Box 1.

Barriers to accessing primary care for self-harm in older adults

External factors	Healthcare professionals’ attitudes and preconceptions Structure of healthcare system Disparity of care Fragmented care delivery: mind–body dualism and priority to physical health care
Practical barriers	Mobility restrictions Transportation difficulties Bureaucratic delays in healthcare delivery Limited resources/staff
Internal factors	Older adults’ attitudes and preconceptions of healthcare professionals Reluctance to seek help Health status of older adults