Mughal Faraz, Troya M Isabela, Dikomitis Lisa, Tierney Stephanie, Corp Nadia, Evans Nicola, Townsend Ellen, Chew-Graham Carolyn A
School of Medicine, Keele University, Keele ST5 5BG, United Kingdom.
University College Cork, Cork, Ireland.
EClinicalMedicine. 2022 May 9;48:101437. doi: 10.1016/j.eclinm.2022.101437. eCollection 2022 Jun.
Self-harm in young people is a serious international health concern that impacts on those providing informal support: the supporting individuals of young people. We aimed to highlight the experiences, views, and needs of these supporting individuals of young people. We conducted a systematic review and thematic synthesis: PROSPERO CRD42020168527. MEDLINE, PsycINFO, EMBASE, AMED, CINAHL, ASSIA, and Web of Science were searched from inception to 6 May 2020 with citation tracking of eligible studies done on 1 Oct 2021. Primary outcomes were experiences, perspectives, and needs of parents, carers, or other family members of young people aged 12-25. Searches found 6167 citations, of which 22 papers were included in synthesis. Supporting individuals seek an explanation for and were personally affected by self-harm in young people. It is important that these individuals are themselves supported, especially as they negotiate new identities when handling self-harm in young people, as they attempt to offer support. The GRADE-CERQual confidence in findings is moderate. Recommendations informed by the synthesis findings are made for the future development of interventions. Clinicians and health service providers who manage self-harm in young people should incorporate these identified unmet needs of supporting individuals in a holistic approach to self-harm care. Future research must co-produce and evaluate interventions for supporting individuals.
FM was supported by a NIHR School for Primary Care Research GP Career Progression Fellowship (SCPR-157 2020-20) to undertake this review and is now funded by a NIHR Doctoral Fellowship (NIHR300957). CCG is part-funded by the NIHR Applied Research Collaboration West Midlands.
年轻人的自我伤害是一个严重的国际健康问题，会影响到提供非正式支持的人：年轻人的支持个体。我们旨在强调这些年轻人支持个体的经历、观点和需求。我们进行了一项系统综述和主题综合分析：国际系统评价前瞻性注册库编号CRD42020168527。检索了MEDLINE、PsycINFO、EMBASE、AMED、CINAHL、ASSIA和Web of Science数据库，检索时间从建库至2020年5月6日，并于2021年10月1日对符合条件的研究进行了引文追踪。主要结局是12至25岁年轻人的父母、照料者或其他家庭成员的经历、观点和需求。检索共找到6167条引文，其中22篇论文被纳入综合分析。支持个体寻求对年轻人自我伤害的解释并受到其个人影响。重要的是，这些个体自身也需要得到支持，尤其是当他们在处理年轻人的自我伤害问题时协商新的身份并试图提供支持的时候。对研究结果的GRADE-CERQual信心为中等。根据综合分析结果提出了干预措施未来发展的建议。处理年轻人自我伤害问题的临床医生和卫生服务提供者应以整体的自我伤害护理方法纳入这些已确定的支持个体未满足的需求。未来的研究必须共同制定并评估针对支持个体的干预措施。
FM得到了国家卫生研究院初级保健研究学院全科医生职业发展奖学金（SCPR-157 2020-20）的支持以进行本综述，目前由国家卫生研究院博士奖学金（NIHR300957）资助。CCG部分由国家卫生研究院西米德兰兹应用研究合作项目资助。
