School of Nursing, Anhui Medical University, Hefei 230032, Anhui Province, China.
School of Nursing, Peking Union Medical College, Beijing 100144, China.
Arch Psychiatr Nurs. 2023 Aug;45:26-35. doi: 10.1016/j.apnu.2023.04.016. Epub 2023 May 9.
This study aimed to investigate the attitudes of adolescents toward NSSI, and to explore their perspectives on barriers to seeking professional treatment for NSSI.
A qualitative phenomenological design was used to conduct in-depth interviews with 17 adolescents with NSSI in a psychiatric hospital in Beijing, China. Data from the 17 adolescents were analyzed using Colaizzi's 7-step analysis.
Two themes were extracted: (1) attitudes toward NSSI (normal, effective, ignorant, disgraceful); (2) subjective/objective barriers to seeking professional treatment (negative attitudes toward NSSI, fear of being regarded as an attention getter, fear of interfering with personal relationships, fear of aggravating the family burden, fear of being criticized by parents, fear of ongoing hospitalization, fear of the side effects of medication, etc.).
It is suggested to strengthen the knowledge of NSSI among adolescents, families and society, formulate interventions suitable for Chinese sociocultural backgrounds, and cultivate the specialty literacy of mental health nurses and their abilities to identify the barriers, which are required for eliminating barriers to seeking professional treatment and establishing a system for seeking full coverage of professional treatment.
本研究旨在调查青少年对非自杀性自伤（NSSI）的态度，并探讨他们对寻求 NSSI 专业治疗障碍的看法。
采用定性现象学设计，对北京一家精神病院的 17 名有 NSSI 经历的青少年进行深入访谈。对 17 名青少年的数据采用科莱齐的 7 步分析法进行分析。
提取出两个主题：（1）对 NSSI 的态度（正常、有效、无知、不光彩）；（2）寻求专业治疗的主观/客观障碍（对 NSSI 的消极态度、害怕被视为寻求关注者、害怕干扰人际关系、害怕加重家庭负担、害怕被父母批评、害怕持续住院、害怕药物副作用等）。
建议加强青少年、家庭和社会对 NSSI 的认识，制定适合中国社会文化背景的干预措施，培养精神科护士的专业素养和识别障碍的能力，以消除寻求专业治疗的障碍，并建立全面覆盖专业治疗的系统。
