Adolescents' views on preventing self-harm
Adolescents' views on preventing self-harm
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DOI：
10.1007/s00127-007-0273-1
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发表时间：
2008-02-01
影响因子：
4.4
通讯作者：
Hawton, Keith
中科院分区：
文献类型：
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作者：
Fortune, Sarah;Sinclair, Julia;Hawton, Keith
背景故意自残（DSH）是英国年轻人的一个主要问题。大多数伤害自己的年轻人不寻求帮助，因此以社区为基础的预防战略很重要。然而，年轻人对预防DSH的看法却知之甚少。这项研究的目的是确定青少年认为可以做些什么来防止他们产生想要伤害自己的感觉，并调查根据性别、种族和以前的自残经历所持有的观点的差异。方法选取英格兰41所中学的代表性学生，完成了一份匿名的自我报告问卷，其中包括“你认为可以做些什么来帮助防止年轻人产生想要伤害自己的感觉？”“主题分析方法用于对回答进行分类，然后还根据性别，种族，DSH的终生史以及朋友之间终生接触DSH进行分析。结果对2954名15 ~ 16岁学生的书面回复进行了分析。确定了11大类答复，涵盖了预防年轻人自杀行为的原因和可能的方法，包括；非正式社交网络比专业组织更重要，信任稳定关系的重要性，有组织的团体活动的必要性，以及学校在年轻人生活中扮演的关键角色。只有3%的受访者提到了精神疾病，尽管对耻辱的担忧成为一些年轻人寻求帮助的障碍。他们强调，欺凌和家庭中的严重问题是需要解决的社会心理压力源。结论本研究青少年认为家庭、朋友和学校是预防自杀行为的主要支持来源，并且比外部帮助机构更相关。建议加强以学校为本的精神健康计划的提供，并增加以青年为本的帮助服务。
Background Deliberate self-harm (DSH) is a major problem in young people in the United Kingdom. The majority of young people who harm themselves do not seek help and therefore community based prevention strategies are important. However little is known about young peoples' views on the prevention of DSH. The aims of this study were to identify what adolescents believe can be done to prevent them from feeling like they want to harm themselves, and to investigate differences in the views held according to gender, ethnic group and previous experiences of self-harm. Method Pupils in a representative sample of 41 secondary schools in England completed an anonymous, self-report questionnaire including the question '' what do you think could be done to help prevent young people from feeling that they want to harm themselves?'' Thematic analytic methods were used to categorise responses, which were then also analysed by gender, ethnicity, lifetime history of DSH and lifetime exposure to DSH among friends. Results The written responses of 2,954 students aged 15 - 16 years were analysed. Eleven broad categories of responses were identified covering causes and possible ways of preventing suicidal behaviour in young people, including; the primacy of informal social networks over professional organisations, the importance of confiding stable relationships, the need for structured group activities, and the key role that schools play in young peoples lives. Mental illness was mentioned by only 3% of respondents, although concerns about stigma acted as a barrier to seeking help for some young people. Bullying and serious problems at home were highlighted as psychosocial stressors that need to be addressed. Conclusions The adolescents in this study considered family, friends and school as the main sources of support in preventing suicidal behaviour, and more pertinent than external helping agencies. Enhancing the provision of school-based mental heath programmes and increased youth-orientation in helping services are indicated.