Self-Injury and Postvention: Responding to the Family in Crisis

Trepal, Heather C.; Wester, Kelly L.; MacDonald, Colleen A.

doi:10.1177/1066480706291128

Cited by 22 publications

(34 citation statements)

References 36 publications

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“…These findings are in line with previous research on DSH [13,16,17] and on more general mental health issues [37], which have identified communication problems within the family as being associated with mental health difficulties and poorer family functioning.…”

Section: Discussionsupporting

confidence: 91%

“…Consistent with the findings of previous research on the context of deliberate self-harm of adolescents [16-18], it was found that parental well-being was strongly correlated with the quantity and magnitude of difficulties encountered by the child, as reported by the parent, i.e., parental well-being was lower when child difficulties were greater. These findings may indicate that parents’ mental health is more adversely affected when their child experiences greater difficulties; however, it is also possible that parents whose well-being is lower may be more likely to rate their child’s difficulties as greater, due to their more negative state of mind.…”

Section: Discussionsupporting

confidence: 89%

“…Previous research has, however, found that poorer family functioning results from the occurrence of depression in adolescents, and that impairments to functioning may persist beyond six months after the depressive episode [15]. More specifically, it has been postulated that DSH behaviours have a ‘ripple effect’ on families [16,17]. A qualitative study by Raphael et al [17] involved in-depth face to face interviews with parents of young people who had self-harmed, and gives particular insight into the emotional and practical challenges faced by parents in response to DSH activity.…”

Section: Introductionmentioning

confidence: 99%

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Parents of young people with self-harm or suicidal behaviour who seek help – a psychosocial profile

Morgan

Rickard

Noone

et al. 2013

Child Adolesc Psychiatry Ment Health

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BackgroundDeliberate Self-Harm (DSH) is a common problem among children and adolescents in clinical and community populations, and there is a considerable amount of literature investigating factors associated with DSH risk and the effects of DSH on the child. However, there is a dearth of research examining the impact of DSH on parents, and there are few support programmes targeted at this population. This cross-sectional study examines the profile of a sample of parents of young people with DSH who participated in a support programme (Supporting Parents and Carers of young people with self-harm: the SPACE programme), with the goal of investigating pre-test parental well-being, family communication, parental satisfaction, perceived parental social support, and child strengths and difficulties.MethodsParticipants were 130 parents who attended the SPACE programme between 2009 and 2012, and who completed six questionnaires at baseline: the General Health Questionnaire-12, Strengths and Difficulties Questionnaire, Kansas Parenting Satisfaction Scale, General Functioning Scale of the McMaster Family Assessment Device, Multidimensional Scale of Perceived Social Support, and a demographic questionnaire.ResultsThe majority of parents met criteria for minor psychological distress (86%) and rated the quantity and severity of their children’s difficulties as being in the abnormally high range (74%) at baseline. A majority of participants (61%) rated their perceived social support as being poor. Lower parental well-being was significantly correlated with poorer family communication, poorer parenting satisfaction, and a greater number of difficulties for the child. Perceived social support was not significantly correlated with parental well-being. Parents whose children were not attending school at baseline had significantly lower well-being scores than those whose children were. Parents whose children had received a formal diagnosis of a mental health disorder also had significantly lower well-being scores than those whose children had not.ConclusionsParents of young people with DSH behaviours face considerable emotional and practical challenges; they have low levels of well-being, parenting satisfaction, social support, and experience poor family communication. Given the importance of parental support for young people with DSH behaviours, consideration should be given to the need for individual or group support for such parents.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Parents of young people with self-harm or suicidal behaviour who seek help – a psychosocial profile

Morgan

Rickard

Noone

et al. 2013

Child Adolesc Psychiatry Ment Health

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“…In addition, the moderating role of social self-efficacy implies that the treatment of selfinjuring clients may benefit from attention to social skills training and the development of social confidence. Trepal, Wester, and MacDonald (2006) recommended that, when families seek counseling for a self-injuring member, counselors complete a thorough family system assessment, including inquiries into family boundaries and structure. In view of the findings of this study, it may also be beneficial for counselors to assess justice evaluations in the family.…”

Section: Clinical Implications For Family Counselingmentioning

confidence: 99%

Justice in the Family: The Moderating Role of Social Self-Efficacy in the Relationship Between Nonsuicidal Self-Injury and Interactional Justice From Parents

Buser

Kearney

2012

The Family Journal

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For this study, the researchers recruited a sample of college men and women (N ¼ 874) and examined the relationships among nonsuicidal self-injury (NSSI) in the past year, social self-efficacy, and two dimensions of interactional justice (IJ) from parents (specifically, interpersonal justice and informational justice). Results indicated that both dimensions of IJ were inversely associated with NSSI and, second, that social self-efficacy moderated both of these relationships. Clinical implications of these findings for family counselors are discussed.

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“…• Understands and manages countertransference and emotions (Deiter, Nicholls, & Pearlman, 2000;Trepal, Wester, & MacDonald, 2006;White, TrepalWollenzier & Nolan, 2002).…”

mentioning

confidence: 99%

A manual of best practice for counsellors working with adolescents who self-injure

Polysou¹

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Self-injury (SI) is the intentional harm of oneself in order to manage emotions and provide relief from unbearable stress. Methods of self-injury include cutting, burning, hitting, and hair pulling. Many counsellors are working with adolescent self-injurers but are struggling with how best to provide therapy. The role of counsellors may vary, depending on whether they are school or community-based. This project presents a manual focusing on adolescent self-injurers and their psychotherapeutic treatment. The manual presents and interprets information that is difficult for practicing counsellors to access into a succinct document.Topics addressed are the nature of adolescent self-injuring behavior, risk factors associated with SI, strategies for working with self-injurers within the public school system, assessment of the adolescent self-injuring client, and therapeutic treatment. Working with adolescent self-injurers is a challenging undertaking and this manual offers information and strategies to aid the counsellor in providing appropriate client care.

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Self-Injury and Postvention: Responding to the Family in Crisis

Cited by 22 publications

References 36 publications

Parents of young people with self-harm or suicidal behaviour who seek help – a psychosocial profile

Parents of young people with self-harm or suicidal behaviour who seek help – a psychosocial profile

Justice in the Family: The Moderating Role of Social Self-Efficacy in the Relationship Between Nonsuicidal Self-Injury and Interactional Justice From Parents

A manual of best practice for counsellors working with adolescents who self-injure

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