@article{ref1,
title="A qualitative study of help seeking and primary care consultation prior to suicide",
journal="British journal of general practice",
year="2005",
author="Owens, Christabel and Lambert, H. and Donovan, Jacqueline and Lloyd, Keith R.",
volume="55",
number="516",
pages="503-509",
abstract="BACKGROUND: Many suicides may be preventable through medical intervention, but many people do not seek help from a medical practitioner prior to suicide. Little is known about how consulting decisions are made at this time.AIM: To explore how distressed individuals and members of their lay networks had made decisions to seek or not to seek help from a medical practitioner in the period leading up to suicide.Design of study: Qualitative analysis of psychological autopsy data.SETTING: One large English county.METHOD: Semi-structured interviews with close relatives or friends of suicide victims were conducted as part of a psychological autopsy study. Sixty-six interviews were transcribed verbatim and analysed using a thematic approach.RESULTS: Relatives and friends often played a key role in determining whether or not suicidal individuals sought medical help. Half the sample had consulted in their final month and many were persuaded to do so by a relative or friend. Of those who did not consult, some were characterised as help-resisters but many others had omitted to do so because no-one around them was aware of the seriousness of their distress or considered it to be medically significant. A range of lay interventions and coping strategies was identified, including seeking non-medical help.CONCLUSION: Greater attention needs to be given to the potential role of lay networks in managing psychological distress and preventing suicide. A balanced approach to suicide prevention is recommended that builds on lay knowledge and combines medical and non-medical strategies.",
language="",
issn="0960-1643",
doi="",
url="http://dx.doi.org/"
}