An interpretative phenomenological analysis of young people's self-harm in the context of interpersonal stressors and supports: Parents, peers, and clinical services

Social Science & Medicine
Ruth WadmanE Townsend

Abstract

Self-harm in young people is of significant clinical concern. Multiple psychological, social and clinical factors contribute to self-harm, but it remains a poorly understood phenomenon with limited effective treatment options. To explore young women's experience of self-harm in the context of interpersonal stressors and supports. Fourteen adolescent females (13-18 years) who had self-harmed in the last six months completed semi-structured interviews about self-harm and supports. Interpretative phenomenological analysis was undertaken. Themes identified were: 1) Arguments and worries about family breakdown; 2) Unhelpful parental response when self-harm discovered and impact on seeking support; 3) Ongoing parental support; 4) Long-term peer victimization/bullying as a backdrop to self-harm; 5) Mutual support and reactive support from friends (and instances of a lack of support); 6) Emotions shaped by others (shame, regret and feeling 'stupid to self-harm'); and 7) 'Empty promises' - feeling personally let down by clinical services. These themes were organised under two broad meta-themes (psychosocial stressors, psychosocial supports). Two additional interconnected meta-themes were identified: Difficulties talking about self-harm ...Continue Reading

Citations

Jul 20, 2019·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Ruth WadmanEllen Townsend
Apr 7, 2021·Issues in Mental Health Nursing·Tiina Maria MiettinenAnna Liisa Aho
May 6, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Faraz MughalCarolyn A Chew-Graham
Aug 3, 2021·Journal of Intellectual Disabilities : JOID·Beverley Samways

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