Centre for Applied Research in Health, School of Human and Health Sciences, University of Huddersfield, Queensgate, Huddersfield, HD1 3DH, UK.
Institute of Health Sciences, School of Medicine, University of Leeds, 101 Clarendon Rd, Leeds, LS2 9LJ, UK.
BMC Psychiatry. 2018 Apr 11;18(1):98. doi: 10.1186/s12888-018-1681-3.
Reasons for self-harm are not well understood. One of the reasons for this is that first-hand accounts are usually elicited using traditional interview and questionnaire methods. This study aims to explore the acceptability of using an approach (photo-elicitation) that does not rely on solely verbal or written techniques, and to make a preliminary assessment of whether people can usefully employ images to support a discussion about the reasons why they self-harm.
Interviews with eight participants using photo elicitation, a method in which photographs produced by the participant are used as a stimulus and guide within the interview.
Participants responded positively to using images to support a discussion about their self-harm and readily incorporated images in the interview. Four main themes were identified representing negative and positive or adaptive purposes of self-harm: self-harm as a response to distress, self-harm to achieve mastery, self-harm as protective and self-harm as a language or form of communication.
Employing this novel approach was useful in broadening our understanding of self-harm.
人们对自残的原因还不太了解。其中一个原因是，第一手资料通常是通过传统的访谈和问卷调查方法获得的。本研究旨在探讨使用一种不依赖于单纯口头或书面技术的方法（照片诱发法）的可接受性，并初步评估人们是否可以有效地利用图像来支持关于他们自残原因的讨论。
对 8 名参与者进行了照片诱发访谈，该方法使用参与者拍摄的照片作为访谈中的刺激物和引导物。
参与者对使用图像来支持关于他们自残的讨论做出了积极的反应，并在访谈中很容易地融入了图像。确定了四个代表自残的负面和正面或适应性目的的主题：自残是对痛苦的反应、自残是为了获得掌控感、自残是一种保护、自残是一种语言或沟通形式。
采用这种新方法有助于我们更全面地了解自残。
