Exploring Adolescent Experiences with Disclosing Self-Injurious Thoughts and Behaviors Across Settings.
Exploring Adolescent Experiences with Disclosing Self-Injurious Thoughts and Behaviors Across Settings.
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DOI：
10.1007/s10802-021-00878-x
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发表时间：
2022-05
影响因子：
2.5
通讯作者：
Wang, Shirley B.
中科院分区：
文献类型：
--
作者：
Fox, Kathryn R.;Bettis, Alexandra H.;Burke, Taylor A.;Hart, Erica A.;Wang, Shirley B.
自我伤害的想法和行为（SITBs）的披露是目前的治疗和预防计划的关键。有限的研究审查了青少年披露SITB的模式和障碍。鉴于这一人群的保密性有限，这项工作至关重要。在线招募了1，000多名13-17岁的青少年，他们有心理健康治疗和SITB的历史。参与者报告了他们在一系列关系中披露SITB的历史，向医疗保健提供者披露的诚实和障碍，以及他们违反父母/监护人保密规定的经历。我们研究了这些经验和一系列结果之间的关系，包括未来披露的可能性。参与者报告说，最频繁的披露所有SITB的朋友，更频繁的披露非自杀性自伤相比，自杀意念或企图。青少年最有可能透露SITBs时，直接询问医疗服务提供者，虽然许多参与者报告继续SITB隐瞒。最普遍认可的披露障碍是担心提供者会告诉父母/监护人。涉及非合作性违规的保密违规经验与未来披露，心理健康症状和顺从父母关系呈负相关。SITB披露是其治疗和预防的基石。更好地了解向谁披露、何时披露、披露的障碍和影响至关重要。我们的研究表明，大多数青少年不希望他们的父母知道他们的SITBs，害怕父母参与阻止披露。结果有几个影响SITB评估在身体和精神卫生保健设置。
Disclosure of self-injurious thoughts and behaviors (SITBs) is critical to current treatment and prevention programs. Limited research has examined patterns of and barriers to SITB disclosure in adolescents. This work is critical given the limits of confidentiality in this population. Over 1,000 adolescents aged 13–17 with a history of mental health treatment and SITBs were recruited online. Participants reported their history with disclosing SITBs across a range of relationships, honesty in and barriers to disclosure to healthcare providers, and their experiences with breaches of confidentiality to parents/guardians. We examined relationships among these experiences and a range of outcomes, including perceived likelihood of future disclosure. Participants reported most frequent disclosure of all SITBs to friends, and more frequent disclosure of nonsuicidal self-injury compared to suicide ideation or attempts. Adolescents were most likely to disclose SITBs when directly asked by healthcare providers, though many participants reported continued SITB concealment. The most commonly endorsed barrier to disclosure was fear that the provider would tell a parent/guardian. Experiences with confidentiality breaches involving a non-collaborative breach were negatively associated with future disclosure, mental health symptoms, and adolescent-parent relationships. SITB disclosure is a cornerstone to their treatment and prevention. Better understanding of to whom and when, barriers, and the impact of disclosure experiences is critical. Our research suggests that most adolescents do not want their parents to know about their SITBs, and that fear of parent involvement prevents disclosure. Results have several implications for SITB assessment across physical and mental healthcare settings.
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影响因子：
6.6
作者：
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