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Exploring Lived Experiences of Adolescents Presenting with Self-Harm and Their Views about Suicide Prevention Strategies: A Qualitative Approach

Suicide is a serious global public health problem and the third leading cause of death in those 15–35 years old. Self-harm is the major predictor of future suicide attempts and completed suicide yet remains poorly understood. There is limited evidence on effective interventions for adolescents who p...

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Autores principales: Naz, Anum, Naureen, Amna, Kiran, Tayyeba, Husain, Muhammad Omair, Minhas, Ayesha, Razzaque, Bushra, Tofique, Sehrish, Husain, Nusrat, Furber, Christine, Chaudhry, Nasim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8124784/
https://www.ncbi.nlm.nih.gov/pubmed/33924930
http://dx.doi.org/10.3390/ijerph18094694
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author Naz, Anum
Naureen, Amna
Kiran, Tayyeba
Husain, Muhammad Omair
Minhas, Ayesha
Razzaque, Bushra
Tofique, Sehrish
Husain, Nusrat
Furber, Christine
Chaudhry, Nasim
author_facet Naz, Anum
Naureen, Amna
Kiran, Tayyeba
Husain, Muhammad Omair
Minhas, Ayesha
Razzaque, Bushra
Tofique, Sehrish
Husain, Nusrat
Furber, Christine
Chaudhry, Nasim
author_sort Naz, Anum
collection PubMed
description Suicide is a serious global public health problem and the third leading cause of death in those 15–35 years old. Self-harm is the major predictor of future suicide attempts and completed suicide yet remains poorly understood. There is limited evidence on effective interventions for adolescents who present with self-harm. To identify and develop acceptable preventive and therapeutic interventions it is essential to understand the factors that contribute to self-harm and suicide in young people, in the context of their emotions, interpersonal difficulties, available support and prevention strategies. This qualitative study aimed at exploring the lived experiences of adolescents presenting with self-harm and their views about potential prevention strategies. Semi-structured interviews with 16 adolescents (12–18 years) presenting with a self-harm episode in a public hospital in Pakistan. A topic guide was developed to facilitate the interviews. The following themes emerged using the framework analysis; predisposing factors (interpersonal conflicts, emotional crisis etc.), regret and realization that self-harm is not the only option, perceived impact of self-harm, and suggestions for suicide prevention strategies (sharing, distraction techniques, involvement of family). This study may help in refining a contextual and culturally based explanatory model of self-harm in adolescents and in informing development of culturally acceptable interventions.
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spelling pubmed-81247842021-05-17 Exploring Lived Experiences of Adolescents Presenting with Self-Harm and Their Views about Suicide Prevention Strategies: A Qualitative Approach Naz, Anum Naureen, Amna Kiran, Tayyeba Husain, Muhammad Omair Minhas, Ayesha Razzaque, Bushra Tofique, Sehrish Husain, Nusrat Furber, Christine Chaudhry, Nasim Int J Environ Res Public Health Article Suicide is a serious global public health problem and the third leading cause of death in those 15–35 years old. Self-harm is the major predictor of future suicide attempts and completed suicide yet remains poorly understood. There is limited evidence on effective interventions for adolescents who present with self-harm. To identify and develop acceptable preventive and therapeutic interventions it is essential to understand the factors that contribute to self-harm and suicide in young people, in the context of their emotions, interpersonal difficulties, available support and prevention strategies. This qualitative study aimed at exploring the lived experiences of adolescents presenting with self-harm and their views about potential prevention strategies. Semi-structured interviews with 16 adolescents (12–18 years) presenting with a self-harm episode in a public hospital in Pakistan. A topic guide was developed to facilitate the interviews. The following themes emerged using the framework analysis; predisposing factors (interpersonal conflicts, emotional crisis etc.), regret and realization that self-harm is not the only option, perceived impact of self-harm, and suggestions for suicide prevention strategies (sharing, distraction techniques, involvement of family). This study may help in refining a contextual and culturally based explanatory model of self-harm in adolescents and in informing development of culturally acceptable interventions. MDPI 2021-04-28 /pmc/articles/PMC8124784/ /pubmed/33924930 http://dx.doi.org/10.3390/ijerph18094694 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Naz, Anum
Naureen, Amna
Kiran, Tayyeba
Husain, Muhammad Omair
Minhas, Ayesha
Razzaque, Bushra
Tofique, Sehrish
Husain, Nusrat
Furber, Christine
Chaudhry, Nasim
Exploring Lived Experiences of Adolescents Presenting with Self-Harm and Their Views about Suicide Prevention Strategies: A Qualitative Approach
title Exploring Lived Experiences of Adolescents Presenting with Self-Harm and Their Views about Suicide Prevention Strategies: A Qualitative Approach
title_full Exploring Lived Experiences of Adolescents Presenting with Self-Harm and Their Views about Suicide Prevention Strategies: A Qualitative Approach
title_fullStr Exploring Lived Experiences of Adolescents Presenting with Self-Harm and Their Views about Suicide Prevention Strategies: A Qualitative Approach
title_full_unstemmed Exploring Lived Experiences of Adolescents Presenting with Self-Harm and Their Views about Suicide Prevention Strategies: A Qualitative Approach
title_short Exploring Lived Experiences of Adolescents Presenting with Self-Harm and Their Views about Suicide Prevention Strategies: A Qualitative Approach
title_sort exploring lived experiences of adolescents presenting with self-harm and their views about suicide prevention strategies: a qualitative approach
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8124784/
https://www.ncbi.nlm.nih.gov/pubmed/33924930
http://dx.doi.org/10.3390/ijerph18094694
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