Evidence map›Paper›PMID 39252441›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2024

Exploring General Practitioners' Management of Self-Harm in Young People: A Qualitative Study.

Faraz Mughal, Benjamin Saunders, Martyn Lewis, Christopher J Armitage, Lisa Dikomitis, Gillian Lancaster, Ellen Townsend, Carolyn A Chew-Graham

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Article in Health expectations : an international journal of public participation in health care and health policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Faraz MughalUnit of Academic Primary Care, Warwick Medical School, University of Warwick, Coventry, UK.ORCID 0000-0002-5437-5962
Benjamin SaundersSchool of Medicine, Keele University, Keele, UK.ORCID 0000-0002-0856-1596
Martyn LewisSchool of Medicine, Keele University, Keele, UK.
Christopher J ArmitageDivision of Psychology and Mental Health, School of Health Sciences, Manchester Centre for Health Psychology, University of Manchester, Manchester, UK.
Lisa DikomitisCentre for Health Services Studies and Kent and Medway Medical School, University of Kent, Kent, UK.
Gillian LancasterSchool of Medicine, Keele University, Keele, UK.
Ellen TownsendSchool of Psychology, University of Nottingham, Nottingham, UK.
Carolyn A Chew-GrahamSchool of Medicine, Keele University, Keele, UK.

Funding

F.M., doctoral fellow, was funded by the National Institute for Health and Care Research (300957). C.J.A. was supported by the NIHR Manchester Biomedical Research Centre and by the NIHR Greater Manchester Patient Safety Research Collaboration (NIHR204295). C.C.G. was funded by the NIHR Applied Research Collaboration, West Midlands.
6 · The paper itself

Abstract

backgroundGeneral practitioners (GPs) are key to the frontline assessment and treatment of young people after self-harm. Young people value GP-led self-harm care, but little is known about how GPs manage young people after self-harm.

aimThis study aimed to understand the approaches of GPs to self-harm in young people and explore their perspectives on ways they might help young people avoid repeat self-harm.

methodsWe conducted semi-structured interviews with GPs from the National Health Service in England in 2021. GPs were recruited from four geographically spread clinical research networks and a professional special interest group. Data were analysed using reflexive thematic analysis. The study's patient and public involvement and community of practice groups supported participant recruitment and data analysis.

resultsFifteen interviews were undertaken with a mean age of participants being 41 years and a breadth of experience in practice ranging from 1 to 22 years. Four themes were generated: GPs' understanding of self-harm; approaches to managing self-harm; impact of COVID-19 on consultations about self-harm; and ways to avoid future self-harm.

conclusionNegative attitudes towards self-harm within clinical settings are well documented, but GPs said they took self-harm seriously, listened to young people, sought specialist support when concerned and described appropriate ways to help young people avoid self-harm. GPs felt that relationship-based care is an important element of self-harm care but feared remote consultations for self-harm may impede on this. There is a need for brief GP-led interventions to reduce repeat self-harm in young people. PATIENT AND PUBLIC CONTRIBUTION: A study advisory group consisting of young people aged 16-25 years with personal experience of self-harm and parents and carers of young people who have self-harmed designed the recruitment poster of this study, informed its topic guide and contributed to its findings.

Indexed as

General PractitionersQualitative ResearchSelf-Injurious BehaviorAdolescentAdultAttitude of Health PersonnelCOVID-19EnglandFemaleHumansInterviews as TopicMaleMiddle AgedPractice Patterns, Physicians'State MedicineYoung Adultgeneral practitionerself‐harmyoung people

Identifiers

PMID39252441
PMCPMC11386252

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