TY - JOUR PY - 2021// TI - Working with young people at risk of suicidal behaviour and self-harm: a qualitative study of Australian general practitioners' perspectives JO - International journal of environmental research and public health A1 - Bellairs-Walsh, India A1 - Byrne, Sadhbh J. A1 - Bendall, Sarah A1 - Perry, Yael A1 - Krysinska, Karolina A1 - Lin, Ashleigh A1 - Michail, Maria A1 - Lamblin, Michelle A1 - Li, Tina Yutong A1 - Hetrick, Sarah A1 - Robinson, Jo SP - e12926 EP - e12926 VL - 18 IS - 24 N2 - General Practitioners (GPs) play a crucial role in the identification and support of young people at risk of suicidal behaviour and self-harm; however, no studies have explored GPs' perspectives, approaches, challenges, and resource needs when working with this cohort in an Australian setting. This was a qualitative study where fifteen GPs (Mage = 45.25 years) from multiple clinics in Western Australia took part in semi-structured interviews, and data were analysed thematically. Seven main themes were identified: (1) working with young people has its unique challenges; (2) screening and assessment tools can help to manage uncertainty and discomfort; (3) going beyond tools-the dialogue and relationship are most important; (4) there are limits to what we can offer in the time available; (5) the service access and referral pathways lack clarity and coordination; (6) the provision of mental health support should not fall on GPs alone; and (7) more comprehensive training in suicide and self-harm is needed. The findings highlight a number of opportunities to enhance care and better assist GPs working with young people who present with suicidal behaviour and self-harm, including considerations for conducting assessments, targeted resources such as training, and system and service improvements.

Language: en

LA - en SN - 1661-7827 UR - http://dx.doi.org/10.3390/ijerph182412926 ID - ref1 ER -