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Objective: To identify the existing barriers to the care of suicidal behavior from the perspective of mental health professionals at the first level of care in Mexico City. Methodology: Qualitative exploratory study based on 35 semi-structured interviews conducted on health personnel from two national reference mental health facilities. The data were analyzed with Framework Analysis. Results: The participants considered that suicidal behavior has not been prioritized among mental health disorders. The absence of public policies, work overload, lack of patient follow-up, among others, were identified as barriers to adequate and timely care. Conclusions: Suicidal behavior prevention programs should consider the socioeconomic context of the population, the characteristics of health services, and the needs of health care providers. Professional training should be enhanced, and the referral and counter-referral system across levels of care should be improved. [ABSTRACT FROM AUTHOR]

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The Citizens' Committee Against Homophobic Hate Crimes has documented 213 murders of homosexual and lesbian people in the last 5 years in Mexico. In the present study, the Attitudes Towards Sexual Diversity Test was applied to 300 health care providers. Data in this investigation different forms research that shows individuals are more intolerant towards gay people of their same gender. Professional with postgraduate degrees had more positive attitudes of acceptance towards sexually diverse people. Likewise, professionals who attend church more often have more negative attitudes. The relationship between education and attitudes is discussed. [ABSTRACT FROM AUTHOR]

Objective. To increase the knowledge of health care providers' understanding of and practices on domestic violence, in order to improve care. Materials and Methods. This study was conducted between May and November 2003, In Quintana Roo, Coahuila, and Mexico City, three Mexican states with a high prevalence of domestic violence. Sixty in-depth interviews with health care providers in public health institutions and key informants of health service provision were completed. Results. Health care providers were categorized based on the extent to which they reproduced four "discourses about violence". These discourses influence their daily practice and are related to the informants' gender values and social positions. Most informants expressed their willingness to address the issue of domestic violence. Conclusions. Attention to and care for domestic violence is insufficient in health services; this may be due more closely related to a predominant discourse tolerating domestic violence among decision-makers, than to the attitudes of health care providers; the latter demonstrated greater awareness of women's rights. [ABSTRACT FROM AUTHOR]