Mughal, F ORCID: https://orcid.org/0000-0002-5437-5962, Troya, MI, Dikomitis, L ORCID: https://orcid.org/0000-0002-5752-3270, Chew-Graham, CA ORCID: https://orcid.org/0000-0002-9722-9981, Corp, N ORCID: https://orcid.org/0000-0002-6758-9513 and Babatunde, OO ORCID: https://orcid.org/0000-0002-5064-6446 (2020) Role of the GP in the management of patients with self-harm behaviour: a systematic review. British Journal of General Practice, 70 (694).

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Abstract

BACKGROUND: Self-harm is a serious risk factor for suicide, a major public health concern, and a significant burden on the NHS. Rates of self-harm presentation in primary care are rising and GPs interact with patients both before and after they have self-harmed. There is significant public and political interest in reducing rates of self-harm, but there has been no robust synthesis of the existing literature on the role of GPs in the management of patients who self-harm. AIM: This study aimed to explore the role of the GP in the management of patients with self-harm behaviour. DESIGN AND SETTING: A systematic review and narrative synthesis of primary care literature. METHOD: This systematic review was conducted and is reported in line with PRISMA guidance. Electronic databases systematically searched were MEDLINE, PsycINFO, EMBASE, CINAHL, Web of Science, and AMED. Two independent reviewers conducted study screening and selection, data extraction, and quality appraisal of all included studies. Thematic analysis was conducted. RESULTS: From 6976 unique citations, 12 studies met eligibility criteria and were included. These 12 studies, published from 1997-2016, of 789 GPs/family medicine physicians from Europe, the US, and Australia were of good methodological quality. Five themes were identified for facilitating GP management of self-harm: GP training, improved communication, service provision, clinical guidelines, and young people. Four barriers for GP management of self-harm were identified: assessment, service provision, local, and systemic factors. CONCLUSION: GPs recognise self-harm as a serious risk factor for suicide, but some feel unprepared for managing self-harm. The role of the GP is multidimensional and includes frontline assessment and treatment, referral to specialist care, and the provision of ongoing support.

Item Type: Article
Additional Information: The final edition of this article and the relevant information can be found at; https://bjgp.org/content/early/2020/02/10/bjgp20X708257
Uncontrolled Keywords: GP, Management, Patients, Self-harm, review.
Subjects: H Social Sciences > H Social Sciences (General)
Q Science > Q Science (General)
R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Medicine and Health Sciences > School of Primary, Community and Social Care
Related URLs:
Depositing User: Symplectic
Date Deposited: 06 May 2020 15:28
Last Modified: 21 May 2020 09:01
URI: http://eprints.keele.ac.uk/id/eprint/7645

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