ArticleBMJ open2013
"I think this is maybe our Achilles heel..." exploring GPs' responses to young people presenting with emotional distress in general practice: a qualitative study.
Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Barriers to managing child and adolescent mental health problems: a systematic review of primary care practitioners' perceptions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Pooled it
- Experiences of general practitioners in supporting the mental health of children and young people: An exploratory qualitative study in the United Kingdom.Journal of child health care : for professionals working with children in the hospital and community · 2026Article
- "Attitudes to voices": a survey exploring the factors influencing clinicians' intention to assess distressing voices and attitudes towards working with young people who hear voices.Frontiers in psychology · 2023Article
- Embarrassment, Shame, and Reassurance: Emotion and Young People's Access to Online Sexual Health Information.Sexuality research & social policy : journal of NSRC : SR & SP · 2023Article
- Young people who have fallen through the mental health transition gap: a qualitative study on primary care support.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Referral patterns to outpatient child and adolescent mental health services and factors associated with referrals being rejected. A cross-sectional observational study.BMC health services research · 2021Observational
- Mental health problems in children admitted with physical symptoms.European journal of pediatrics · 2021Article
- "I'm just a long history of people rejecting referrals" experiences of young people who fell through the gap between child and adult mental health services.European child & adolescent psychiatry · 2021Article
- New models of care in general practice for the youth mental health transition boundary.BJGP open · 2020Article
- GP perceptions of community-based children's mental health services in Pennine Lancashire: a qualitative study.BJGP open · 2020Article
- Youth StepCare: a pilot study of an online screening and recommendations service for depression and anxiety among youth patients in general practice.BMC family practice · 2020Article
- Article
- GP follow-up after first diagnosing psychological problems among adolescents: a nationwide register-based study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- GPs' experiences of children with anxiety disorders in primary care: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Even if they are not aware of it, general practitioners improve well-being in their adolescent patients.The European journal of general practice · 2017Article
- Recent trends in primary-care antidepressant prescribing to children and young people: an e-cohort study.Psychological medicine · 2016Article
- Article
- GPs' responses to adolescents presenting with psychological difficulties: a conceptual model of fixers, future planners, and collaborators.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
- Patterns of engagement between GPs and adolescents presenting with psychological difficulties: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
- Development of practice principles for the management of ongoing suicidal ideation in young people diagnosed with major depressive disorder.SAGE open medicine · 2014Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
objectiveAn exploratory study to investigate general practitioners' (GPs') views and experiences of consulting with young people (aged 12-19 years) presenting with emotional distress in general practice.
designA qualitative study using grounded theory and situational analysis. Empirical data were generated through in-depth interviews based on a topic guide developed from the literature, and augmented with a series of situational maps. Continuous field notes and theoretical memos were recorded during data collection and analysis. The data were analysed using the constant comparative method of grounded theory. There were three levels of analysis. The first level developed the open codes and is presented here.
setting18 general practices located in the north east of England. The practices recruited included rural, urban and mixed populations of patients who were predominantly living in socioeconomically disadvantaged communities.
participants19 GPs (10 women) aged between 29 and 59 years participated. The modal age range was 40-49 years. Theoretical sampling was used to guide recruitment and continued until theoretical saturation was reached.
resultsThe overarching finding was that anxiety about practice dominated clinical consultations involving young people presenting with emotional distress. GPs responded differently to anxiety and to related uncertainties about professional practice, independent of GP age or gender. Anxiety occurred in the consultation, at an external level, across disciplinary boundaries, in relation to communication with young people and secondary to the complexity of presentations.
conclusionsAdolescent emotional distress presents professional challenges to GPs who feel ill-equipped and inadequately prepared to address early need. Medical education needs to prepare doctors better. More research is needed to look at what factors facilitate or prohibit greater GP engagement with emotionally distressed young people.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.