Kings College London, Institute of Psychiatry, London
Croydon Child and Adolescent Mental Health Service, South London and Maudsley NHS Trust
Kings College London, Institute of Psychiatry, London
Correspondence: Anna Oldershaw, PO Box 059, Institute of Psychiatry, De Crespigny Park, London, SE5 8AF UK. Email: anna.oldershaw{at}iop.kcl.ac.uk
None. Funding detailed in Acknowledgements.
Background
Parents perspectives on self-harm are considered important, but have not been explored.
Aims
To gain perspective of parents of adolescents who self-harm on: (a) history of self-harm and health service provision; (b) their understanding and ability to make sense of self-harm behaviour; (c) emotional and personal impact; and (d) parent skills as carer and hope for the future.
Method
Interpretative phenomenological analysis was applied to semi-structured interviews with 12 parents of adolescents receiving treatment for self-harm in community child and adolescent mental health services.
Results
Parents commonly suspected and spotted self-harm prior to disclosure or service contact; however, communication difficulties and underestimating significance led to delays in addressing the behaviour. Parents struggled to understand and cope with self-harm.
Conclusions
Parents require advice and support from outside services to help them manage self-harming behaviour and its personal impact. This study suggests parents are early to spot signs of self-harm, indicating their key role in reaching young people in the community who remain unknown to health services.
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