TY - JOUR PY - 2013// TI - Nonsuicidal self-injury among adolescents: a training priority for primary care providers JO - Suicide and life-threatening behavior A1 - Taliaferro, Lindsay A. A1 - Muehlenkamp, Jennifer J. A1 - Hetler, Joel A1 - Edwall, Glenace A1 - Wright, Catherine A1 - Edwards, Anne A1 - Borowsky, Iris Wagman SP - 250 EP - 261 VL - 43 IS - 3 N2 - Primary care providers were surveyed to determine how prepared they feel to address nonsuicidal self-injury (NSSI) among adolescents, their interest in training on NSSI, and factors associated with routinely asking about NSSI when providing health supervision. Participants included family medicine physicians (n = 260), pediatricians (n = 127), family nurse practitioners (n = 96), and pediatric nurse practitioners (n = 54). Almost 50% felt unprepared to address NSSI, and over 70% wanted training in this area. Overall, relative to other areas of mental health care, clinicians felt least prepared to address and wanted more training on NSSI. Just 27% reported they routinely inquired about NSSI during health supervision. Factors associated with routinely asking about NSSI were identifying as female (OR = 2.37; 95% CI = 1.25-4.49), feeling better prepared to address NSSI (OR = 1.51; 95% CI = 1.04-2.20), and more frequently using a psychosocial interview to identify adolescents in distress (OR = 1.23; 95% CI = 1.02-1.48). Teaching clinicians to assess NSSI within a psychosocial interview may increase screening for and identification of the behavior among adolescents in primary care.
Language: en
LA - en SN - 0363-0234 UR - http://dx.doi.org/10.1111/sltb.12001 ID - ref1 ER -