Understanding resolution of deliberate self harm: qualitative interview study of patients' experiences.

نویسندگان

  • Julia Sinclair
  • Judith Green
چکیده

OBJECTIVE To explore the accounts of those with a history of deliberate self harm but who no longer do so, to understand how they perceive this resolution and to identify potential implications for provision of health services. DESIGN Qualitative in-depth interview study. SETTING Interviews in a community setting. PARTICIPANTS 20 participants selected from a representative cohort identified in 1997 after an episode of deliberate self poisoning that resulted in hospital treatment. Participants were included if they had no further episodes for at least two years before interview. RESULTS We identified three recurrent themes: the resolution of adolescent distress; the recognition of the role of alcohol as a precipitating and maintaining factor in self harm; and the understanding of deliberate self harm as a symptom of untreated or unrecognised illness. CONCLUSION Patients with a history of deliberate self harm who no longer harm themselves talk about their experiences in terms of lack of control over their lives, either through alcohol dependence, untreated depression, or, in adolescents, uncertainty within their family relationships. Hospital management of deliberate self harm has a role in the identification and treatment of depression and alcohol misuse, although in adolescents such interventions may be less appropriate.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Effective Factors in the Formation of Deliberate Self-Harm in Adolescence: Mental Health Professional’s Viewpoint

Objective: This study aimed to investigate the issues related to the formation and persistence of deliberate self-harm behavior in adolescents from Iranian mental health professionals' viewpoints. Method: The present qualitative study used a semi-structured interview to record the experiences of 9 mental health professionals with work experience in deliberate self-harm behavior in adolescence...

متن کامل

Treatment of suicidal and deliberate self-harming patients with borderline personality disorder using dialectical behavioral therapy: the patients' and the therapists' perceptions.

The aim was to investigate patients and therapists perception of receiving and giving dialectical behavioral therapy (DBT). Ten deliberate self-harm patients with borderline personality disorder and four DBT-therapists were interviewed. The interviews were analyzed with qualitative content analysis. The patients unanimously regard the DBT-therapy as life saving and something that has given them...

متن کامل

Prevalence of Self-Harm Behaviors and Deliberate Self-Cutting in High School Students in Northern Iran and Its Relationship with Anxiety, Depression, and Stress

Introduction: Self-harm has increased among adolescents in recent years, turning it to one of the major public and mental health concerns. Objective: The present study aims to investigate the prevalence of self-harm and deliberate self-cutting in high school students in northern Iran, and its relationship with anxiety, depression, and stress. Materials and Methods: In this analytical cross-se...

متن کامل

Explaining Oncology Nurses’ Experiences with Workplace Violence: A Qualitative Study

Introduction: Workplace violence against nurses is regarded as a continuing and prevalent problem across the world. The purpose of this study was to explain oncology nurses’ experiences with workplace violence. Material and Methods: The present study was fulfilled using qualitative content analysis in 2017 based on purposive sampling method. To this end, semi-structured interviews were perform...

متن کامل

"Near-fatal" deliberate self-harm: characteristics, prevention and implications for the prevention of suicide.

BACKGROUND There have been few studies of the most serious cases of deliberate self-harm (DSH). These cases represent an important clinical problem. They may also be suitable as a "proxy" for suicide in research studies. METHODS We developed a definition of "near-fatal" deliberate self-harm (NFDSH) and identified all cases attending accident and emergency departments in an urban area during a...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • BMJ

دوره 330 7500  شماره 

صفحات  -

تاریخ انتشار 2005