Utilisation and acceptability of formal and informal support for adolescents following self-harm before and during the first COVID-19 lockdown: results from a large-scale English schools survey
Utilisation and acceptability of formal and informal support for adolescents following self-harm before and during the first COVID-19 lockdown: results from a large-scale English schools survey
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DOI：
10.1192/j.eurpsy.2023.1563
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发表时间：
2023-07-19
影响因子：
7.8
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中科院分区：
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对于青少年在自我伤害后获得的支持的可接受性和有用性知之甚少，特别是自2019冠状病毒病大流行以来。我们的目的是研究青少年在大流行之前和期间自我伤害后获得的正式，非正式和在线支持的利用和可接受性。对英格兰南部10，560名12-18岁中学生的横断面调查（OxWell）。通过结构化的自我报告问卷获得有关自我伤害、自我伤害后获得的支持以及对所获得支持的满意度的信息。未进行显著性检验。1，457名（12.5%）学生报告曾自残，789名（6.7%）报告在第一次全国封锁期间自残。最大比例的受访者获得了非正式的支持来源（朋友：35.9%;父母：25.0%）。获得正式支助来源的应答者少得多（儿童和青少年心理健康服务：12.1%;心理学家/精神病学家：10.2%;全科医生：7.4%）。8.6%的受访者获得了在线支持，38.3%的受访者表示根本没有获得任何支持。非正式的支持来源被评为最有帮助的，其次是正式来源和在线支持。在没有寻求支持的受访者中，11.3%的人认为这是有帮助的。在这个样本中，超过三分之一的中学生在自残后没有寻求任何帮助。大多数没有寻求帮助的人并不认为这是一种有用的应对方式。进一步的工作需要确定克服自我伤害的青少年寻求帮助的障碍的有效方法，并提高所获得的支持的有用性。未申报
Little is known about the perceived acceptability and usefulness of supports that adolescents have accessed following self-harm, especially since the onset of the COVID-19 pandemic. We aimed to examine the utilisation and acceptability of formal, informal, and online support accessed by adolescents following self-harm before and during the pandemic. Cross-sectional survey (OxWell) of 10,560 secondary school students aged 12-18 years in the south of England. Information on self-harm, support(s) accessed after self-harm, and satisfaction with support received were obtained via a structured, self-report questionnaire. No tests for significance were conducted. 1,457 (12.5%) students reported having ever self-harmed and 789 (6.7%) reported self-harming during the first national lockdown. Informal sources of support were accessed by the greatest proportion of respondents (friends: 35.9%; parents: 25.0%). Formal sources of support were accessed by considerably fewer respondents (Child and Adolescent Mental Health Services: 12.1%; psychologist/ psychiatrist: 10.2%; general practitioner: 7.4%). Online support was accessed by 8.6% of respondents, and 38.3% reported accessing no support at all. Informal sources of support were rated as most helpful, followed by formal sources, and online support. Of the respondents who sought no support, 11.3% reported this as being helpful. More than a third of secondary school students in this sample did not seek any help following self-harm. The majority of those not seeking help did not find this to be a helpful way of coping. Further work needs to determine effective ways of overcoming barriers to help-seeking among adolescents who self-harm and improving perceived helpfulness of the supports accessed. None Declared