Rissanen M-L, Kylmä J P O, Laukkanen E R
Department of Psychiatry, University Hospital of Kuopio, Kuopio, Finland.
J Psychiatr Ment Health Nurs. 2008 Apr;15(3):212-8. doi: 10.1111/j.1365-2850.2007.01214.x.
The purpose of this paper is to describe self-mutilation from the viewpoint of parents of self-mutilating Finnish adolescents. Four parents of self-mutilating adolescents were interviewed in depth. Qualitative content analysis was applied. Four main categories emerged: the phenomenon of self-mutilation, factors contributing to self-mutilation, the purposes of self-mutilation and sequels of self-mutilation. Factors contributing to self-mutilation could be divided into those relating to the adolescent and those relating to the family, especially the mother. The purposes of self-mutilation were purposes relating to the adolescent and those relating to others, while sequels of self-mutilation could be divided into sequels for the adolescent and those for the parents. Sequels of self-mutilation for the adolescent could be further divided into sequels for the adolescent herself and for the relationship with significant others, including parents, siblings and peers, and sequels in relation to healthcare staff. While knowledge of self-mutilation is inadequate among parents, it evokes strong negative emotions when it occurs in their own family. Self-mutilation should be raised by healthcare professionals and discussed in health promotion or in parents' meetings at schools.
本文旨在从芬兰青少年自残行为者父母的视角描述自残行为。对四名有自残行为青少年的父母进行了深入访谈。采用了定性内容分析法。出现了四个主要类别：自残行为现象、导致自残行为的因素、自残行为的目的以及自残行为的后果。导致自残行为的因素可分为与青少年相关的因素和与家庭尤其是母亲相关的因素。自残行为的目的是与青少年自身相关的目的以及与他人相关的目的，而自残行为的后果可分为对青少年的后果和对父母的后果。对青少年自残行为的后果可进一步细分为对青少年自身的后果、对与重要他人（包括父母、兄弟姐妹和同龄人）关系的后果以及与医护人员相关的后果。虽然父母对自残行为的了解不足，但当自残行为发生在自己家庭中时，会引发强烈的负面情绪。医护专业人员应提出自残行为这一话题，并在健康促进活动或学校家长会上进行讨论。
