clinics in Child and Adolescent Psychiatry (CAP) (for children and adolescents aged 0–18 years) and District Psychiatric Centres (DPC) (for adults aged 18–67 years).

Methods

Professionals in four outpatient units in Oslo were enrolled (n = 229: 77%). The Understanding of Suicidal Patient scale (USP) (11 = positive to 55 = negative) and Attitudes Towards Suicide questionnaire (ATTS) (1 = totally disagree to 5 = totally agree) were used to assess professionals’ attitudes. Questions explored competence, religion, experiences of and views on suicidal behaviour and its treatment.

Results

All the professionals indicated positive attitudes (USP 18.7) and endorsed the view that suicide was preventable (ATTS 4.3). Professionals who had received supervision or were specialists had attitudes that were more positive. Professionals in CAP were less satisfied with available treatment. Psychiatric disorders were considered the most common cause of suicidal behaviour, and psychotherapy the most appropriate form of treatment. The professionals confirmed that patients with other disorders of comparable severity are followed up more systematically.

Conclusions

The professionals showed positive attitudes with minor differences between CAP and DPC.
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Literature
2.
go back to reference Harris EC, Barracloud B: Suicide as an outcome for mental disorders. A meta-analysis. Br J Psychiatr. 1997, 170: 205-228. 10.1192/bjp.170.3.205.CrossRef Harris EC, Barracloud B: Suicide as an outcome for mental disorders. A meta-analysis. Br J Psychiatr. 1997, 170: 205-228. 10.1192/bjp.170.3.205.CrossRef
3.
go back to reference Bjørnaas MA, Jacobsen D, Haldorsen T, Ekeberg O: Mortality and causes of death after hospital-treated self-poisoning in Oslo: a 20-year follow-up. Clin Toxicol. 2009, 47: 116-123. 10.1080/15563650701771981.CrossRef Bjørnaas MA, Jacobsen D, Haldorsen T, Ekeberg O: Mortality and causes of death after hospital-treated self-poisoning in Oslo: a 20-year follow-up. Clin Toxicol. 2009, 47: 116-123. 10.1080/15563650701771981.CrossRef
4.
go back to reference Skruibis P, Gailiene D, Hjelmeland H, Fartacek R, Fekete S, Knizek BL, Osvath ES, Renberg ES, Rohrer RR: Attitudes towards suicide among regional politicians in Austria, Lithuania, Hungary, Norway and Sweden. Suicidol Online. 2010, 1: 79-87. Skruibis P, Gailiene D, Hjelmeland H, Fartacek R, Fekete S, Knizek BL, Osvath ES, Renberg ES, Rohrer RR: Attitudes towards suicide among regional politicians in Austria, Lithuania, Hungary, Norway and Sweden. Suicidol Online. 2010, 1: 79-87.
5.
go back to reference Norredam M, Album D: Prestige and its significance for medical specialties and diseases. Scand J Publ Health. 2007, 35 (6): 655-661. 10.1080/14034940701362137.CrossRef Norredam M, Album D: Prestige and its significance for medical specialties and diseases. Scand J Publ Health. 2007, 35 (6): 655-661. 10.1080/14034940701362137.CrossRef
6.
go back to reference Johannessen HA, Dieserud G, Claussen B, Zahl P-H: Changes in mental health services and suicide mortality in Norway: an ecological study. BMC Health Serv Res. 2011, 11: 68-10.1186/1472-6963-11-68.CrossRefPubMedPubMedCentral Johannessen HA, Dieserud G, Claussen B, Zahl P-H: Changes in mental health services and suicide mortality in Norway: an ecological study. BMC Health Serv Res. 2011, 11: 68-10.1186/1472-6963-11-68.CrossRefPubMedPubMedCentral
7.
go back to reference Bridge JA, Marcus SC, Olfson M: Outpatient care of young people after emergency treatment of deliberate self-harm. J Am Acad Child Adolesc Psychiatr. 2012, 51 (2): 213-222. 10.1016/j.jaac.2011.11.002.CrossRef Bridge JA, Marcus SC, Olfson M: Outpatient care of young people after emergency treatment of deliberate self-harm. J Am Acad Child Adolesc Psychiatr. 2012, 51 (2): 213-222. 10.1016/j.jaac.2011.11.002.CrossRef
8.
go back to reference Saunders KEA, Hawton K, Fortune S, Farrell S: Attitudes and knowledge of clinical staff regarding people who self-harm: a systematic review. J Affect Disord. 2011, 139 (3): 205-216. 10.1016/j.jad.2011.08.024.CrossRefPubMed Saunders KEA, Hawton K, Fortune S, Farrell S: Attitudes and knowledge of clinical staff regarding people who self-harm: a systematic review. J Affect Disord. 2011, 139 (3): 205-216. 10.1016/j.jad.2011.08.024.CrossRefPubMed
9.
go back to reference Statistics of Norway Table: 08881: Deaths per 100 000 population, by sex and detailed mortality Oslo 2012. b) Table: 08874: Deaths among children 1-17 years, by sex and underlying cause of death Oslo. 2012 Statistics of Norway Table: 08881: Deaths per 100 000 population, by sex and detailed mortality Oslo 2012. b) Table: 08874: Deaths among children 1-17 years, by sex and underlying cause of death Oslo. 2012
10.
go back to reference Madge N, Hawton K, McMahon EM, Corcoran P, De Leo D, de Wilde EJ, Fekete S, van Heeringen K, Ystgaard M, Arensman E: Psychological characteristics, stressful life events and deliberate self-harm: findings from the Child & Adolescent Self-harm in Europe (CASE) Study. Eur Child Adolesc Psychiatr. 2011, 20 (10): 499-508. 10.1007/s00787-011-0210-4.CrossRef Madge N, Hawton K, McMahon EM, Corcoran P, De Leo D, de Wilde EJ, Fekete S, van Heeringen K, Ystgaard M, Arensman E: Psychological characteristics, stressful life events and deliberate self-harm: findings from the Child & Adolescent Self-harm in Europe (CASE) Study. Eur Child Adolesc Psychiatr. 2011, 20 (10): 499-508. 10.1007/s00787-011-0210-4.CrossRef
11.
go back to reference Taylor TL, Hawton K, Fortune S, Kapur N: Attitudes towards clinical services among people who self-harm: systematic review. Br J Psychiatr. 2009, 194 (2): 104-110. 10.1192/bjp.bp.107.046425.CrossRef Taylor TL, Hawton K, Fortune S, Kapur N: Attitudes towards clinical services among people who self-harm: systematic review. Br J Psychiatr. 2009, 194 (2): 104-110. 10.1192/bjp.bp.107.046425.CrossRef
12.
go back to reference Suokas J, Suominen K, Lönnqvist J: Psychological distress and attitudes of emergency personnel toward suicide attempters. Nord J Psychiatr. 2008, 62: 144-146. 10.1080/08039480801983547.CrossRef Suokas J, Suominen K, Lönnqvist J: Psychological distress and attitudes of emergency personnel toward suicide attempters. Nord J Psychiatr. 2008, 62: 144-146. 10.1080/08039480801983547.CrossRef
13.
go back to reference Suokas J, Suominen K, Lönnquist J: The attitudes of emergency staff toward attempted suicide patients. Crisis. 2009, 30 (3): 161-165.CrossRefPubMed Suokas J, Suominen K, Lönnquist J: The attitudes of emergency staff toward attempted suicide patients. Crisis. 2009, 30 (3): 161-165.CrossRefPubMed
14.
go back to reference Samuelsson M, Åsberg M, Gustavsson JP: Attitudes of psychiatric nursing personnel toward patients who have attempted suicide. Acta Psychiatr Scand. 1997, 95: 222-230. 10.1111/j.1600-0447.1997.tb09623.x.CrossRefPubMed Samuelsson M, Åsberg M, Gustavsson JP: Attitudes of psychiatric nursing personnel toward patients who have attempted suicide. Acta Psychiatr Scand. 1997, 95: 222-230. 10.1111/j.1600-0447.1997.tb09623.x.CrossRefPubMed
15.
go back to reference Act 1999-07-02-62: Act relating to the establishment and provision of mental health care Act. 1999, -07-02-61. Chapter 1, Section 4.1. Norway Act 1999-07-02-62: Act relating to the establishment and provision of mental health care Act. 1999, -07-02-61. Chapter 1, Section 4.1. Norway
16.
go back to reference Gulfi A, Dransart ADC, Heeb J-L, Gutjahr E: The impact of patient suicide on the professional reactions and practices of mental health caregivers and social workers. Crisis. 2010, 31 (4): 202-210.CrossRefPubMed Gulfi A, Dransart ADC, Heeb J-L, Gutjahr E: The impact of patient suicide on the professional reactions and practices of mental health caregivers and social workers. Crisis. 2010, 31 (4): 202-210.CrossRefPubMed
17.
go back to reference Girard GA, Silber TJ: The aftermath of adolescent suicide: clinical, ethical, and spiritual issues. Adolesc Med State Art Rev. 2011, 22 (2): 229-239.PubMed Girard GA, Silber TJ: The aftermath of adolescent suicide: clinical, ethical, and spiritual issues. Adolesc Med State Art Rev. 2011, 22 (2): 229-239.PubMed
18.
go back to reference Wheatley M, Austin-Payne H: Nursing staff knowledge and attitudes towards deliberate self-harm in adults and adolescents in an inpatient setting. Behav Cogn Psychother. 2009, 37 (3): 293-309. 10.1017/S1352465809005268.CrossRefPubMed Wheatley M, Austin-Payne H: Nursing staff knowledge and attitudes towards deliberate self-harm in adults and adolescents in an inpatient setting. Behav Cogn Psychother. 2009, 37 (3): 293-309. 10.1017/S1352465809005268.CrossRefPubMed
19.
go back to reference Renberg ES, Jacobsen L: Development of a questionnaire on attitudes towards suicide (ATTS) and its application in a Swedish population. Suicide Life Threat Behav. 2003, 33 (1): 52-64. 10.1521/suli.33.1.52.22784.CrossRefPubMed Renberg ES, Jacobsen L: Development of a questionnaire on attitudes towards suicide (ATTS) and its application in a Swedish population. Suicide Life Threat Behav. 2003, 33 (1): 52-64. 10.1521/suli.33.1.52.22784.CrossRefPubMed
20.
go back to reference Kodaka M, Postuvan V, Inagaki M, Yamada M: A systematic review of scales that measure attitudes toward suicide. Int J Soc Psychiatr. 2010, 57 (4): 338-361.CrossRef Kodaka M, Postuvan V, Inagaki M, Yamada M: A systematic review of scales that measure attitudes toward suicide. Int J Soc Psychiatr. 2010, 57 (4): 338-361.CrossRef
21.
go back to reference Arnautovska U, Grad OT: Attitudes toward suicide in the adolescent population. Crises. 2010, 31 (1): 22-29.CrossRef Arnautovska U, Grad OT: Attitudes toward suicide in the adolescent population. Crises. 2010, 31 (1): 22-29.CrossRef
22.
go back to reference Renberg ES, Hjelmeland H, Koposov R: Building models for the relationship between attitudes toward suicide and suicidal behavior: based on data from general population surveys in Sweden, Norway, and Russia. Suicide Life Threat Behav. 2008, 38 (6): 661-675. 10.1521/suli.2008.38.6.661.CrossRefPubMed Renberg ES, Hjelmeland H, Koposov R: Building models for the relationship between attitudes toward suicide and suicidal behavior: based on data from general population surveys in Sweden, Norway, and Russia. Suicide Life Threat Behav. 2008, 38 (6): 661-675. 10.1521/suli.2008.38.6.661.CrossRefPubMed
23.
go back to reference Domino G: Cross-cultural attitudes towards suicide: the SOQ and a personal odyssey. Arch Suicide Res. 2005, 9 (2): 107-122. 10.1080/13811110590903963.CrossRefPubMed Domino G: Cross-cultural attitudes towards suicide: the SOQ and a personal odyssey. Arch Suicide Res. 2005, 9 (2): 107-122. 10.1080/13811110590903963.CrossRefPubMed
24.
go back to reference Durkheim E: Suicide – a study in sociology. Edited by Simpson G. Translated by Spaulding JA, Simpson G. 2002, London: Routledge Durkheim E: Suicide – a study in sociology. Edited by Simpson G. Translated by Spaulding JA, Simpson G. 2002, London: Routledge
26.
go back to reference Retterstøl N, Ekeberg O, Mehlum L: Suicide: a personal and social problem. 2002, Oslo: Gyldendal akademisk, s.38- Retterstøl N, Ekeberg O, Mehlum L: Suicide: a personal and social problem. 2002, Oslo: Gyldendal akademisk, s.38-
27.
go back to reference Milner A, Sveticic J, De Leo D: Suicide in the absence of mental disorder? A review of psychological autopsy studies across countries. Int J Soc Psychiatr. 2012, 10.1177/0020764012444259. 2012, Published online May 11, 2012 Milner A, Sveticic J, De Leo D: Suicide in the absence of mental disorder? A review of psychological autopsy studies across countries. Int J Soc Psychiatr. 2012, 10.1177/0020764012444259. 2012, Published online May 11, 2012
28.
go back to reference Bridge JA, Iyengar S, Salary CB, Barbe RP, Birmaher B, Pincus HA, Ren L, Brent DA: Clinical response and risk for reported suicidal ideation and suicide attempts in pediatric antidepressant treatment: a meta-analysis of randomized controlled trials. JAMA. 2007, 297: 1683-1696. 10.1001/jama.297.15.1683.CrossRefPubMed Bridge JA, Iyengar S, Salary CB, Barbe RP, Birmaher B, Pincus HA, Ren L, Brent DA: Clinical response and risk for reported suicidal ideation and suicide attempts in pediatric antidepressant treatment: a meta-analysis of randomized controlled trials. JAMA. 2007, 297: 1683-1696. 10.1001/jama.297.15.1683.CrossRefPubMed
29.
go back to reference Nederhof AJ: Methods of coping with social desirability bias: review. Eur J Soc Psychol. 1985, 15: 264-280.CrossRef Nederhof AJ: Methods of coping with social desirability bias: review. Eur J Soc Psychol. 1985, 15: 264-280.CrossRef
Metadata
Title
Attitudes towards suicidal behaviour in outpatient clinics among mental health professionals in Oslo
Authors
Astrid Berge Norheim
Tine Kristin Grimholt
Øivind Ekeberg
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2013
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/1471-244X-13-90

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