@article{ref1,
title="Role of primary care in supporting older adults who self-harm: a qualitative study in England",
journal="British journal of general practice",
year="2019",
author="Troya, M. Isabela and Chew-Graham, Carolyn A. and Babatunde, Opeyemi O. and Bartlam, Bernadette and Mughal, Faraz and Dikomitis, Lisa",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="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. <br><br>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 follow-up interview. <br><br>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. <br><br>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. <br><br>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.<br><br>© British Journal of General Practice 2019.<p /> <p>Language: en</p>",
language="en",
issn="0960-1643",
doi="10.3399/bjgp19X706049",
url="http://dx.doi.org/10.3399/bjgp19X706049"
}