Berger Emily, Hasking Penelope, Reupert Andrea
School of Rural and Indigenous Health, Monash University, Clayton, Victoria, Australia 3800.
School of Psychology and Speech Pathology, Curtin University, Bentley, Western Australia, Australia 6102.
J Sch Health. 2015 Sep;85(9):629-47. doi: 10.1111/josh.12292.
Nonsuicidal self-injury (NSSI) is an increasing and serious concern in schools. The purpose of this study was to determine the suitability of a new policy for responding to NSSI in schools.
Teachers and other school staff, including year level coordinators, psychologists, and counselors, N = 48, reviewed a policy for addressing NSSI in schools and provided written feedback.
The majority of staff worked in schools without a policy regarding NSSI, or were unsure whether their school had such a policy. Participants were generally positive about the presented policy and supported its implementation in schools. Perceived challenges to policy implementation included a lack of knowledge about NSSI among staff and limited referral services available to students who self-injure. Suggested changes included developing a flowchart of the referral process and increasing collaboration between school staff, changes which were subsequently implemented.
Awareness and education for school staff regarding NSSI combined with school policies for responding to adolescents who self-injure are recommended to enhance management of NSSI in schools, and improve the health and well-being of adolescents who self-injure.
非自杀性自伤行为（NSSI）在学校中日益受到关注且问题严重。本研究旨在确定一项针对学校中NSSI的新应对政策的适用性。
教师及其他学校工作人员，包括年级协调员、心理学家和辅导员，共48人，审阅了一项针对学校中NSSI的应对政策并提供书面反馈。
大多数工作人员所在学校没有关于NSSI的政策，或者不确定他们的学校是否有此类政策。参与者对所呈现的政策总体持积极态度，并支持在学校实施该政策。政策实施中察觉到的挑战包括工作人员对NSSI缺乏了解，以及为自伤学生提供的转介服务有限。建议的改进措施包括制定转介流程的流程图以及加强学校工作人员之间的协作，这些改进措施随后得以实施。
建议对学校工作人员进行关于NSSI的认识和教育，并结合针对自伤青少年的学校应对政策，以加强学校对NSSI的管理，改善自伤青少年的健康和福祉。
