publication . Article . 2014

Depression, sense and sensitivity: on pre-diagnostic questioning about self-harm and suicidal inclination in the primary care consultation

Miller, Paul K.;
Open Access
  • Published: 16 Feb 2014 Journal: Communication & Medicine, volume 10 (issn: 1612-1783, eissn: 1613-3625, Copyright policy)
  • Publisher: Equinox Publishing
  • Country: Bolivia
Abstract
National Health Service directives in the UK specify that, in any primary care consultation where a patient either demonstrably has – or is suspected to have –depression, a “direct question” should be asked regarding their thoughts or activities relating to self-harm or suicide. The evidence collected for this study, which takes the form of recorded interactions between doctors and patients in primary care settings, indicates that this is most commonly done post-diagnosis as an exercise in “risk assessment.” Suicidal ideation is, however, not only classified as a possible outcome of depression but also a core symptom of the condition and, consequently, such a qu...
Subjects
free text keywords: Public Health, Environmental and Occupational Health, Normative, Stigma (botany), Psychology, Primary care, Psychiatry, medicine.medical_specialty, medicine, Conversation, media_common.quotation_subject, media_common, Conversation analysis, Clinical psychology, Suicidal ideation, medicine.symptom, Harm, Negotiation, Z267, Z413, Z721
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