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Role of primary care in supporting older adults who self-harm:

Troya, M.I., Chew-Graham, C.A., Babatunde, O., Mughal, F., Bartlam, B., Dikomitis, Lisa (2019) Role of primary care in supporting older adults who self-harm:. British Journal of General Practice, 69 (688). E740-E751. ISSN 0960-1643. (doi:10.3399/bjgp19X706049) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:98468)

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Background Self-harm and suicide are major public health concerns. Self-harm is the strongest risk factor for suicide, with the highest suicide rates reported in older populations. Little is known about how older adults access care following self-harm, but they are in frequent contact with primary care. Aim To identify and explore barriers and facilitators to accessing care within primary care for older adults who self-harm. Design and setting An exploratory qualitative methods study using semi-structured interviews with older adults and third-sector workers in England. Older adults were invited to participate in one followup interview. Method Interviews occurred between September 2017 and September 2018. These were audio-recorded, transcribed verbatim, and data analysed thematically. A patient and public involvement and engagement group contributed to the study design, data analysis, and interpretation. Results A total of 24 interviews with nine older adults and seven support workers, including eight follow-up interviews with older adults, were conducted. Three themes emerged: help-seeking decision factors; sources of support; and barriers and facilitators to accessing primary care. Conclusion Despite older adults’ frequent contact with GPs, barriers to primary care existed, which included stigma, previous negative experiences, and practical barriers such as mobility restrictions. Older adults’ help-seeking behaviour was facilitated by previous positive experiences. Primary care is a potential avenue for delivering effective self-harm support, management, and suicide prevention in older adults. Given the complex nature of self-harm, there is a need for primary care to work with other sectors to provide comprehensive support to older adults who self-harm.

Item Type: Article
DOI/Identification number: 10.3399/bjgp19X706049
Uncontrolled keywords: Deliberate self-harm, Frail older adults, Primary care, Qualitative research, adult, aged, Article, automutilation, clinical decision making, female, follow up, health care access, help seeking behavior, human, male, middle aged, population risk, primary medical care, risk factor, suicide, automutilation, England, general practice, health care delivery, needs assessment, physician attitude, psychology, qualitative research, social stigma, suicide, videorecording, walking difficulty, Aged, England, Female, Follow-Up Studies, General Practice, Health Services Accessibility, Humans, Male, Middle Aged, Mobility Limitation, Needs Assessment, Physician's Role, Qualitative Research, Self-Injurious Behavior, Social Stigma, Suicide, Video Recording
Subjects: R Medicine
Divisions: Divisions > Division of Natural Sciences > Kent and Medway Medical School
Depositing User: Manfred Gschwandtner
Date Deposited: 30 Nov 2022 17:35 UTC
Last Modified: 30 Nov 2022 17:35 UTC
Resource URI: (The current URI for this page, for reference purposes)

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