Experiences of general practice care for self-harm: A qualitative study of young people's perspectives

Journal article


Mughal, F., Dikomitis, L., Babtunde, O.O. and Chew-Graham, C. A. 2021. Experiences of general practice care for self-harm: A qualitative study of young people's perspectives. British Journal of General Practice (BJGP). 71 (711), pp. 3744-e752. https://doi.org/10.3399/BJGP.2021.0091
AuthorsMughal, F., Dikomitis, L., Babtunde, O.O. and Chew-Graham, C. A.
Abstract

Background Self-harm is a growing concern and rates of self-harm in young people (aged 12–25 years) presenting to general practice are rising. There is, however, little evidence about 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 of young people who self-harm.

Design and setting In this qualitative study, semi-structured interviews were conducted with young people aged 16–25 years from England with previous self-harm behaviour.

Method Interviews with 13 young people took place between April and November 2019. Young people were recruited from the community, third-sector organisations, 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 the avenues of help-seeking they employ and reflected on the mixed experiences of seeing GPs that can influence future help-seeking. Preconceptions and a lack of knowledge about accessing general practice were found to be barriers to help-seeking. GPs who attempt to understand the young person and establish relationship-based care can facilitate young people accessing general practice for self-harm.

Conclusion It is important young people are aware of how to access general practice 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.

KeywordsFamily medicine; Help-seeking behaviour; Primary healthcare; Qualitative research; Self-injurious behaviour; Youth
Year2021
JournalBritish Journal of General Practice (BJGP)
Journal citation71 (711), pp. 3744-e752
PublisherRoyal College of General Practitioners
ISSN0960-1643
1478-5242
Digital Object Identifier (DOI)https://doi.org/10.3399/BJGP.2021.0091
Official URLhttps://bjgp.org/content/71/711/e744
Publication dates
Online30 Sep 2021
Publication process dates
Accepted26 Apr 2021
Deposited31 May 2023
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