Role of the general practitioner in providing early intervention for youth mental health: a mixed methods investigation

Abstract

The research outlined potential implications for clinical practice, research and education such as promoting awareness of mental health and the role of the GP in helping these issues, education of practitioners and improving access to psychological treatments.

Screening for adolescent suicidality in primary care: the bullying–insomnia–tobacco–stress test. A population‐based pilot study

“…Having been disclosed, the situation will necessitate evaluation calibrated to the imminence of the danger. Although this simple and practical signalling method can be of help, a number of different parameters tend to prevent a general practitioner from investing himself and providing early intervention for youth mental health: patients' families' attitudes, lack of availability and specialized staff and limited interagency coordination …”

“…Although this simple and practical signalling method can be of help, a number of different parameters tend to prevent a general practitioner from investing himself and providing early intervention for youth mental health: patients' families' attitudes, lack of availability and specialized staff and limited interagency coordination. 38 This study is only a preliminary approach. Validation of the test shall depend on the development of studies appraising its use in a general medicine customer base over a widened age span first in different French-speaking regions and subsequently, in English-speaking countries.…”

Psychiatric Emergencies

“…8 Many providers lack the time, space, access to subspecialty care, and mental health training to appropriately assess and manage suicidal patients. 9,10 In a study of 50 primary care providers who lost a patient to suicide, 88% of these patients endorsed suicidal ideation at their last visit, but such comments were at times felt to be attention-seeking or not significantly different from baseline. Providers also struggled with limited access to mental health services for their patients.…”

Detection of adolescent suicidality in primary care: an international utility study of the bullying‐insomnia‐tobacco‐stress test

“…They claim to have neither the necessary time nor the requisite skills, and they also mention poor service availability (Leahy et al, 2018;O'Brien, Harvey, Howse, Reardon, & Creswell, 2016). Although many instruments have been proposed to screen for suicidal risk, none are truly suited for use with adolescents in primary care (O'Connor, Gaynes, Burda, Williams, & Whitlock, 2013).…”