Andersson H, Svensson E, Magnusson A, Holmqvist R, Zetterqvist M
Center for Social and Affective Neuroscience, Department of Biomedical and Clinical Sciences, Linköping university, Linköping, Sweden.
Department of Behavioural Sciences and Learning, Linköping university, Linköping, Sweden.
Child Adolesc Psychiatry Ment Health. 2024 Jan 20;18(1):16. doi: 10.1186/s13034-024-00706-2.
Nonsuicidal self-injury (NSSI) is associated with stigma, and negative attitudes among healthcare professionals toward NSSI have been reported. A person-centered approach that focuses on how individuals with lived experience of NSSI perceive the treatment and care they receive is invaluable in reducing barriers to help-seeking and improving treatment and mental healthcare services. The aim of the current qualitative study was to explore the perceptions of young adults when they look back upon their experiences of psychiatric treatment for NSSI during adolescence.
Twenty-six individuals with lived experience of NSSI who were in contact with child and adolescent psychiatry during adolescence were interviewed. The interviews were analyzed using thematic analysis.
Three main themes were developed: Changed perceptions in retrospect, The importance of a collaborative conceptualization and Lasting impression of the relationship. Participants' perception of themselves as well as the treatment changed over time. The importance of a joint understanding of NSSI and an agreed-upon treatment focus was emphasized. The relationship to the mental health professionals, and experiences of how NSSI was communicated, were salient several years later.
Healthcare professionals need to communicate about NSSI in a respectful manner and include the perspective of the adolescent with lived experience of NSSI in a joint conceptualization of NSSI and treatment focus.
非自杀性自伤（NSSI）与污名化有关，并且有报道称医疗保健专业人员对NSSI持有负面态度。一种以患者为中心的方法，关注有NSSI亲身经历的个体如何看待他们所接受的治疗和护理，对于减少寻求帮助的障碍以及改善治疗和心理健康服务非常宝贵。当前这项定性研究的目的是探究年轻人回顾他们青少年时期因NSSI接受精神科治疗的经历时的看法。
对26名有NSSI亲身经历且在青少年时期接触过儿童和青少年精神病学的个体进行了访谈。采用主题分析法对访谈进行分析。
形成了三个主要主题：回顾中的认知变化、协作性概念化的重要性以及关系的持久印象。参与者对自己以及治疗的认知随时间发生了变化。强调了对NSSI达成共同理解以及商定治疗重点的重要性。与心理健康专业人员的关系，以及关于如何交流NSSI的经历，在数年后仍然很突出。
医疗保健专业人员需要以尊重的方式交流NSSI相关信息，并在对NSSI和治疗重点的共同概念化过程中纳入有NSSI亲身经历的青少年的观点。
