Understanding Factors Relevant to Self-Injurious Behavior in a High-Risk Secure Psychiatric Sample: Developing the Theory-Driven Measure of Self-Injurious Behavior Engagement

被引:2
作者
Caton, Charlotte [1 ,2 ]
Ireland, Jane L. [1 ,2 ]
Chu, Simon [1 ,2 ]
Ireland, Carol A. [1 ,2 ]
Cramer, Robert J. [3 ]
机构
[1] Univ Cent Lancashire, Preston PR1 2HE, Lancs, England
[2] Mersey Care NHS Fdn Trust, Ashworth Res Ctr, Preston, Lancs, England
[3] Univ N Carolina, Dept Publ Hlth Sci, Charlotte, NC USA
关键词
High-secure psychiatric sample; interpersonal psychological theory of suicidal behavior; self-injurious behavior; suicidal intent; theory-driven measure of self-injurious behavior engagement; theory of planned behavior; YOUNG-PEOPLE; NURSING STAFF; HARM; ATTITUDES; SUICIDE; POPULATION; PRISONERS; CARE;
D O I
10.1097/JFN.0000000000000307
中图分类号
DF [法律]; D9 [法律];
学科分类号
0301 ;
摘要
A measure for the assessment of self-injurious behavior is developed. Commencing with a Delphi composed of 33 experts: detached experts (academics), experts by exposure (staff), and experts by experience (patients), the Theory-driven Measure of Self-Injurious Behavior Engagement is outlined. This is then examined in two samples: high-secure psychiatric male patients (n = 76) and high-secure psychiatric nursing staff (n = 100; 50 men, 50 women). We predicted that all components of the Theory of Planned Behavior and the capacity, belongingness, and burdensomeness elements of the Interpersonal Psychological Theory of Suicidal Behavior would be confirmed as important inclusions. Results initially showed the importance of including intention, perceived behavioral control, affect, capacity, and burdensomeness. The role of environmental and individual factors, such as coping, was captured as additional variables of value. However, the structure of items differed between patients and staff. Being valued consistently represented a core consideration, as did capacity and affect. Directions for future research are indicated.
引用
收藏
页码:43 / 51
页数:9
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