Journal
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
Volume 53, Issue 11, Pages 1173-1184Publisher
SPRINGER HEIDELBERG
DOI: 10.1007/s00127-018-1553-7
Keywords
Suicide; Pharmacists; Medications; Pharmaceutical services; Mental disorders
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Funding
- Dalhousie Pharmacy Endowment Fund (DPEF)
- Pharmacy Council of New South Wales
- Drug Evaluation Alliance of Nova Scotia
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PurposeTo explore Canadian and Australian community pharmacists' practice experiences in caring for people at risk of suicide.MethodsWe conducted a thematic analysis of 176 responses to an open-ended extension question in an online survey.ResultsFour themes were identified and include referrals and triage, accessibility for confiding, emotional toll, and stigma. Subthemes included gatekeeping the medication supply, sole disclosure, planning for end of life, concerns of support people, assessing the validity of suicidality, gaps in the system, not directly asking, ill-equipped, resources in the pharmacy, relying on others to continue care, and attention seeking.ConclusionsCommunity pharmacists are caring for patients at risk of suicide frequently, and often with patients seeking the help of pharmacists directly. Pharmacists engage in activities and actions that would be considered outside of the traditional dispensing roles and provide support and intervention to people at risk of suicide through collaboration and other mechanisms. Further research to determine appropriate education and training and postvention supports is required.
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