Nonsuicidal Self-Injury among Adolescents: A Training Priority for Primary Care Providers

Autor/inn/en	Taliaferro, Lindsay A.; Muehlenkamp, Jennifer J.; Hetler, Joel; Edwall, Glenace; Wright, Catherine; Edwards, Anne; Borowsky, Iris W.
Titel	Nonsuicidal Self-Injury among Adolescents: A Training Priority for Primary Care Providers
Quelle	In: Suicide and Life-Threatening Behavior, 43 (2013) 3, S.250-261 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0363-0234
DOI	10.1111/sltb.12001
Schlagwörter	Self Destructive Behavior; Injuries; Adolescents; Physicians; Mental Health; Health Services; Gender Differences; Primary Health Care; Correlation; Medical Education; Identification; Emotional Disturbances; Psychological Evaluation; Online Surveys; Multivariate Analysis; Minnesota + Suchen Sie Ihr Suchwort? Self destrucive behaviour; Selbstzerstörung; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Physician; Doctor; Arzt; Psychohygiene; Health service; Gesundheitsdienst; Gesundheitswesen; Geschlechterkonflikt; Gesundheitsvorsorge; Korrelation; Medizinische Ausbildung; Identifikation; Identifizierung; Gefühlsstörung; Psychosoziale Beurteilung; Multivariate Analyse
Abstract	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. (Contains 3 tables and 1 figure.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10