General Practitioners Experiences and Training in Managing Youth Suicidality

Background: Youth suicidality is the second leading cause of death amongst 15 – 29-year-olds globally. Ireland is one of the few countries where youths are more likely to die by suicide than adults. GPs are established gatekeepers for the early identification and intervention of youth suicidality. Despite this, there is no standardised approach to GP youth suicide prevention training. Irish GPs were found to have low levels of youth suicide prevention and mental health training, while high numbers experienced a patient death by suicide. Research suggests inadequate levels of suicide prevention support in healthcare systems. Aim: The purpose of this thesis is to investigate General Practitioner (GP) experiences and training in managing youth suicidality. Method: A systematic review and narrative synthesis aggregated empirical evidence on the training received by GPs who work with youth presenting with suicidality. A qualitative study and reflexive thematic analysis explored GPs experiences in working with youth suicidality and training. Results: Limited research is evaluating the efficacy of GP training and education programs in youth suicide prevention. GP training increased levels of GP knowledge and confidence. Irish GPs are placed under significant strain to absorb systemic issues in accessing secondary care, resulting in the ongoing inappropriate management of suicidal youth. Conclusion: Addressing systemic barriers is essential to improve service provision and suicide prevention for at-risk youth. Future researchers may consider applying robust methodology and conducting increased RCT and qualitative research regarding the efficacy of GP training in youth suicide prevention.