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The quest for genuine care: A qualitative study of the experiences of young people who self-harm in residential care

Levels of self-harm for young people in care are high, and even higher for those in residential care. Recent research highlights the importance of understanding self-harm relationally. Such an approach may be of particular value for understanding the self-harm of young people in care. The aim of thi...

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Detalles Bibliográficos
Autores principales: Rouski, Charlene, Knowles, Susan Frances, Sellwood, William, Hodge, Suzanne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8041438/
https://www.ncbi.nlm.nih.gov/pubmed/33307756
http://dx.doi.org/10.1177/1359104520980037
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author Rouski, Charlene
Knowles, Susan Frances
Sellwood, William
Hodge, Suzanne
author_facet Rouski, Charlene
Knowles, Susan Frances
Sellwood, William
Hodge, Suzanne
author_sort Rouski, Charlene
collection PubMed
description Levels of self-harm for young people in care are high, and even higher for those in residential care. Recent research highlights the importance of understanding self-harm relationally. Such an approach may be of particular value for understanding the self-harm of young people in care. The aim of this research was to understand the experiences of young people who self-harm whilst living in residential care, with a particular focus on the effect of the care setting on their self-harm. Five young people participated in semi-structured interviews which were analysed using Interpretive Phenomenological Analysis. Four themes emerged: ‘The black hole of self-harm’, ‘Seeking genuine care and containment’, ‘The cry to be understood’ and ‘Loss of control to the system.’ Young people recognised their need for support with their self-harm, but organisationally driven approaches to managing risk contributed to a perception that the care offered was not genuine, which led to an unwillingness to accept care. The findings highlight the need for a more compassionate, relational response to young people who self-harm in residential care.
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spelling pubmed-80414382021-04-22 The quest for genuine care: A qualitative study of the experiences of young people who self-harm in residential care Rouski, Charlene Knowles, Susan Frances Sellwood, William Hodge, Suzanne Clin Child Psychol Psychiatry Nssi Levels of self-harm for young people in care are high, and even higher for those in residential care. Recent research highlights the importance of understanding self-harm relationally. Such an approach may be of particular value for understanding the self-harm of young people in care. The aim of this research was to understand the experiences of young people who self-harm whilst living in residential care, with a particular focus on the effect of the care setting on their self-harm. Five young people participated in semi-structured interviews which were analysed using Interpretive Phenomenological Analysis. Four themes emerged: ‘The black hole of self-harm’, ‘Seeking genuine care and containment’, ‘The cry to be understood’ and ‘Loss of control to the system.’ Young people recognised their need for support with their self-harm, but organisationally driven approaches to managing risk contributed to a perception that the care offered was not genuine, which led to an unwillingness to accept care. The findings highlight the need for a more compassionate, relational response to young people who self-harm in residential care. SAGE Publications 2020-12-13 2021-04 /pmc/articles/PMC8041438/ /pubmed/33307756 http://dx.doi.org/10.1177/1359104520980037 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Nssi
Rouski, Charlene
Knowles, Susan Frances
Sellwood, William
Hodge, Suzanne
The quest for genuine care: A qualitative study of the experiences of young people who self-harm in residential care
title The quest for genuine care: A qualitative study of the experiences of young people who self-harm in residential care
title_full The quest for genuine care: A qualitative study of the experiences of young people who self-harm in residential care
title_fullStr The quest for genuine care: A qualitative study of the experiences of young people who self-harm in residential care
title_full_unstemmed The quest for genuine care: A qualitative study of the experiences of young people who self-harm in residential care
title_short The quest for genuine care: A qualitative study of the experiences of young people who self-harm in residential care
title_sort quest for genuine care: a qualitative study of the experiences of young people who self-harm in residential care
topic Nssi
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8041438/
https://www.ncbi.nlm.nih.gov/pubmed/33307756
http://dx.doi.org/10.1177/1359104520980037
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