ArticleBMJ open2020
Best practice when working with suicidal behaviour and self-harm in primary care: a qualitative exploration of young people's perspectives.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- 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
- Raising Suicide in Medical Appointments-Barriers and Facilitators Experienced by Young Adults and GPs: A Mixed-Methods Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Rural and Non-Rural Pediatric Health Care Providers' Youth Suicide Prevention Beliefs, Attitudes, Training, and Practices.Evidence-based practice in child and adolescent mental health · 2026Article
- Thoughts of Death or Self-injury, Non-same-day ART Initiation, and 2-year Incidence of Disengagement from Care Among People Entering HIV Care in Cameroon.AIDS and behavior · 2026Article
- Using Digital Mental Health and Measurement-Based Care With Youth Experiencing Suicidal Thoughts and Behaviors: Qualitative Study of Clinician Barriers and Facilitators.JMIR human factors · 2026Article
- Early interventions for self-harm among children and young people in educational and primary-care settings: a scoping review.Cogent mental health · 2026Review
- Exploring How Intent of Self-Harm Affects Trainee Healthcare Practitioners' Views, Attitudes and Clinical Decision-Making in Northwest England: A Qualitative Study.International journal of environmental research and public health · 2025Article
- Review
- Potential Harms of Responding to Youth Suicide Risk in Schools.Research on child and adolescent psychopathology · 2025Review
- Engaging primary care patients at risk for suicide in mental health treatment: user insights to inform implementation strategy design.BMC primary care · 2024Article
- "The patient as teacher" - thematic analysis of undergraduate medical students' experiences with an experiential learning project in palliative care.BMC palliative care · 2024Article
- Recognising and Responding to Suicide-Risk Factors in Primary Care: A Scoping Review.Journal of prevention (2022) · 2024Article
- Experiences of support for people who access voluntary, community and social enterprise (VCSE) organisations for self-harm: a qualitative study with stakeholder feedback.BMC public health · 2024Article
- Young adults looking back at their experiences of treatment and care for nonsuicidal self-injury during adolescence: a qualitative study.Child and adolescent psychiatry and mental health · 2024Article
- Exploring Counselor Practices and Risk Assessment in a Proactive Digital Intervention Through Instagram in Young People: Qualitative Study.JMIR formative research · 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
- Communication in youth mental health clinical encounters: Introducing the agential stance.Theory & psychology · 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
- The potential of general practice to support young people who self-harm: a narrative review.BJGP open · 2022Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesGeneral practitioners (GPs) have a key role in supporting young people who present with suicidal behaviour/self-harm. However, little is known about young people's opinions and experiences related to GPs' practices for such presentations, and their decisions to disclose suicidal behaviour/self-harm to GPs. Additionally, existing guidelines for the management of suicide risk and/or self-harm have not incorporated young people's perspectives. This study aimed to explore young people's views and experiences related to the identification, assessment and care of suicidal behaviour and self-harm in primary care settings with GPs. DESIGN, SETTING AND
participantsTwo qualitative focus groups were conducted in Perth, Western Australia, with 10 young people in total (
resultsFive major themes were identified from the focus groups. (1) Young people wanted a collaborative dialogue with GPs, which included being asked about suicidal behaviour/self-harm, informed of treatment processes and having autonomy in decision making; (2) young people were concerned with a loss of privacy when disclosing suicidal behaviour/self-harm; (3) young people viewed labels and assessments as problematic and reductionist-disliking the terms 'risk' and 'risk assessment', and assessment approaches that are binary and non-holistic; (4) young people highlighted the importance of GPs' attitudes, with a genuine connection, attentiveness and a non-judgemental demeanour seen as paramount; and (5) young people wanted to be provided with practical support and resources, followed-up, and for GPs to be competent when working with suicidal behaviour/self-harm presentations.
conclusionsOur study identified several concerns and recommendations young people have regarding the identification, assessment and care of suicidal behaviour/self-harm in primary care settings. Taken together, these findings may inform the development of resources for GPs, and support progress in youth-oriented best practice.
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Registered trials
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