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How GPs can help young people avoid future self-harm: a qualitative study.

Faraz Mughal1, Carolyn A Chew-Graham2, Ellen Townsend3

  • 1School of Medicine, Keele University, Keele, UK; Unit of Academic Primary Care, Warwick Medical School, University of Warwick, Coventry, UK and Department of General Practice and Primary Care, Melbourne Medical School, University of Melbourne, VIC, Australia.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
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PubMed
Summary
This summary is machine-generated.

General Practitioners (GPs) face time constraints and training needs when supporting young people aged 16-25 who self-harm. Addressing these barriers can improve GP support for youth mental health.

Keywords:
general practitionersprimary health carequalitative researchself-harmself-injurious behavioryoung adult

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Area of Science:

  • General Practice
  • Youth Mental Health
  • Behavioral Science

Background:

  • Self-harm is a significant and increasing concern among young individuals.
  • General Practitioners (GPs) are often the primary healthcare contact for young people post-self-harm.
  • Understanding GP behavior is crucial for effective support interventions.

Purpose of the Study:

  • To investigate the capabilities, opportunities, and motivations (COM-B model) of GPs in supporting young people (16-25 years) to prevent self-harm.
  • To identify GPs' perceived training needs in this area.

Main Methods:

  • Qualitative study involving semi-structured interviews with 15 NHS GPs in England.
  • Data analysis used reflexive thematic analysis, mapped to the COM-B model.
  • Patient and public involvement group contributed to data analysis.

Main Results:

  • GPs reported varied capabilities, with some experiencing emotional fatigue.
  • Opportunities like electronic consultations exist, but time limitations are a major barrier.
  • Motivation is present but affected by workload; unmet training needs in communication, knowledge, and safety were identified.

Conclusions:

  • GPs receive practice team support, but insufficient time limits their capacity to help young people who self-harm.
  • Future interventions should focus on enhancing GP motivation and addressing time constraints for effective support.