Changing Minds, Warrington, UK.
Lancaster University, Lancaster, UK.
Clin Child Psychol Psychiatry. 2021 Apr;26(2):418-429. doi: 10.1177/1359104520980037. Epub 2020 Dec 13.
Levels of self-harm for young people in care are high, and even higher for those in residential care. Recent research highlights the importance of understanding self-harm relationally. Such an approach may be of particular value for understanding the self-harm of young people in care. The aim of this research was to understand the experiences of young people who self-harm whilst living in residential care, with a particular focus on the effect of the care setting on their self-harm. Five young people participated in semi-structured interviews which were analysed using Interpretive Phenomenological Analysis. Four themes emerged: 'The black hole of self-harm', 'Seeking genuine care and containment', 'The cry to be understood' and 'Loss of control to the system.' Young people recognised their need for support with their self-harm, but organisationally driven approaches to managing risk contributed to a perception that the care offered was not genuine, which led to an unwillingness to accept care. The findings highlight the need for a more compassionate, relational response to young people who self-harm in residential care.
照料中的年轻人自残水平很高，而在住宿照料中的年轻人自残水平更高。最近的研究强调了理解关系中自残现象的重要性。这种方法对于理解照料中的年轻人的自残行为可能特别有价值。本研究的目的是了解在住宿照料中自残的年轻人的经历，特别关注照料环境对他们自残行为的影响。五名年轻人参加了半结构化访谈，采用解释现象学分析方法进行了分析。出现了四个主题：“自残的黑洞”、“寻求真正的关怀和包容”、“渴望被理解”和“对系统失去控制”。年轻人认识到他们需要支持来应对自残问题，但组织驱动的风险管理方法导致他们认为所提供的关怀不真诚，从而不愿意接受关怀。研究结果强调了需要对在住宿照料中自残的年轻人采取更富有同情心、更具关系性的回应。
