In what ways are adolescents who engage in self-harm or experience thoughts of self-harm different in terms of help-seeking, communication and coping strategies?
In what ways are adolescents who engage in self-harm or experience thoughts of self-harm different in terms of help-seeking, communication and coping strategies?
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DOI：
10.1016/j.adolescence.2004.11.001
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发表时间：
2005-08-01
影响因子：
3.8
通讯作者：
Rodham, K
中科院分区：
文献类型：
--
作者：
Evans, E;Hawton, K;Rodham, K
本研究的目的是确定故意伤害自己或有自残想法的青少年在寻求帮助、沟通和应对策略方面是否与其他青少年不同。参与者为 6020 名 15-16 岁小学生，采用匿名自我报告问卷进行调查。去年发生过一次或多次故意自残 (DSH) 的青少年比其他青少年更有可能认为自己存在严重问题。然而，相当一部分有 DSH 或有自残想法的青少年并不认为自己有严重问题。患有 DSH 的青少年最有可能感到需要帮助，但不会试图寻求帮助；他们与家人和老师交谈的能力较差，能够交谈的人类别也较少。与其他青少年一样，那些有 DSH 或有自残想法的人更有可能向朋友寻求和接受帮助，而不是从其他来源寻求帮助。他们在面临困难时采用的应对策略与其他青少年不同，表现出较少关注问题和更多回避行为。研究结果对预防策略（包括情绪健康和应对教育计划）以及对有自残风险或有自残倾向的青少年的临床护理具有重要意义。 (c) 2004 年青少年服务专业人员协会。由爱思唯尔有限公司出版。保留所有权利。
The purpose of this study was to ascertain whether adolescents who deliberately harmed themselves or had thoughts of self-harm differed from other adolescents in terms of help-seeking, communication and coping strategies. The participants were 6020 15-16 year-old school pupils who were surveyed using an anonymous self-report questionnaire. Adolescents with one or more episodes of deliberate self-harm (DSH) in the previous year were more likely to identify themselves as having serious problems than other adolescents. However, a substantial proportion of adolescents with either DSH or thoughts of self-harm did not identify themselves as having serious problems. Adolescents with DSH were most likely to feel the need for help but not try to get any; they were less able to talk to family members and teachers and had fewer categories of people who they were able to talk to. Like other adolescents, those with DSH or thoughts of self-harm were more likely to seek and receive help from their friends than from other sources. They differed from other adolescents in terms of coping strategies they reported employing when faced with difficulties, showing less focus on problems and more avoidant behaviours. The findings have important implications for preventive strategies, including educational programmes on emotional health and coping, and for the clinical care of adolescents identified as at risk or having self-harmed. (c) 2004 The Association for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.