Byrne Sinéad, Morgan Sophia, Fitzpatrick Carol, Boylan Carole, Crowley Sinéad, Gahan Hilary, Howley Julie, Staunton Dorothy, Guerin Suzanne
The Children's University Hospital, Dublin, Ireland.
Clin Child Psychol Psychiatry. 2008 Oct;13(4):493-504. doi: 10.1177/1359104508096765.
Deliberate Self-harm (DSH) is a serious public health problem and is becoming more prevalent among young people in Ireland. Research tends to focus on the DSH patient. However, parental involvement is recognized as an important factor in their child's prognosis. This study aimed to describe parents' and carers' experiences of self-harm in their child in order to identify their support needs. A focus group methodology was used to generate qualitative data. Representative participants whose children had engaged in suicidal behaviour were recruited from the Paediatric Emergency, Child and Adolescent Mental Health Teams and Family Support Services. Twenty-five participants attended the focus group meeting. A transcript-based conceptual analysis was conducted to identify and explore emerging themes. Participants expressed the need for support; information about suicidal behaviour in young people; skills for parenting an adolescent; and advice on managing further incidents. Parents described significant difficulties in family communication, in parent-child relationships, and in the area of discipline following self-harm. These findings support current research that identifies the need for service development and information for parents/carers of young people who self-harm.
蓄意自伤（DSH）是一个严重的公共卫生问题，且在爱尔兰年轻人中愈发普遍。研究往往聚焦于蓄意自伤患者。然而，父母的参与被认为是影响其子女预后的一个重要因素。本研究旨在描述父母及照料者对其子女自伤经历的感受，以便确定他们的支持需求。采用焦点小组方法来收集定性数据。从儿科急诊、儿童及青少年心理健康团队以及家庭支持服务机构招募了其子女有自杀行为的代表性参与者。25名参与者参加了焦点小组会议。进行了基于文字记录的概念分析，以识别和探究新出现的主题。参与者表示需要支持；需要有关年轻人自杀行为的信息；需要养育青少年的技能；以及需要应对后续事件的建议。父母们描述了在家庭沟通、亲子关系以及自伤后的管教方面存在的重大困难。这些发现支持了当前的研究，即确定了为自伤年轻人的父母/照料者提供服务发展和信息的必要性。
