SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2020
Role of the GP in the management of patients with self-harm behaviour: a systematic review.
Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- A systematic review of suicide risk management strategies in primary care settings.Frontiers in psychiatry · 2024Pooled it
- The barriers and facilitators to the reporting and recording of self-harm in young people aged 18 and under: a systematic review.BMC public health · 2023Pooled it
- Help-seeking patterns for non-suicidal self-injury across borderline symptom profiles in a large sample of university students.Borderline personality disorder and emotion dysregulation · 2026Article
- Article
- Wish to die and healthcare use in older people: cross-sectional findings from The Irish Longitudinal Study on Ageing (TILDA).Journal of public health (Berlin, Germany) · 2025Article
- The Efficacy of the Psychiatry Clerkship in Developing Students' Comprehensive Clinical Skills.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2025Article
- Experiences and Perceptions of Self-Harm in Rural-Dwelling Adults: A Rapid Review of Qualitative Evidence.Health expectations : an international journal of public participation in health care and health policy · 2025Review
- How GPs can help young people avoid future self-harm: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Exploring General Practitioners' Management of Self-Harm in Young People: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- The CO-produced Psychosocial INtervention delivered by GPs to young people after self-harm (COPING): protocol for a feasibility study.NIHR open research · 2024Article
- Social services utilisation and referrals after seeking help from health services for self-harm: a systematic review and narrative synthesis.BMJ public health · 2023Article
- Article
- Recent GP consultation before death by suicide in middle-aged males: a national consecutive case series study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- The functions of self-harm in young people and their perspectives about future general practitioner-led care: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Accessing psychological therapies following self-harm: qualitative survey of patient experiences and views on improving practice.BJPsych open · 2023Article
- Improving the management of self-harm in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Service use and costs in adolescents with pain and suicidality: a cross-sectional study.EClinicalMedicine · 2023Article
- Examining drivers of self-harm guideline implementation by general practitioners: A qualitative analysis using the theoretical domains framework.British journal of health psychology · 2022Article
- Exploring the acceptability of a brief online theory-based intervention to prevent and reduce self-harm: a theoretically framed qualitative study.BJPsych open · 2022Article
- Supporting general practitioners in the assessment and management of suicide risk in young people: an evaluation of an educational resource in primary care.Primary health care research & development · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSelf-harm is a serious risk factor for suicide, a major public health concern, and a significant burden on the NHS. Rates of self-harm presentation in primary care are rising and GPs interact with patients both before and after they have self-harmed. There is significant public and political interest in reducing rates of self-harm, but there has been no robust synthesis of the existing literature on the role of GPs in the management of patients who self-harm.
aimThis study aimed to explore the role of the GP in the management of patients with self-harm behaviour. DESIGN AND
settingA systematic review and narrative synthesis of primary care literature.
methodThis systematic review was conducted and is reported in line with PRISMA guidance. Electronic databases systematically searched were MEDLINE, PsycINFO, EMBASE, CINAHL, Web of Science, and AMED. Two independent reviewers conducted study screening and selection, data extraction, and quality appraisal of all included studies. Thematic analysis was conducted.
resultsFrom 6976 unique citations, 12 studies met eligibility criteria and were included. These 12 studies, published from 1997-2016, of 789 GPs/family medicine physicians from Europe, the US, and Australia were of good methodological quality. Five themes were identified for facilitating GP management of self-harm: GP training, improved communication, service provision, clinical guidelines, and young people. Four barriers for GP management of self-harm were identified: assessment, service provision, local, and systemic factors.
conclusionGPs recognise self-harm as a serious risk factor for suicide, but some feel unprepared for managing self-harm. The role of the GP is multidimensional and includes frontline assessment and treatment, referral to specialist care, and the provision of ongoing support.
Indexed as
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What OpenQuestion holds
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.