Nonsuicidal Self-Injury among Adolescents: A Training Priority for Primary Care Providers
| Autor: | Joel Hetler, Lindsay A. Taliaferro, Anne R. Edwards, Iris W. Borowsky, Catherine Wright, Glenace Edwall, Jennifer J. Muehlenkamp |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Poison control Occupational safety and health Sex Factors Physicians Surveys and Questionnaires Injury prevention Self-destructive behavior Humans Pediatric Nurse Practitioner Medicine Psychiatry Primary Health Care business.industry Public Health Environmental and Occupational Health people.profession Mental health Psychiatry and Mental health Clinical Psychology Distress Adolescent Behavior Health Care Surveys Female medicine.symptom people business Self-Injurious Behavior Psychosocial |
| Zdroj: | Suicide and Life-Threatening Behavior. 43:250-261 |
| ISSN: | 0363-0234 |
| Popis: | 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 |
| Databáze: | OpenAIRE |
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