Healthcare practitioners' views of self-harm management practices in older adults in Ireland: A qualitative study.
management
older people
qualitative
self‐harm
suicide
Journal
International journal of geriatric psychiatry
ISSN: 1099-1166
Titre abrégé: Int J Geriatr Psychiatry
Pays: England
ID NLM: 8710629
Informations de publication
Date de publication:
Jul 2024
Jul 2024
Historique:
received:
30
08
2023
accepted:
17
06
2024
medline:
27
6
2024
pubmed:
27
6
2024
entrez:
26
6
2024
Statut:
ppublish
Résumé
To explore healthcare practitioners' views on management practices of self-harm in older adults. Semi-structured interviews were conducted with healthcare practitioners, including consultant psychiatrists, general practitioners, clinical psychologists, psychotherapists, clinical nurse specialists and social workers. Purposeful sampling was used to recruit participants in the Republic of Ireland ensuring diverse perspectives of healthcare practitioners were included. Healthcare practitioners were recruited advertising via professional and clinical research networks, social media, and snowballing methods. Interviews were audio-recorded, transcribed verbatim, and analysed using reflexive thematic analysis. We conducted interviews with 20 healthcare practitioners from April to July 2023. Three main themes were generated: first, a perceived greater risk of suicide, and increased awareness of complexity in older adults' self-harm presentations. Second, integrated care as an avenue for improving the management of self-harm in older adults. Third, the importance of safety planning in risk assessments of older adults. Healthcare practitioners viewed self-harm in older adults as complex, challenging, and associated with high suicide risk, approaching patients with care and caution. The need for integrated support and improved collaboration between relevant healthcare practitioners was identified. Suggestions were made for primary care having a lead role in identifying and managing older adults after self-harm. Increased mental health promotion and awareness of mental health and self-harm in this age group would help address current stigma and shame.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e6116Subventions
Organisme : Irish Research Council
ID : GOIPD/2021/3
Organisme : National Institute for Health and Care Research
Informations de copyright
© 2024 The Author(s). International Journal of Geriatric Psychiatry published by John Wiley & Sons Ltd.
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