From Self-Injury to Recovery: A Qualitative Exploration with Self-Injuring Youth in India

Meheli, Saha; Bhola, Poornima; Murugappan, Nithya Poornima

doi:10.1007/s40737-021-00214-y

Cited by 8 publications

(9 citation statements)

References 65 publications

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“…This encouraging finding suggests that, upon exposure to perspectives on the personal-recovery approach, they might better appreciate its clinical value for MHCs. However, within the context of Asia, cultural differences are inherent to the construct of personal recovery and its associated features (Bingham and Kelley, 2022;Fujisawa, 2023;Lai et al, 2021;Lam et al, 2021;Lee et al, 2021;Meheli et al, 2021;Suryani et al, 2022;Tasijawa et al, 2021;Tsoi et al, 2022;Yu et al, 2021aYu et al, , 2021b, for which further research is thus warranted to validate these findings and explore potential differences. For example, in Singapore, recovery is more intertwined with community acceptance and social cohesion than western perspectives which tend to be viewed as a more individual experience (Kuek et al, 2023).…”

Section: Discussionmentioning

confidence: 99%

Occupational therapy students’ perception on mental health recovery: A descriptive qualitative exploration

Kuek

Tan

et al. 2023

British Journal of Occupational Therapy

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Introduction: In occupational therapy, emphasis is placed on the complex interplay between the client, the occupation and the environment, providing an opportunity for its practitioners to adopt recovery-oriented outcomes in interventions for people with mental health conditions. In this study, we seek to understand occupational therapy undergraduates’ perceptions of recovery for people with mental health conditions. Method: A qualitative descriptive study was conducted at a university in Singapore, which provides a pre-registration occupational therapy programme. Seventeen undergraduates were recruited (year 1, n = 5; year 2, n = 7 and year 3, n = 5). A semi-structured interview guide was used during the interview. Data collection took place from June to August 2022. Results: Using thematic analysis, two macro themes were discerned: the understanding of mental health conditions and the meanings of recovery. Sub-themes were created under each grouping to describe the data. Conclusions: This study explored the perceptions of mental health recovery among occupational therapy undergraduates. Occupational therapy students appeared to be well-aligned with personal and functional recovery perspectives when providing support for people with mental health conditions. However, there seems to be a need to emphasise the more nuanced aspects of delivering care within the culturally diverse setting of Singapore.

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Section: Discussionmentioning

confidence: 99%

Occupational therapy students’ perception on mental health recovery: A descriptive qualitative exploration

Kuek

Tan

et al. 2023

British Journal of Occupational Therapy

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“…In terms of emotional support, participants discussed how they found it helpful when others in their life engaged in active listening, provided comfort, engaged in calm communication, and even encouraged professional help seeking. Indeed, these kinds of responses have been noted as beneficial to individuals who self-injure (Ammerman and McCloskey, 2020; Gayfer et al, 2020; Kelada et al, 2018; Meheli et al, 2021; Nielsen and Townsend, 2018). As such, it is important that positive support-seeking experiences are fostered in both professional and informal contexts.…”

Section: Discussionmentioning

confidence: 99%

Support Seeking in the Context of Self-Injury Recovery

Meheli

Lewis

2022

J Nerv Ment Dis

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A sample of 229 university students responded to open-ended questions for the present study, which aimed to gain a deeper understanding of lived experiences of support seeking in the context of self-injury recovery. Inductive thematic analysis of the responses indicated themes from two domains: the benefits of support seeking and the barriers to support seeking. The first domain highlighted benefits from both professional sources (such as receiving diagnosis and referrals to therapy, learning emotion regulation strategies, and developing an improved understanding of self ) and informal sources (such as receiving tangible aid, having a support system, and having a compassionate space). The second domain indicated that barriers could be both intrapersonal (such as desire to continue nonsuicidal selfinjury, embarrassment and shame, establishing agency without others' support, and minimizing self-injury) and interpersonal (such as fear of being stigmatized, concern for others, and unhelpful prior experiences) in nature. Implications for future research, outreach efforts, and clinical practice are discussed.

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“…The fear of being stigmatized not only impedes help-seeking, but can also drive the individual to go to extreme lengths to hide their self-injury, maintain a social facade to ensure privacy, such as hiding scars or being untruthful about the origin of NSSI scars, or self-injuring in areas not easily visible [23,48,61].…”

Section: Impact Of Stigmamentioning

confidence: 99%

“…inadvertently use labels in therapy such as "attention seeking disorder" or "maladaptive coping" [23,54], while sharing the diagnosis or formulation in an attempt to simplify the experience. This is quite plausible, given that therapists and other mental health professionals often feel incompetent in treating self-injurious behavior [55].…”

Section: Impact Of Stigmamentioning

confidence: 99%

Revisiting Social Stigma in Non-suicidal Self-injury: A Narrative Review

Banerjee

Meheli

2022

Consortium Psychiatricum

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Non-suicidal self-injury (NSSI) is highly prevalent in our community. Yet, there is a significant discrepancy between the number of individuals engaging in NSSI and those who seek treatment for NSSI. This discrepancy can be due to the high social stigma associated with the behavior. The impact of NSSI stigma is significant and can impair the quality of life in the individuals engaging in NSSI, delay help-seeking, reduce access to mental health care and further fuel misinformation. Even though the symptomatology, risks, and demographics of NSSI have received attention in terms of research, there is limited literature on NSSI stigma and its consequences. With that background set, this review provides a birds-eye view of the different levels of stigma in NSSI (public, self, and health care), associated discrimination, the various aspects of such stigmatization (NSSI-related language, physical scarring, misinformation, the media), and, finally, the collaborative clinical-outreach interventions for mitigating NSSI-associated social stigma. If NSSI is indeed recognized as a clinical disorder, future research would need to focus on these constructs of stigma and treat them with the same importance as the one given to clinical studies of intervention and symptomatology in NSSI.

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From Self-Injury to Recovery: A Qualitative Exploration with Self-Injuring Youth in India

Cited by 8 publications

References 65 publications

Occupational therapy students’ perception on mental health recovery: A descriptive qualitative exploration

Occupational therapy students’ perception on mental health recovery: A descriptive qualitative exploration

Support Seeking in the Context of Self-Injury Recovery

Revisiting Social Stigma in Non-suicidal Self-injury: A Narrative Review

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