@article{ref1,
title="Primary care and suicidality among psychiatric outpatients: the patient-doctor relationship matters",
journal="International journal of psychiatry in medicine",
year="2020",
author="Schultz, Krista and Sandhu, Sharan and Kealy, David",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: The purpose of the current study is to examine the relationship between the quality of the Patient-Doctor Relationship and suicidality among patients seeking mental health care; specifically, whether patients who perceive having a more positive relationship with primary care physician will have lower levels of suicidality.   METHOD: Cross-sectional population-based study in Greater Vancouver, Canada. One-hundred ninety-seven participants were recruited from three Mental Health Clinics who reported having a primary care physician. Participants completed a survey containing questions regarding items assessing quality of Patient-Doctor Relationship, general psychiatric distress (K10), borderline personality disorder, and suicidality (Suicidal Behaviours Questionnaire-Revised-SBQ-R). Zero-order correlations were computed to evaluate relationships between study variables. Hierarchical regression analysis was used to control for confounding variables.   RESULTS: The quality of the patient doctor relationship was significantly negatively associated with suicidality. The association between the quality of the patient-doctor relationship and suicidality remained significant even after controlling for the effects of psychiatric symptom distress and borderline personality disorder features.   CONCLUSIONS: The degree to which patients' perceive their primary care physician as understanding, reliable, and dedicated, is associated with a reduction in suicidal behaviors. Further research is needed to better explicate the mechanisms of this relationship over time.<p /> <p>Language: en</p>",
language="en",
issn="0091-2174",
doi="10.1177/0091217420977994",
url="http://dx.doi.org/10.1177/0091217420977994"
}