Theme	Implications for training resource	Supporting data	Resource
Mental health as integral to general practice	GPs need confidence in discussing suicide; increased exposure to the subject through training may help Suicide is considered uncommon in primary care so incentives to encourage time-restricted clinicians to engage with training must be considered Most of the GPs mentioned that a resource to refer to would be useful, but would need to be compact and easy to access, like e-learning modules	‘… this isn’t a frequent event … so how much time and investment for their personal development plan or whatever do they put into something that may not happen, or may only happen once every 10 years or so?’ (GP09) ‘… you can do a bit at a time, you know, when you’ve got a spare 10 minutes … one of these … things that you can dip in and out of.’ (GP08)	Training must link in with current practice Training needs to be brief and supported by e-learning
Facing the bereaved parent	Need to support the clinician to prepare for approaching the bereaved parent: bereavement cards; communications training through role-play or videos; and access to experiences of bereaved parents and the experiences of GPs dealing with the parents and the suicide of a patient GPs need to feel as comfortable managing suicide bereavement as they do general bereavement. GPs described that not differentiating between types of bereavement reduces stigma and makes approaching the bereaved patient easier	‘I think if you, if you heard from bereaved patients, what not to say … so if a patient came in, one of your characters came in and said, I didn’t really want the doctor to say that, that just wasn’t helpful at all … What I would have liked him to have said was …’ (GP06) ‘If a patient of ours dies, if the next of kin is a patient of ours, we send them a bereavement card and we usually do a bereavement visit.’ (GP09)	Strategies for practices to be included in training Demonstration of consultations and role-play included in training
Helping the bereaved parent	GPs recognise the needs of parents bereaved by suicide but do not always have access to the resources or skillset to fulfil them. A training resource needs to provide access to responsive and reliable services for these patients, most likely third sector, so GPs are able to signpost appropriately	‘I mean, you talked about some support group there — I never heard of it, so I think … you need some way of signposting.’ (GP10)	Training includes signposting of local resources and third-sector services
GPs helping themselves	GPs need to be emotionally prepared to see patients bereaved by suicide as they may be personally affected by the suicide GPs need to be supported in dealing with the complex needs of patients and their own emotions, as well as having a space to reflect upon experiences in order to look after their wellbeing and prevent burnout A training resource should help to alleviate some difficulties encountered by guiding GPs how to support bereaved parents appropriately, improving patient and clinician satisfaction, as well as signposting GPs to support for their own needs	‘I was terribly distressed. I felt like I’d been kicked in the stomach when I heard that he’d died.’ (GP12) ‘I don’t think you should deal with that yourself, I think you need to share that really.’ (GP04)	Training highlights to GPs the need to seek support and supervision — and suggests how this might be achieved