Journey of young self-harm survivors from being vulnerable to resilient: Participants’ perspective on a culturally-adapted self-harm prevention intervention
Journey of young self-harm survivors from being vulnerable to resilient: Participants’ perspective on a culturally-adapted self-harm prevention intervention
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DOI：
10.1192/j.eurpsy.2023.2367
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发表时间：
2023-07-19
影响因子：
7.8
通讯作者：
Colucci, E.
中科院分区：
文献类型：
--
作者：
Chaudhry, N.;Tofique, S.;Kiran, T.;Chaudhry, I. B.;Husain, N.;Colucci, E.
反复的自我伤害是自杀的最大危险因素。在世界范围内，自杀是15-29岁年轻人的第二大死因，在许多亚洲国家也是第一大死因。这项定性研究嵌套在巴基斯坦青年文化适应的手工辅助问题解决干预(Y-CMAP)的多中心有效性试验中，旨在探索年轻人对干预的看法。对来自巴基斯坦5个城市的20名参与者进行了一对一深入的定性访谈，使用半结构化主题指南探讨了他们对自我伤害、Y-CMAP干预内容、感知有效性和挑战的看法。访谈以乌尔都语进行，数字记录，逐字转录，并翻译成英语。专题分析由训练有素的定性研究人员进行。人际冲突，包括人际关系困难、经济问题和缺乏社会支持被强调为自我伤害的诱因。参与者报告说，Y-CMAP干预是有组织的，很容易理解。他们认识到分心技术、成本收益分析、思维模式讨论、解决问题和愤怒管理在改善他们的心理健康和幸福感以及减少自我伤害方面的作用。与会者还分享了他们最初对干预的担忧，如害怕向媒体泄露信息。学校和工作时间被描述为参与干预的潜在挑战。在他们预防自杀的过程中，必须探索年轻人对文化上适当干预的观点，自杀是过早死亡的一个可预防的原因。巴基斯坦是世界上最年轻的国家之一，但用于预防自杀的资源有限。没有申报
Repeated self-harm represents the single strongest risk factor for suicide. Worldwide, suicide is the second leading cause of death in young people aged 15-29 year, and the leading cause of death in many Asian countries. This qualitative study was nested in a multi-center effectiveness trial of a Youth Culturally-adapted Manual Assisted Problem-solving intervention (Y-CMAP) for prevention of self-harm in Pakistan and aimed to explore young people’s perspective on the intervention. One-to-one in-depth qualitative interviews were conducted with 20 participants from 5 cities across Pakistan, using a semi-structured topic guide to explore their views about self-harm, Y-CMAP intervention content, perceived effectiveness and challenges. Interviews were conducted in Urdu language, digitally recorded, transcribed verbatim and translated into English. Thematic analysis was conducted by the trained qualitative researchers. Interpersonal conflicts including relationship difficulties, financial problems, and lack of social support were highlighted as precipitating factors of self-harm. Participants reported that Y-CMAP intervention is structured and easy to understand. They acknowledged the role of distraction techniques, cost-benefit analysis, discussion on thinking pattern, problem-solving and anger management in improving their mental health and wellbeing and reduce self-harm. Participants also shared their initial fears regarding the intervention, such as fear of disclosure of information to media. School and job timings were described as potential challenges for participation in the intervention. Exploring the perspectives of young people about culturally-appropriate intervention is imperative in their journey towards preventing suicide, which is a preventable cause of premature death. Findings are particularly relevant for Pakistan, one of the youngest nations in the world with limited resources for suicide prevention. None Declared