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Identifying and managing nonsuicidal self-injurious behavior in the primary care setting
Kirstyn M Kameg1, Audra Spencer Woods, Janene Luther Szpak
1Robert Morris University, Moon Township, Pennsylvania, Ohio Valley General Hospital, McKees Rocks, Pennsylvania.
Nonsuicidal self-injurious behavior (NSSIB) is a growing concern. Nurse practitioners (NPs) can initiate treatment in primary care but must recognize when to refer patients to mental health specialists.
Area of Science:
- Psychiatry
- Psychology
- Primary Care
Background:
- Nonsuicidal self-injurious behavior (NSSIB) is increasingly prevalent among young people.
- NSSIB is characterized as a low-lethality, repetitive act causing body tissue damage.
- Nurse practitioners (NPs) may lack knowledge, leading to negative patient perceptions.
Purpose of the Study:
- To provide an overview of NSSIB for nurse practitioners (NPs).
- To equip NPs to manage patients with NSSIB in primary care settings.
- To guide NPs on recognizing and referring complex cases.
Main Methods:
- Review of selected research and clinical literature.
- Synthesis of current understanding of NSSIB.
- Focus on primary care implications for NPs.
Main Results:
- NSSIB is a complex phenomenon with increasing prevalence.
- NPs can initiate treatment in primary care.
- Referral to mental health specialists is crucial for specific comorbidities.
Conclusions:
- NPs play a vital role in identifying and managing NSSIB.
- Early intervention and appropriate referral pathways are essential.
- Addressing knowledge gaps among NPs can improve patient care for NSSIB.
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