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GPs role identifying young people who self-harm: a mixed methods study.

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Area of Science:

  • General Practice
  • Adolescent Health
  • Mental Health Care

Background:

  • Self-harm is prevalent in young people, with increasing incidence in younger age groups.
  • Many young individuals who self-harm interact with General Practitioners (GPs) but often do not receive specialist care.
  • GPs face challenges discussing self-harm sensitively within limited consultation times.

Purpose of the Study:

  • To investigate GPs' abilities, motivations, and opportunities for discussing self-harm with young patients.
  • To identify barriers and facilitators for proactive self-harm discussions in primary care settings.

Main Methods:

  • An exploratory mixed-methods study combining an online survey and semi-structured interviews with GPs in South West England.
  • Quantitative data from 28 GPs via survey and qualitative data from 10 GPs via interviews were analyzed.
  • Descriptive statistics and thematic analysis were employed, synthesizing findings to understand GPs' perspectives on youth self-harm.

Main Results:

  • Some experienced GPs may underestimate self-harm prevalence, especially in younger adolescents (11-14 years).
  • GPs recognize their supportive role for young people who self-harm, despite consultation challenges.
  • GPs expressed a strong desire for training and practical resources on discussing self-harm with youth.

Conclusions:

  • Primary care staff require enhanced education and practical training for discussing self-harm.
  • Improved training can empower frontline staff to better support young people presenting with self-harm.