Qualitative study investigating the professional and personal effects of patient suicide on general practitioners in Northern Ireland

BMJ Open. 2024 Feb 10;14(2):e077940. doi: 10.1136/bmjopen-2023-077940.

Abstract

Objective: There is a dearth in suicide literature addressing the impact on general practitioners (GPs) of losing a patient. We aimed to examine the personal and professional impact as well as the availability of support and why GPs did or did not use it.

Design: A qualitative study using one-to-one interviews with participants recruited using snowball sampling.

Setting: The study was conducted in a primary care setting.

Participants: Interviews were held with 19 GPs within primary care in Northern Ireland.

Results: GPs are impacted both personally and professionally when they lose a patient to suicide, but may not access formal help due to commonly held idealised notions of a 'good' GP who is regarded as having solid imperturbability. Fear of professional repercussions also plays a major role in deterring help-seeking.

Conclusions: There is a need for a systemic culture shift within general practice which allows doctors to seek support when their physical or mental health require it. This may help prevent stress, burnout and early retirement.

Keywords: Burnout, Professional; GENERAL MEDICINE (see Internal Medicine); MEDICAL EDUCATION & TRAINING; MENTAL HEALTH.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude of Health Personnel
  • General Practice*
  • General Practitioners* / psychology
  • Humans
  • Northern Ireland
  • Qualitative Research
  • Suicide* / psychology