Help-seeking before and after episodes of self-harm: a descriptive study in school pupils in England.
Help-seeking before and after episodes of self-harm: a descriptive study in school pupils in England.
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DOI：
10.1186/1471-2458-8-369
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发表时间：
2008-10-24
影响因子：
4.5
通讯作者：
Hawton, Keith
中科院分区：
文献类型：
--
作者：
Fortune, Sarah;Sinclair, Julia;Hawton, Keith
在许多国家，青年人故意自残是一个令人关切的问题。绝大多数的自我伤害事件并没有导致到医院就诊，相对而言，很少有人知道伤害自己的青少年向谁或在哪里寻求帮助。这项以学校为基础的调查对英国5,293名15-16奥尔兹进行了调查，调查了自我伤害事件发生前后寻求帮助的来源和障碍。朋友（40%）和家人（11%）是主要的支持来源。寻求正规服务或保健专业人员帮助的青少年要少得多。寻求帮助的障碍包括认为自我伤害是一时冲动的行为，因此不严重或不重要，也不值得考虑。许多青少年认为他们应该能够或可以自己科普，并担心寻求帮助会给他们带来更多的问题，伤害他们关心的人，或导致他们被贴上“注意寻求者”的标签。在某些情况下，由于不知道向谁求助，寻求帮助的决定受到阻碍。性别和暴露于自我伤害的同龄人群体的影响知觉障碍寻求帮助。在青年人理解是什么导致他们想要伤害自己和寻求帮助的潜在机制方面，既有推动因素，也有拉动因素。社区为基础的预防方案的影响进行了讨论。
Deliberate self-harm in young people is a cause for concern in many countries. The vast majority of episodes of self-harm do not result in presentation to hospital and relatively little is known about to whom or where adolescents who harm themselves go for help. This school-based survey of 5,293 15–16 year olds in the United Kingdom investigated sources of help and barriers to help seeking before and after an episode of self-harm. Friends (40%) and family (11%) were the main sources of support. Far fewer adolescents had sought help from formal services or health professionals. Barriers to help seeking include perceptions of self-harm as something done on the spur of the moment and therefore not serious or important or to be dwelt upon. Many adolescents felt they should be able to, or could cope on their own and feared that seeking help would create more problems for them and hurt people they cared about or lead to them being labelled as an 'attention seeker'. The decision to seek help was in some cases hampered by not knowing whom to ask for help. Gender and exposure to self-harm in the peer group influenced perceived barriers to help-seeking. There are both push and pull factors' acting on young people in their understanding of what leads them to want to harm themselves and potential mechanisms for seeking help. The implications for community based prevention programmes are discussed.
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影响因子：
3
作者：
Deane, FP;Wilson, CJ;Ciarrochi, J
通讯作者：
Ciarrochi, J
影响因子：
105.7
作者：
Hawton, K;Rodham, K;Weatherall, R
通讯作者：
Weatherall, R
影响因子：
3.8
作者：
Evans, E;Hawton, K;Rodham, K
通讯作者：
Rodham, K
影响因子：
4.4
作者：
Fortune, Sarah;Sinclair, Julia;Hawton, Keith
通讯作者：
Hawton, Keith
DOI：
10.1097/00004583-200401000-00017
发表时间：
2004-01-01
影响因子：
13.3
作者：
Rodham, K;Hawton, K;Evans, E
通讯作者：
Evans, E