Evidence map›Paper›PMID 31594769›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2019

Role of primary care in supporting older adults who self-harm: a qualitative study in England.

M Isabela Troya, Carolyn A Chew-Graham, Opeyemi Babatunde, Bernadette Bartlam, Faraz Mughal, Lisa Dikomitis

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

M Isabela TroyaSchool of Primary, Community and Social Care, Keele University, Keele, UK; researcher, School of Public Health, University College Cork, Republic of Ireland; researcher, National Suicide Research Foundation, Cork, Republic of Ireland.
Carolyn A Chew-GrahamSchool of Primary, Community and Social Care, Keele University, Keele, UK; honorary professor of primary care mental health, Midlands Partnership Foundation Trust, St George's Hospital, Stafford, UK.
Opeyemi BabatundeSchool of Primary, Community and Social Care, Keele University, Keele, UK.
Bernadette BartlamSchool of Primary, Community and Social Care, Keele University, Keele, UK; senior research fellow, Family Medicine and Primary Care, Lee Kong Chian School of Medicine, Nanyang Technical University Singapore, Singapore.
Faraz MughalSchool of Primary, Community and Social Care, Keele University, Keele, UK.
Lisa DikomitisSchool of Primary, Community and Social Care, Keele University, Keele, UK; research director, School of Medicine, Keele University, Keele, UK.
Keele University · GBUniversity College Cork · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-harm and suicide are major public health concerns. Self-harm is the strongest risk factor for suicide, with the highest suicide rates reported in older populations. Little is known about how older adults access care following self-harm, but they are in frequent contact with primary care.

aimTo identify and explore barriers and facilitators to accessing care within primary care for older adults who self-harm. DESIGN AND

settingAn exploratory qualitative methods study using semi-structured interviews with older adults and third-sector workers in England. Older adults were invited to participate in one follow-up interview.

methodInterviews occurred between September 2017 and September 2018. These were audio-recorded, transcribed verbatim, and data analysed thematically. A patient and public involvement and engagement group contributed to the study design, data analysis, and interpretation.

resultsA total of 24 interviews with nine older adults and seven support workers, including eight follow-up interviews with older adults, were conducted. Three themes emerged: help-seeking decision factors; sources of support; and barriers and facilitators to accessing primary care.

conclusionDespite older adults' frequent contact with GPs, barriers to primary care existed, which included stigma, previous negative experiences, and practical barriers such as mobility restrictions. Older adults' help-seeking behaviour was facilitated by previous positive experiences. Primary care is a potential avenue for delivering effective self-harm support, management, and suicide prevention in older adults. Given the complex nature of self-harm, there is a need for primary care to work with other sectors to provide comprehensive support to older adults who self-harm.

Indexed as

General PracticeSuicide PreventionAgedEnglandFemaleFollow-Up StudiesHealth Services AccessibilityHumansMaleMiddle AgedMobility LimitationNeeds AssessmentPhysician's RoleQualitative ResearchSelf-Injurious BehaviorSocial Stigmadeliberate self-harmfrail older adultsprimary carequalitative research

Identifiers

PMID31594769
PMCPMC6783141
OpenAlexW2979971209

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.