The British Journal of Psychiatry (2008) 193: 140-144. doi: 10.1192/bjp.bp.107.045930
© 2008 The Royal College of Psychiatrists
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Parents’ perspectives on adolescent self-harm: qualitative study

Anna Oldershaw, MSc

King’s College London, Institute of Psychiatry, London

Clair Richards, BSc and Mima Simic, MRCPsych, MSc

Croydon Child and Adolescent Mental Health Service, South London and Maudsley NHS Trust

Ulrike Schmidt, MRCPsych, PhD

King’s 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

Declaration of Interest

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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