Making Sense of an Unknown Terrain: How Parents Understand Self-Harm in Young People

被引:25
作者
Hughes, Nicholas D. [1 ,6 ,7 ]
Locock, Louise [2 ]
Simkin, Sue [3 ]
Stewart, Anne [8 ]
Ferrey, Anne E. [3 ]
Gunnell, David [9 ]
Kapur, Navneet [10 ]
Hawton, Keith [4 ,5 ]
机构
[1] Univ Oxford, Oxford, England
[2] Univ Oxford, Appl Res, Hlth Experiences Res Grp, Nuffield Dept Primary Care Hlth Sci, Oxford, England
[3] Univ Oxford, Dept Psychiat, Warneford Hosp, Ctr Suicide Res, Oxford, England
[4] Univ Oxford, Psychiat, Oxford, England
[5] Univ Oxford, Ctr Suicide Res, Oxford, England
[6] Univ Leeds, Sch Healthcare, Palliat Care, Leeds, W Yorkshire, England
[7] Univ Leeds, Sch Healthcare, Nursing, Leeds, W Yorkshire, England
[8] Oxford Hlth NHS Fdn Trust, Oxford, England
[9] Univ Bristol, Sch Social & Community Med, Epidemiol, Bristol, Avon, England
[10] Univ Manchester, Ctr Suicide Prevent, Psychiat & Populat Hlth, Manchester, Lancs, England
基金
美国国家卫生研究院;
关键词
adolescence; families; parents; self-harm; young adults; qualitative narrative interviews; Great Britain; SUICIDE; ADOLESCENTS; ILLNESS; NARRATIVES; SCHOOLS; HEALTH; INJURY; SAMPLE; PAIN; CARE;
D O I
10.1177/1049732315603032
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Self-harm is common in young people, and can have profound effects on parents and other family members. We conducted narrative interviews with 41 parents and other family members of 38 young people, aged up to 25, who had self-harmed. Most of the participants were parents but included one sibling and one spouse. This article reports experiences of the parent participants. A cross-case thematic analysis showed that most participants were bewildered by self-harm. The disruption to their worldview brought about by self-harm prompted many to undergo a process of "sense-making"-by ruminative introspection, looking for information, and building a new way of seeing-to understand and come to terms with self-harm. Most participants appeared to have been successful in making sense of self-harm, though not without considerable effort and emotional struggle. Our findings provide grounds for a deeper socio-cultural understanding of the impact of self-harm on parents.
引用
收藏
页码:215 / 225
页数:11
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