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General practitioner contacts with patients before and after deliberate self harm
1Centre for Suicide Research, Department of Psychiatry, University of Oxford.
Summary
General practitioners (GPs) play a crucial role in preventing suicidal behavior by detecting and treating depression. Follow-up consultations after deliberate self harm (DSH) are valued by patients, highlighting the GP
Area of Science:
- Psychiatry
- General Practice
- Public Health
Background:
- Deliberate self harm (DSH) is a growing public health concern.
- While psychiatric services focus on suicide prevention, general practitioners (GPs) are vital for managing DSH patients and preventing suicidal behavior.
Purpose of the Study:
- To investigate the frequency and timing of GP interactions with DSH patients.
- To assess patient satisfaction with GP care before and after DSH episodes.
Main Methods:
- Structured interviews were conducted with 139 DSH patients shortly after an event and at a one-year follow-up.
- Data collected included GP contact, psychiatric diagnoses, medication, and patient-reported outcomes.
Main Results:
- Most DSH patients (91.4%) had psychiatric disorders, primarily depression (69.8%).
- Two-thirds of patients contacted their GP in the month preceding DSH, but few disclosed suicidal ideation.
- Over 40% consulted their GP within a week of DSH, with many finding discussions helpful and expressing satisfaction with follow-up care.
Conclusions:
- GPs are essential for identifying and treating depression, a key factor in preventing suicidal behavior.
- Effective GP aftercare for DSH patients significantly contributes to their well-being and satisfaction with care.