Smith-Gowling Claire, Knowles Susan F, Hodge Suzanne
1 Division of Health Research, Furness College, Lancaster University, UK.
2 Clinical Psychology, Changing Minds Ltd, UK.
Clin Child Psychol Psychiatry. 2018 Oct;23(4):528-541. doi: 10.1177/1359104518755216. Epub 2018 Feb 27.
As adolescent self-harm is a growing public health concern, more research is needed to identify potential risk factors. Studies have highlighted that exposure to the self-harm of others may be a risk factor associated with engagement in self-harm. However, research investigating young people's experiences of the self-harm of others has been limited. This qualitative study aimed to explore young people's experiences of the self-harm of others and interviewed a total of eight young people (five females and three males; aged between 13 and 18 years) resident at one of two adolescent mental health inpatient units in the North of England. The interviews were analysed using Interpretative Phenomenological Analysis and four themes were identified: 'Pre-admission exposure to self-harm', 'Exposure on the inside: An unpleasant environment', 'Helper vs helped' and 'Separation from the attention seekers: competing for authenticity'. Prevention efforts to reduce the social transmission and stigma surrounding self-harm among young people are discussed.
由于青少年自我伤害问题日益引起公共卫生领域的关注，因此需要开展更多研究来确定潜在风险因素。研究表明，接触他人的自我伤害行为可能是与参与自我伤害相关的一个风险因素。然而，针对年轻人接触他人自我伤害行为经历的研究一直很有限。这项定性研究旨在探讨年轻人接触他人自我伤害行为的经历，并对居住在英格兰北部两个青少年心理健康住院单元之一的总共八名年轻人（五名女性和三名男性，年龄在13至18岁之间）进行了访谈。采用解释现象学分析方法对访谈进行分析，确定了四个主题：“入院前接触自我伤害行为”、“住院期间的接触：不愉快的环境”、“帮助者与被帮助者”以及“与寻求关注者分离：争夺真实性”。本文还讨论了为减少围绕年轻人自我伤害行为的社会传播和污名化所做的预防努力。
