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青少年自我伤害行为:父母支持孩子及寻求帮助的经历

Adolescent self-harm: Parents' experiences of supporting their child and help-seeking.

作者信息

Townsend Michelle L, Matthews Emily L, Miller Caitlin E, Grenyer Brin Fs

机构信息

School of Psychology, University of Wollongong, Wollongong, NSW, Australia.

Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW, Australia.

出版信息

J Child Health Care. 2023 Dec;27(4):516-530. doi: 10.1177/13674935211062334. Epub 2022 Mar 22.

Abstract

Self-harm in children and adolescents is a growing public health issue. Parents are forefront in identifying, responding to and supporting their child to seek help. A sequential mixed-method study which included an online survey ( = 37) and a semi-structured interview ( = 10) was conducted to understand parents' experiences of supporting and accessing help for their child. Parents ( = 45.70 years, = 6.18) with a child who has engaged in self-harm behaviours ( = 16.89 years, 3.91) participated. Parents sought help from a range of services and perceived psychiatrists, private psychologists and friends as the most helpful and school psychologists, paediatricians, Emergency Department (ED) and the national youth mental health organisation as the least helpful. Two themes were interpreted from the qualitative data: (1) , and (2) . A series of recommendations for other parents in similar situations, as well as health professionals were made. Parents want health professionals to provide appropriate referrals, work collaboratively with families, meaningfully connect with and validate parents, provide practical and psychological support for families and establish parent support groups. There remains a need for widely available evidence-informed resources, information and support for parents.

摘要

儿童和青少年的自我伤害是一个日益严重的公共卫生问题。父母在识别、应对并支持孩子寻求帮助方面处于前沿位置。开展了一项序贯混合方法研究,其中包括一项在线调查(n = 37)和一次半结构化访谈(n = 10),以了解父母在支持孩子并为其寻求帮助方面的经历。参与研究的父母(平均年龄 = 45.70岁,标准差 = 6.18)育有从事自我伤害行为的孩子(平均年龄 = 16.89岁,标准差 = 3.91)。父母向一系列服务机构寻求帮助,他们认为精神科医生、私人心理医生和朋友最有帮助,而学校心理医生、儿科医生、急诊科和国家青少年心理健康组织最没有帮助。从定性数据中解读出两个主题:(1)……,以及(2)……。针对处于类似情况的其他父母以及健康专业人员提出了一系列建议。父母希望健康专业人员提供适当的转诊服务,与家庭合作,与父母进行有意义的沟通并认可他们,为家庭提供实际和心理支持,并建立父母支持小组。仍然需要为父母提供广泛可得的基于证据的资源、信息和支持。

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