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How do general practitioners conceptualise self-harm in their older patients? A qualitative study
Anne PF Wand1, Carmelle Peisah2, Brian Draper3
1FRANZCP, Staff Specialist Psychiatrist, Academic Department of Aged Care Psychiatry, Prince of Wales Hospital, Sydney, NSW; Conjoint Senior Lecturer, Discipline of Psychiatry, School of Medicine, University of New South Wales, Sydney, NSW.
Australian Journal of General Practice
|April 7, 2018
Summary
General practitioners (GPs) recognize factors in older patients’ self-harm but feel ill-equipped to intervene. Enhanced support and education are crucial for GPs managing elderly patients who self-harm.
Area of Science:
- Geriatric Medicine
- Psychiatry
- General Practice
Background:
- Self-harm in older adults is under-researched.
- General practitioners' (GPs) perspectives on this issue are largely unknown.
Purpose of the Study:
- To explore GPs' understanding of the reasons behind recent self-harm in elderly patients (aged 80+).
Main Methods:
- Qualitative study involving GPs of older patients who recently self-harmed.
- Short questionnaires assessed GPs' understanding of self-harm.
- Thematic analysis of GP responses.
Main Results:
- GPs identified multiple contributing factors to self-harm in older patients.
- GPs perceived a limited role for themselves in addressing these underlying issues.
- Concerns were raised about potential repetition of self-harm if factors like depression remained unaddressed.
Conclusions:
- Targeted education and practical management strategies are needed for GPs dealing with self-harm in older individuals.
- Involving families and carers could enhance patient management.
- Interventions should aim to combat therapeutic nihilism and clinician isolation among GPs.
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