Mughal, F, Dikomitis, L, Babatunde, O and Chew-Graham, CA (2021) Experiences of general practice care for self-harm: a qualitative study of young people's perspectives. British Journal of General Practice, 71 (711). E744-E752. ISSN 0960-1643

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BACKGROUND: Self-harm is a growing concern and rates of self-harm in young people presenting to general practice are rising. There is however an absence of evidence on young people's experiences of GP care and on accessing general practice. AIM: To explore the help-seeking behaviours, experiences of GP care, and access to general practice for young people who self-harm. DESIGN AND SETTING: Semi-structured interviews were conducted with young people aged 16-25 from England with previous self-harm behaviour. METHOD: Interviews with 13 young people occurred between April and November 2019. Young people were recruited from the community, third-sector organisation, and Twitter. Data were analysed using reflexive thematic analysis with principles of constant comparison. A patient and public involvement advisory group informed recruitment strategies and supported interpretation of findings. RESULTS: Young people described avenues of help-seeking they employ and reflected on mixed experiences of seeing GPs which can influence future help-seeking. Preconceptions and a lack of knowledge on accessing general practice were found to be barriers to help-seeking. GPs who attempted to understand the young person and establishing relationship-based care can facilitate young people accessing general practice care for self-harm. CONCLUSION: It is therefore important young people are aware how to access general practice care and that GPs listen, understand, and proactively follow-up young people who self-harm. Supporting young people with self-harm behaviour requires continuity of care.

Item Type: Article
Additional Information: Copyright © 2021, The Authors This article is Open Access: CC BY license ( This is an ‘author accepted manuscript’: a manuscript that has been accepted for publication in British Journal of General Practice, but which has not yet undergone subediting, typesetting, or correction. Errors discovered and corrected during this process may materially alter the content of this manuscript, and the latest published version (the Version of Record) should be used in preference to any preceding versions
Uncontrolled Keywords: family medicine; help-seeking behaviour; primary healthcare; qualitative research; self-injurious behaviour; youth
Subjects: R Medicine > R Medicine (General) > R735 Medical education. Medical schools. Research
R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RC Internal medicine > RC435 Psychiatry
Divisions: Faculty of Medicine and Health Sciences > School of Medicine
Related URLs:
Depositing User: Symplectic
Date Deposited: 07 May 2021 10:57
Last Modified: 25 Mar 2022 16:17

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