dc.contributor.author | Chen, Runsen | |
dc.contributor.author | Wang, Yuanyuan | |
dc.contributor.author | Liu, Li | |
dc.contributor.author | Lu, Li | |
dc.contributor.author | Wilson, Amanda | |
dc.contributor.author | Gong, Shuxiao | |
dc.contributor.author | Zhu, Yingrong | |
dc.contributor.author | Sheng, Caihua | |
dc.contributor.author | Zeng, Ying | |
dc.contributor.author | Li, Yamin | |
dc.contributor.author | Ou, Jianjun | |
dc.date.accessioned | 2022-01-11T21:20:03Z | |
dc.date.available | 2022-01-11T21:20:03Z | |
dc.date.issued | 2020-12-17 | |
dc.identifier.citation | Chen, R., Wang, Y., Liu, L., Lu, L., Wilson, A., Gong, S., Zhu, Y., Sheng, C., Zeng, Y., Li, Y., & Ou, J. (2020). A qualitative study of how self-harm starts and continues among Chinese adolescents. BJPsych open, 7(1), e20. https://doi.org/10.1192/bjo.2020.144 | en_US |
dc.identifier.uri | http://hdl.handle.net/1808/32396 | |
dc.description.abstract | Background
It is essential to investigate the experiences behind why adolescents start and continue to self-harm in order to develop targeted treatment and prevent future self-harming behaviours.Aims
The aims of this study are to understand the motivations for initiating and repeating nonfatal self-harm, the different methods used between first-time and repeated self-harm and the reasons that adolescents do not seek help from health services.Methods
Adolescents with repeated nonfatal self-harm experiences were recruited to participate in individual, semi-structured qualitative interviews. The interviews were analysed with interpretative phenomenological analysis.Results
We found that nonfatal self-harm among adolescents occurred comparatively early and was often triggered by specific reasons. However, the subsequent nonfatal self-harm could be causeless, with repeated self-harm becoming a maladaptive coping strategy to handle daily pressure and negative emotions. The choice of tools used was related to the ease of accessibility, the life-threatening risk and the size of the scars. Adolescents often concealed their scars on purpose, which made early identification insufficient. Peer influence, such as online chat groups encouraging self-harm by discussing and sharing self-harm pictures, could also lead to increased self-harm. The results also included participants’ opinions on how to stop nonfatal self-harm and their dissatisfaction with the current healthcare services.Conclusions
The current study provides important implications both for early identification and interventions for adolescents who engage in repeated nonfatal self-harm, and for individualising treatment planning that benefits them. It is also worthwhile to further investigate how peer influence and social media may affect self-harm in adolescents. | en_US |
dc.publisher | Cambridge University Press | en_US |
dc.rights | © The Author(s), 2020. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists. This is an Open Access article, distributed under the terms of the Creative Commons Attribution license. | en_US |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | en_US |
dc.subject | Repeated self-harm | en_US |
dc.subject | Initial episode | en_US |
dc.subject | Social media | en_US |
dc.subject | Adolescent | en_US |
dc.subject | Qualitative method | en_US |
dc.title | A qualitative study of how self-harm starts and continues among Chinese adolescents | en_US |
dc.type | Article | en_US |
kusw.kuauthor | Gong, Shuxiao | |
kusw.kudepartment | Linguistics | en_US |
kusw.oanotes | Per Sherpa Romeo 01/11/2022:BJPsych Open
[Open panel below]Publication Information
TitleBJPsych Open [English]
ISSNsElectronic: 2056-4724
URLhttps://www.cambridge.org/core/journals/bjpsych-open/information/open
Publishers
Royal College of Psychiatrists [Associate Organisation]
Cambridge University Press [University Publisher]
DOAJ Listinghttps://doaj.org/toc/2056-4724
Requires APCYes [Data provided by DOAJ]
[Open panel below]Publisher Policy
Open Access pathways permitted by this journal's policy are listed below by article version. Click on a pathway for a more detailed view.Published Version
NoneCC BY
Any Website, Journal Website, +1
OA PublishingThis pathway includes Open Access publishing
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CC BY
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CC BY-NC-ND
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Institutional Repository
Journal Website | en_US |
dc.identifier.doi | 10.1192/bjo.2020.144 | en_US |
dc.identifier.orcid | https://orcid.org/ 0000-0002-2145-8630 | en_US |
dc.identifier.orcid | https://orcid.org/ 0000-0002-0060-1725 | en_US |
kusw.oaversion | Scholarly/refereed, publisher version | en_US |
kusw.oapolicy | This item meets KU Open Access policy criteria. | en_US |
dc.identifier.pmid | PMC7791561 | en_US |
dc.rights.accessrights | openAccess | en_US |