Understanding and supporting self-harm recovery through qualitative survivor research: development and refinement of the Self-Harm Recovery Model

有自残行为的人经常觉得临床医生误解了他们的经历，专注于停止行为以实现临床康复。自我伤害恢复模型（SHRM）是在对现有证据进行回顾的基础上发展起来的，它根据人们的生活经验来研究自我伤害的恢复。与临床康复相一致，它显示了在实施和减少/停止自我伤害行为之间的“推拉“过程，并受到诸如应对自我伤害的方法以及人们是否得到他人同情支持等因素的影响。然而，证据并没有检查自我伤害的想法，它与人们的身份及其意义的联系。因此，需要进一步的研究来充分理解自我伤害恢复和完善SHRM。我将采访1）年龄在18-35岁之间有自残经历的人，2）照顾自残者的临床医生。对人们的采访将帮助我们了解自我伤害恢复是如何经历的，并将发展SHRM。与临床医生的访谈将有助于了解SHRM是否适用于临床实践。这项研究由一名有自残经历和个人自残史的护士领导，有自残史的人将组成一个生活经验咨询小组（LEAP）为该项目做出贡献。我将通过考虑参加面试的人的福祉来确保整个过程的安全，并支持LEAP成员。

People with self-harm often feel that cliniciansmisunderstand their experiences, focusing on stoppingbehaviours to achieve clinical recovery. The Self-HarmRecovery Model (SHRM), developed from a review ofcurrent evidence, examines self-harm recovery accordingto people with lived experience. Differently to clinicalrecovery, it shows the process as a "push and pull"between carrying out and reducing/stopping self-harm actsand influenced by factors like coping methods to replaceself-harm and whether people receive sympathetic supportfrom others. However, the evidence does not examinethoughts to self-harm, its links with people's identity andits meaning. Therefore, further research is needed to fullyunderstand self-harm recovery and refine the SHRM. I willconduct interviews with 1) people aged 18-35 with self harm experiences and 2) clinicians who care for peoplewith self-harm. The interviews with people will help usunderstand how self-harm recovery is experienced and willdevelop the SHRM. The interviews with clinicians will helpus understand if the SHRM is appropriate for clinicalpractice. This study is led by a nurse with experience ofworking with self-harm and personal history of self-harm.People with a history of self-harm will form a LivedExperience Advisory Panel (LEAP) to contribute to theproject. I will ensure safety throughout by considering thewellbeing of people taking part in interviews and LEAPmembers are supported.