Parents' perspectives on adolescent self-harm: Qualitative study

Anna Oldershaw · Clair Richards · Mima Simic · Ulrike H Schmidt

131 citations0/0 files storedThe British Journal of Psychiatry

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Suicide and Self-Harm Studies Grief, Bereavement, and Mental Health Homicide, Infanticide, and Child Abuse

Abstract

BACKGROUND: Parents' perspectives on self-harm are considered important, but have not been explored. AIMS: To gain perspective of parents of adolescents who self-harm on: (a) history of self-harm and health service provision; (b) their understanding and ability to make sense of self-harm behaviour; (c) emotional and personal impact; and (d) parent skills as carer and hope for the future. METHOD: Interpretative phenomenological analysis was applied to semi-structured interviews with 12 parents of adolescents receiving treatment for self-harm in community child and adolescent mental health services. RESULTS: Parents commonly suspected and spotted self-harm prior to disclosure or service contact; however, communication difficulties and underestimating significance led to delays in addressing the behaviour. Parents struggled to understand and cope with self-harm. CONCLUSIONS: Parents require advice and support from outside services to help them manage self-harming behaviour and its personal impact. This study suggests parents are early to spot signs of self-harm, indicating their key role in reaching young people in the community who remain unknown to health services.

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References

2000Qualitative research in health care: Analysing qualitative data 1996Beyond the divide between cognition and discourse: Using interpretative phenomenological analysis in health psychology 2005A critical evaluation of the use of interpretative phenomenological analysis (IPA) in health psychology 2002Fatal and non-fatal repetition of self-harm 2002Deliberate self harm in adolescents: self report survey in schools in England 2003Suicide following deliberate self-harm: long-term follow-up of patients who presented to a general hospital 2005Experience of caring for someone with anorexia nervosa: qualitative study 2005Understanding resolution of deliberate self harm: qualitative interview study of patients' experiences

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2020Examining the disclosure of nonsuicidal self-injury to informal and formal sources: A review of the literature 2015Parents of youth who self-injure: a review of the literature and implications for mental health professionals 2012Service user perspectives on psychosocial assessment following self-harm and its impact on further help-seeking: A qualitative study 2013‘Listen to them’: Adolescents' views on helping young people who self‐injure

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