Florindo Salvador Vanessa, Gouveia-Pereira Maria, Simões Beatriz, Duarte Eva
Applied Psychology Research Center Capabilities and Inclusion (APPsyCI), ISPA, Instituto Universitário, Lisbon, Portugal.
Applied Psychology Research Center Capabilities and Inclusion (APPsyCI), ISPA, Instituto Universitário, Lisbon, Portugal.
Psychiatry Res. 2023 Sep;327:115390. doi: 10.1016/j.psychres.2023.115390. Epub 2023 Jul 30.
In Portugal, the lifetime prevalence of DSH in adolescents is situated between 16% and 35% (Duarte et al., 2020a; Gouveia-Pereira et al., 2016). Help-seeking is an important facilitator to stop these behaviors, although it is known that most individuals who engage in self-harm do not ask for help (Rowe et al., 2014). Study one (n = 222) examines the differences between two groups of young adults with a history of deliberate self-harm (participants who asked for help and participants who did not ask for help) regarding these behaviors' severity and diversity, suicidal ideation, and family conflicts. Participants completed a self-report questionnaire which included an open-ended question focused on the reasons that may or may not contribute for seeking help. Significant differences between the two groups were found for all variables and are further discussed, followed by a qualitative analysis concerning the help-seeking motives. Study two (n = 110) used a self-report questionnaire to analyze the expectations of young adults with a history of deliberate self-harm concerning their social support network and the role of healthcare workers when they asked or thought about asking for help. These expectations included contents related with problem-solving, confidentiality, understanding and trust, support, and unburdening. Identifying facilitators and barriers to help-seeking can be a relevant step in planning and managing interventions within deliberate self-harm. Future directions and limitations are discussed.
在葡萄牙，青少年非自杀性自伤的终生患病率在16%至35%之间（杜阿尔特等人，2020年a；古韦亚 - 佩雷拉等人，2016年）。寻求帮助是停止这些行为的重要促进因素，尽管已知大多数进行自我伤害的人不会寻求帮助（罗等人，2014年）。研究一（n = 222）考察了两组有故意自伤史的年轻人（寻求帮助的参与者和未寻求帮助的参与者）在这些行为的严重程度和多样性、自杀意念以及家庭冲突方面的差异。参与者完成了一份自我报告问卷，其中包括一个开放式问题，重点是可能有助于或无助于寻求帮助的原因。在所有变量上均发现两组之间存在显著差异，并将进一步讨论，随后是关于寻求帮助动机的定性分析。研究二（n = 110）使用自我报告问卷来分析有故意自伤史的年轻人对其社会支持网络的期望以及医护人员在他们寻求或考虑寻求帮助时的作用。这些期望包括与解决问题、保密、理解和信任、支持以及倾诉相关的内容。识别寻求帮助的促进因素和障碍可能是规划和管理故意自伤干预措施的一个相关步骤。本文还讨论了未来的方向和局限性。
