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Gillette C, Garvick SJ, Aldrich RS, Halvorson EE, Flesher SL, Waddell E, Maupin EJ, Daniel S. Attitudes and Beliefs of Pediatric Residents and Physician Assistant Students Toward Screening Adolescents for Suicide in Primary Care. J Physician Assist Educ 2022; 33:179-184. [PMID: 35998048 DOI: 10.1097/jpa.0000000000000441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
INTRODUCTION The objectives of this study were to: (1) describe attitudes of health professional trainees for conducting routine screening for suicidal ideation with adolescents; (2) identify the relationship between intention to conduct suicide risk assessments and behavioral attitudes, norm referents, and behavioral control; and (3) investigate the relationship between intention to conduct these assessments and self-reported clinic behavior. METHODS Second-year physician assistant (PA) students and pediatric residents (MD) at 3 universities voluntarily completed an anonymous cross-sectional questionnaire. The questionnaire was guided by the Theory of Planned Behavior and included items about previous experience with suicide. Pearson correlation and multivariable linear regression were used to analyze the data. RESULTS There were usable and complete data for 105 respondents (n = 105). The sample included PA students (89.52%, n = 94) and pediatric residents (10.48%, n = 11). Trainees were significantly more likely to have higher intention to conduct suicide risk assessments when they reported greater behavioral control (Std. β = 0.34, p <0.001) and reported suicide being discussed during previous clinic visits as a student/resident (Std. β = 0.21, p = 0.03), controlling for profession, race, behavioral attitudes, and norm referents. Trainees were significantly more likely to report conducting suicide risk assessments when they had greater behavioral control (Std. β = 0.27, p = 0.01) and greater intention to conduct these assessments (Std. β = 0.21, p = 0.03), controlling for profession, race, behavioral attitudes, and norm referents. DISCUSSION Second-year PA students and pediatric residents support screening adolescents for suicide risk. Training on methods to increase behavioral control may increase rates of screenings.
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Affiliation(s)
- Chris Gillette
- Chris Gillette, PhD, is an associate professor and assistant director of research and scholarship at Wake Forest School of Medicine, Department of PA Studies, in Winston-Salem, North Carolina
- Sarah J. Garvick, MS, MPAS, PA-C, is an assistant professor and associate program director at Wake Forest School of Medicine, Department of PA Studies, in Winston-Salem, North Carolina
- Rosalie S. Aldrich, PhD, is a John and Corinne Graf professor at Indiana University East, Department of Communication Studies, in Indianapolis, Indiana
- Elizabeth E. Halvorson, MD, MS, is an associate professor at Wake Forest School of Medicine, Department of Pediatrics, in Winston-Salem, North Carolina
- Susan L. Flesher, MD, is an associate professor and chair, Department of Pediatrics, and director of Pediatric Hospital Medicine Fellowship at Marshall University Joan C. Edwards School of Medicine in Huntington, West Virginia
- Erin Waddell, MD, is a resident at Marshall University Joan C. Edwards School of Medicine in Huntington, West Virginia
- Elizabeth J. Maupin, MMS, PA-C, RD, is an assistant professor at Wingate University in Matthews, North Carolina
- Stephanie Daniel, PhD, is a professor and vice chair for research at the Wake Forest School of Medicine, Department of Family and Community Medicine, in Winston-Salem, North Carolina
| | - Sarah J Garvick
- Chris Gillette, PhD, is an associate professor and assistant director of research and scholarship at Wake Forest School of Medicine, Department of PA Studies, in Winston-Salem, North Carolina
- Sarah J. Garvick, MS, MPAS, PA-C, is an assistant professor and associate program director at Wake Forest School of Medicine, Department of PA Studies, in Winston-Salem, North Carolina
- Rosalie S. Aldrich, PhD, is a John and Corinne Graf professor at Indiana University East, Department of Communication Studies, in Indianapolis, Indiana
- Elizabeth E. Halvorson, MD, MS, is an associate professor at Wake Forest School of Medicine, Department of Pediatrics, in Winston-Salem, North Carolina
- Susan L. Flesher, MD, is an associate professor and chair, Department of Pediatrics, and director of Pediatric Hospital Medicine Fellowship at Marshall University Joan C. Edwards School of Medicine in Huntington, West Virginia
- Erin Waddell, MD, is a resident at Marshall University Joan C. Edwards School of Medicine in Huntington, West Virginia
- Elizabeth J. Maupin, MMS, PA-C, RD, is an assistant professor at Wingate University in Matthews, North Carolina
- Stephanie Daniel, PhD, is a professor and vice chair for research at the Wake Forest School of Medicine, Department of Family and Community Medicine, in Winston-Salem, North Carolina
| | - Rosalie S Aldrich
- Chris Gillette, PhD, is an associate professor and assistant director of research and scholarship at Wake Forest School of Medicine, Department of PA Studies, in Winston-Salem, North Carolina
- Sarah J. Garvick, MS, MPAS, PA-C, is an assistant professor and associate program director at Wake Forest School of Medicine, Department of PA Studies, in Winston-Salem, North Carolina
- Rosalie S. Aldrich, PhD, is a John and Corinne Graf professor at Indiana University East, Department of Communication Studies, in Indianapolis, Indiana
- Elizabeth E. Halvorson, MD, MS, is an associate professor at Wake Forest School of Medicine, Department of Pediatrics, in Winston-Salem, North Carolina
- Susan L. Flesher, MD, is an associate professor and chair, Department of Pediatrics, and director of Pediatric Hospital Medicine Fellowship at Marshall University Joan C. Edwards School of Medicine in Huntington, West Virginia
- Erin Waddell, MD, is a resident at Marshall University Joan C. Edwards School of Medicine in Huntington, West Virginia
- Elizabeth J. Maupin, MMS, PA-C, RD, is an assistant professor at Wingate University in Matthews, North Carolina
- Stephanie Daniel, PhD, is a professor and vice chair for research at the Wake Forest School of Medicine, Department of Family and Community Medicine, in Winston-Salem, North Carolina
| | - Elizabeth E Halvorson
- Chris Gillette, PhD, is an associate professor and assistant director of research and scholarship at Wake Forest School of Medicine, Department of PA Studies, in Winston-Salem, North Carolina
- Sarah J. Garvick, MS, MPAS, PA-C, is an assistant professor and associate program director at Wake Forest School of Medicine, Department of PA Studies, in Winston-Salem, North Carolina
- Rosalie S. Aldrich, PhD, is a John and Corinne Graf professor at Indiana University East, Department of Communication Studies, in Indianapolis, Indiana
- Elizabeth E. Halvorson, MD, MS, is an associate professor at Wake Forest School of Medicine, Department of Pediatrics, in Winston-Salem, North Carolina
- Susan L. Flesher, MD, is an associate professor and chair, Department of Pediatrics, and director of Pediatric Hospital Medicine Fellowship at Marshall University Joan C. Edwards School of Medicine in Huntington, West Virginia
- Erin Waddell, MD, is a resident at Marshall University Joan C. Edwards School of Medicine in Huntington, West Virginia
- Elizabeth J. Maupin, MMS, PA-C, RD, is an assistant professor at Wingate University in Matthews, North Carolina
- Stephanie Daniel, PhD, is a professor and vice chair for research at the Wake Forest School of Medicine, Department of Family and Community Medicine, in Winston-Salem, North Carolina
| | - Susan L Flesher
- Chris Gillette, PhD, is an associate professor and assistant director of research and scholarship at Wake Forest School of Medicine, Department of PA Studies, in Winston-Salem, North Carolina
- Sarah J. Garvick, MS, MPAS, PA-C, is an assistant professor and associate program director at Wake Forest School of Medicine, Department of PA Studies, in Winston-Salem, North Carolina
- Rosalie S. Aldrich, PhD, is a John and Corinne Graf professor at Indiana University East, Department of Communication Studies, in Indianapolis, Indiana
- Elizabeth E. Halvorson, MD, MS, is an associate professor at Wake Forest School of Medicine, Department of Pediatrics, in Winston-Salem, North Carolina
- Susan L. Flesher, MD, is an associate professor and chair, Department of Pediatrics, and director of Pediatric Hospital Medicine Fellowship at Marshall University Joan C. Edwards School of Medicine in Huntington, West Virginia
- Erin Waddell, MD, is a resident at Marshall University Joan C. Edwards School of Medicine in Huntington, West Virginia
- Elizabeth J. Maupin, MMS, PA-C, RD, is an assistant professor at Wingate University in Matthews, North Carolina
- Stephanie Daniel, PhD, is a professor and vice chair for research at the Wake Forest School of Medicine, Department of Family and Community Medicine, in Winston-Salem, North Carolina
| | - Erin Waddell
- Chris Gillette, PhD, is an associate professor and assistant director of research and scholarship at Wake Forest School of Medicine, Department of PA Studies, in Winston-Salem, North Carolina
- Sarah J. Garvick, MS, MPAS, PA-C, is an assistant professor and associate program director at Wake Forest School of Medicine, Department of PA Studies, in Winston-Salem, North Carolina
- Rosalie S. Aldrich, PhD, is a John and Corinne Graf professor at Indiana University East, Department of Communication Studies, in Indianapolis, Indiana
- Elizabeth E. Halvorson, MD, MS, is an associate professor at Wake Forest School of Medicine, Department of Pediatrics, in Winston-Salem, North Carolina
- Susan L. Flesher, MD, is an associate professor and chair, Department of Pediatrics, and director of Pediatric Hospital Medicine Fellowship at Marshall University Joan C. Edwards School of Medicine in Huntington, West Virginia
- Erin Waddell, MD, is a resident at Marshall University Joan C. Edwards School of Medicine in Huntington, West Virginia
- Elizabeth J. Maupin, MMS, PA-C, RD, is an assistant professor at Wingate University in Matthews, North Carolina
- Stephanie Daniel, PhD, is a professor and vice chair for research at the Wake Forest School of Medicine, Department of Family and Community Medicine, in Winston-Salem, North Carolina
| | - Elizabeth J Maupin
- Chris Gillette, PhD, is an associate professor and assistant director of research and scholarship at Wake Forest School of Medicine, Department of PA Studies, in Winston-Salem, North Carolina
- Sarah J. Garvick, MS, MPAS, PA-C, is an assistant professor and associate program director at Wake Forest School of Medicine, Department of PA Studies, in Winston-Salem, North Carolina
- Rosalie S. Aldrich, PhD, is a John and Corinne Graf professor at Indiana University East, Department of Communication Studies, in Indianapolis, Indiana
- Elizabeth E. Halvorson, MD, MS, is an associate professor at Wake Forest School of Medicine, Department of Pediatrics, in Winston-Salem, North Carolina
- Susan L. Flesher, MD, is an associate professor and chair, Department of Pediatrics, and director of Pediatric Hospital Medicine Fellowship at Marshall University Joan C. Edwards School of Medicine in Huntington, West Virginia
- Erin Waddell, MD, is a resident at Marshall University Joan C. Edwards School of Medicine in Huntington, West Virginia
- Elizabeth J. Maupin, MMS, PA-C, RD, is an assistant professor at Wingate University in Matthews, North Carolina
- Stephanie Daniel, PhD, is a professor and vice chair for research at the Wake Forest School of Medicine, Department of Family and Community Medicine, in Winston-Salem, North Carolina
| | - Stephanie Daniel
- Chris Gillette, PhD, is an associate professor and assistant director of research and scholarship at Wake Forest School of Medicine, Department of PA Studies, in Winston-Salem, North Carolina
- Sarah J. Garvick, MS, MPAS, PA-C, is an assistant professor and associate program director at Wake Forest School of Medicine, Department of PA Studies, in Winston-Salem, North Carolina
- Rosalie S. Aldrich, PhD, is a John and Corinne Graf professor at Indiana University East, Department of Communication Studies, in Indianapolis, Indiana
- Elizabeth E. Halvorson, MD, MS, is an associate professor at Wake Forest School of Medicine, Department of Pediatrics, in Winston-Salem, North Carolina
- Susan L. Flesher, MD, is an associate professor and chair, Department of Pediatrics, and director of Pediatric Hospital Medicine Fellowship at Marshall University Joan C. Edwards School of Medicine in Huntington, West Virginia
- Erin Waddell, MD, is a resident at Marshall University Joan C. Edwards School of Medicine in Huntington, West Virginia
- Elizabeth J. Maupin, MMS, PA-C, RD, is an assistant professor at Wingate University in Matthews, North Carolina
- Stephanie Daniel, PhD, is a professor and vice chair for research at the Wake Forest School of Medicine, Department of Family and Community Medicine, in Winston-Salem, North Carolina
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