TY  - JOUR
PY  - 2020//
TI  - Best practice when working with suicidal behaviour and self-harm in primary care: a qualitative exploration of young people's perspectives
JO  - BMJ open
A1  - Bellairs-Walsh, India
A1  - Perry, Yael
A1  - Krysinska, Karolina
A1  - Byrne, Sadhbh J.
A1  - Boland, Alexandra
A1  - Michail, Maria
A1  - Lamblin, Michelle
A1  - Gibson, Kerry L.
A1  - Lin, Ashleigh
A1  - Li, Tina Yutong
A1  - Hetrick, Sarah
A1  - Robinson, Jo
SP  - e038855
EP  - e038855
VL  - 10
IS  - 10
N2  - 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 (Mage = 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.<p />  <p>Language: en</p>
LA  - en
SN  - 2044-6055
UR  - http://dx.doi.org/10.1136/bmjopen-2020-038855
ID  - ref1
ER  -