Experiences of Help From the Perspective of Finnish People Who Self-Harmed During Adolescence

Miettinen, Tiina; Kaunonen, Marja; Kylmä, Jari; Rissanen, Marja-Liisa; Aho, Anna Liisa

doi:10.1080/01612840.2021.1904468

Cited by 7 publications

(23 citation statements)

References 28 publications

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“…Ten papers were quantitative studies, using surveys or Delphi methodology [ 25 , 47 – 55 ]. Seven papers were qualitative studies employing interviews or focus group methods [ 56 – 62 ]. One paper used mixed methods [ 63 ] and one paper was an editorial [ 23 ].…”

Section: Resultsmentioning

confidence: 99%

“…Therefore, the extraction tables (Tables 2 , 3 , 4 and 5 ) were grouped by setting, to allow key factors and themes from each setting and the different providers to be realised. Table 2 consists of the seven papers focusing on exploring the factors affecting the reporting or recording self-harm within a healthcare setting, such as a hospital or a GP [ 23 , 47 – 49 , 56 , 57 , 62 , 63 ]. Table 3 includes the nine papers based in a school setting [ 25 , 50 – 54 , 58 – 60 ].…”

Section: Resultsmentioning

confidence: 99%

“…(ii) Not understanding YP- Often situations were complex with wider factors. (iii) Clinicians not respecting carers- Clinicians as dominant and not seeing other views/experience (iv) Negative perception of YP in care LOW RISK Miettinen et al 2021 [ 62 ] Finland To describe experiences of help related to SH in YP Qualitative Essays and Interviews 27 YP aged between 12–22 who had harmed themselves during adolescence Different social contexts, and with different backgrounds in relation to treatment in Finland REPORTING (i) Access to range of professionals to talk to and have continuity of care once in the system REPORTING- (i) Access to Help- Getting an appointment was slow. (ii) Threshold to seek help- YP required many GP visits and multiple referrals (iii) YP were uncertain about the severity of their SH (being taken seriously) and requesting help.…”

Section: Resultsmentioning

confidence: 99%

“…As in Tables 2 , 3 , 4 , 5 and 6 , the results are presented by facilitators and barriers to reporting and recording, under the four settings included in the existing literature. These are as anticipated: healthcare settings [ 23 , 47 – 49 , 56 , 57 , 62 , 63 ], school settings [ 25 , 50 – 54 , 58 – 60 ], criminal justice settings [ 61 ] and an online setting [ 55 ].…”

Section: Resultsmentioning

confidence: 99%

“…Eight papers demonstrated findings around the reporting and recording of self-harm in the healthcare setting [ 23 , 47 – 49 , 56 , 57 , 62 , 63 ]. Bailey et al, is an editorial focusing on the challenges for general practice around self-harm in young people [ 23 ].…”

Section: Resultsmentioning

confidence: 99%

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The barriers and facilitators to the reporting and recording of self-harm in young people aged 18 and under: a systematic review

et al. 2023

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Background and aims This systematic review sought to identify, explain and interpret the prominent or recurring themes relating to the barriers and facilitators of reporting and recording of self-harm in young people across different settings, such as the healthcare setting, schools and the criminal justice setting. Methods A search strategy was developed to ensure all relevant literature around the reporting and recording of self-harm in young people was obtained. Literature searches were conducted in six databases and a grey literature search of policy documents and relevant material was also conducted. Due to the range of available literature, both quantitative and qualitative methodologies were considered for inclusion. Results Following the completion of the literature searches and sifting, nineteen papers were eligible for inclusion. Facilitators to reporting self-harm across the different settings were found to be recognising self-harm behaviours, using passive screening, training and experience, positive communication, and safe, private information sharing. Barriers to reporting self-harm included confidentiality concerns, negative perceptions of young people, communication difficulties, stigma, staff lacking knowledge around self-harm, and a lack of time, money and resources. Facilitators to recording self-harm across the different settings included being open to discussing what is recorded, services working together and co-ordinated help. Barriers to recording self-harm were mainly around stigma, the information being recorded and the ability of staff being able to do so, and their length of professional experience. Conclusion Following the review of the current evidence, it was apparent that there was still progress to be made to improve the reporting and recording of self-harm in young people, across the different settings. Future work should concentrate on better understanding the facilitators, whilst aiming to ameliorate the barriers.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

The barriers and facilitators to the reporting and recording of self-harm in young people aged 18 and under: a systematic review

et al. 2023

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The self-perceived needs of adolescents with suicidal behaviour: a scoping review

Looijmans,

van Bergen,

Popma

et al. 2023

Eur Child Adolesc Psychiatry

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Suicidal behaviour in adolescents is a major public health problem. Much research on this issue has focused on epidemiology and risk factors for suicidal behaviour, paying less attention to the self-perceived needs of adolescents. However, to increase engagement in suicide prevention, it is important to include the views of adolescents. A scoping review was performed to identify the available empirical study findings, of any study design, related to the self-perceived needs of adolescents with suicidal behaviour. The literature databases Medline, Embase, Psycinfo, CINAHL, ERIC, Scopus, and Web of Science were searched. Twenty-nine studies from 14 predominantly Anglo countries were included in the scoping review. The review showed that girls were overrepresented and that studies predominantly used qualitative approaches. The identified needs of adolescents with suicidal behaviour can broadly be grouped into needs related to the following areas: the importance of connecting with other people; adolescents’ self-help strategies and personal growth after self-harm; mental healthcare; school or study programs; and needs related to society in relation to taboo on suicidal behaviour. Prevention of suicidal behaviour in adolescents will need to focus on development and strengthening of interventions fitting the needs of adolescents in these areas.

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Attitudes toward and experiences of clinical and non-clinical services among individuals who self-harm or attempt suicide: a systematic review

Uddin,

Pitman,

Benson

et al. 2023

Psychol. Med.

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The prevalence of self-harm has increased substantially in recent decades. Despite the development of guidelines for better management and prevention of self-harm, service users report that quality of care remains variable. A previous systematic review of research published to June 2006 documented largely negative experiences of clinical services among patients who self-harm. This systematic review summarized the literature published since then to July 2022 to examine contemporary attitudes toward and experience of clinical and non-clinical services among individuals who self-harm and their relatives. We systematically searched for literature using seven databases. Quality of studies was assessed using the Mixed-Methods Appraisal Tool and findings were summarized using a narrative synthesis. We identified 29 studies that met our inclusion criteria, all of which were from high- or middle-income countries and were generally of high methodological quality. Our narrative synthesis identified negative attitudes toward clinical management and organizational barriers across services. Generally, more positive attitudes were found toward non-clinical services providing therapeutic contact, such as voluntary sector organizations and social services, than clinical services, such as emergency departments and inpatient units. Views suggested that negative experiences of service provision may perpetuate a cycle of self-harm. Our review suggests that in recent years there has been little improvement in attitudes toward and experiences of services for patients who self-harm. These findings should be used to reform clinical guidelines and staff training across clinical services to promote patient-centered and compassionate care and deliver more effective, acceptable and accessible services.

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Experiences of Help From the Perspective of Finnish People Who Self-Harmed During Adolescence

Cited by 7 publications

References 28 publications

The barriers and facilitators to the reporting and recording of self-harm in young people aged 18 and under: a systematic review

The barriers and facilitators to the reporting and recording of self-harm in young people aged 18 and under: a systematic review

The self-perceived needs of adolescents with suicidal behaviour: a scoping review

Attitudes toward and experiences of clinical and non-clinical services among individuals who self-harm or attempt suicide: a systematic review

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