dc.contributor.author |
Bellairs-Walsh, India |
|
dc.contributor.author |
Perry, Yael |
|
dc.contributor.author |
Krysinska, Karolina |
|
dc.contributor.author |
Byrne, Sadhbh J |
|
dc.contributor.author |
Boland, Alexandra |
|
dc.contributor.author |
Michail, Maria |
|
dc.contributor.author |
Lamblin, Michelle |
|
dc.contributor.author |
Gibson, Kerry L |
|
dc.contributor.author |
Lin, Ashleigh |
|
dc.contributor.author |
Li, Tina Yutong |
|
dc.contributor.author |
Hetrick, Sarah |
|
dc.contributor.author |
Robinson, Jo |
|
dc.coverage.spatial |
England |
|
dc.date.accessioned |
2021-01-11T18:52:48Z |
|
dc.date.available |
2021-01-11T18:52:48Z |
|
dc.date.issued |
2020-10-28 |
|
dc.identifier.citation |
BMJ open 10(10):e038855 28 Oct 2020 |
|
dc.identifier.issn |
2044-6055 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/54113 |
|
dc.description.abstract |
OBJECTIVES:General practitioners (GPs) have a key role in supporting young people who present with suicidal behaviour/self-harm. However, little is known about young people's opinions and experiences related to GPs' practices for such presentations, and their decisions to disclose suicidal behaviour/self-harm to GPs. Additionally, existing guidelines for the management of suicide risk and/or self-harm have not incorporated young people's perspectives. This study aimed to explore young people's views and experiences related to the identification, assessment and care of suicidal behaviour and self-harm in primary care settings with GPs. DESIGN, SETTING AND PARTICIPANTS:Two qualitative focus groups were conducted in Perth, Western Australia, with 10 young people in total (M age = 20.67 years; range: 16-24). Data were collected using a semistructured, open-ended interview schedule and analysed using thematic analysis. RESULTS:Five major themes were identified from the focus groups. (1) Young people wanted a collaborative dialogue with GPs, which included being asked about suicidal behaviour/self-harm, informed of treatment processes and having autonomy in decision making; (2) young people were concerned with a loss of privacy when disclosing suicidal behaviour/self-harm; (3) young people viewed labels and assessments as problematic and reductionist-disliking the terms 'risk' and 'risk assessment', and assessment approaches that are binary and non-holistic; (4) young people highlighted the importance of GPs' attitudes, with a genuine connection, attentiveness and a non-judgemental demeanour seen as paramount; and (5) young people wanted to be provided with practical support and resources, followed-up, and for GPs to be competent when working with suicidal behaviour/self-harm presentations. CONCLUSIONS:Our study identified several concerns and recommendations young people have regarding the identification, assessment and care of suicidal behaviour/self-harm in primary care settings. Taken together, these findings may inform the development of resources for GPs, and support progress in youth-oriented best practice. |
|
dc.format.medium |
Electronic |
|
dc.language |
eng |
|
dc.publisher |
BMJ |
|
dc.relation.ispartofseries |
BMJ open |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc/4.0/ |
|
dc.subject |
child & adolescent psychiatry |
|
dc.subject |
mental health |
|
dc.subject |
primary care |
|
dc.subject |
qualitative research |
|
dc.subject |
quality in health care |
|
dc.subject |
suicide & self-harm |
|
dc.subject |
Science & Technology |
|
dc.subject |
Life Sciences & Biomedicine |
|
dc.subject |
Medicine, General & Internal |
|
dc.subject |
General & Internal Medicine |
|
dc.subject |
suicide & |
|
dc.subject |
self-harm |
|
dc.subject |
primary care |
|
dc.subject |
qualitative research |
|
dc.subject |
mental health |
|
dc.subject |
quality in health care |
|
dc.subject |
child & |
|
dc.subject |
adolescent psychiatry |
|
dc.subject |
MENTAL-HEALTH |
|
dc.subject |
RISK |
|
dc.subject |
ADOLESCENTS |
|
dc.subject |
DEPRESSION |
|
dc.subject |
YOUTH |
|
dc.subject |
HELP |
|
dc.subject |
CHILDREN |
|
dc.subject |
INTERVIEWS |
|
dc.subject |
ENGAGEMENT |
|
dc.subject |
PREDICTION |
|
dc.subject |
1103 Clinical Sciences |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.subject |
1199 Other Medical and Health Sciences |
|
dc.title |
Best practice when working with suicidal behaviour and self-harm in primary care: a qualitative exploration of young people's perspectives. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1136/bmjopen-2020-038855 |
|
pubs.issue |
10 |
|
pubs.begin-page |
e038855 |
|
pubs.volume |
10 |
|
dc.date.updated |
2020-12-03T11:27:17Z |
|
dc.rights.holder |
Copyright: The authors |
en |
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/33115897 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
research-article |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
827311 |
|
dc.identifier.eissn |
2044-6055 |
|
dc.identifier.pii |
bmjopen-2020-038855 |
|
pubs.number |
ARTN e038855 |
|
pubs.online-publication-date |
2020-10-28 |
|