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A 15-year follow-up of former self-harming inpatients in child & adolescent psychiatry - a qualitative study

Hansson, Kristian ; Malmkvist, Lars and Johansson, Björn Axel LU (2020) In Nordic Journal of Psychiatry 74(4). p.273-279
Abstract

Purpose: Self-harm is common among adolescents, and is even more frequent among psychiatric populations. The aim of this study was to increase knowledge and understanding of different aspects of life for adults who, when adolescents, had engaged in severe self-harm during inpatient stays.Material and methods: Individual semi-structured interviews were held with seven former inpatients with a history of severe self-harm during inpatient stay in their adolescence. The interviews were analysed using a qualitative method, and the results were described in the form of categories and sub-categories.Results: Five categories, with 16 sub-categories, were found to be related to the former patients' experiences of their lives. At the time of the... (More)

Purpose: Self-harm is common among adolescents, and is even more frequent among psychiatric populations. The aim of this study was to increase knowledge and understanding of different aspects of life for adults who, when adolescents, had engaged in severe self-harm during inpatient stays.Material and methods: Individual semi-structured interviews were held with seven former inpatients with a history of severe self-harm during inpatient stay in their adolescence. The interviews were analysed using a qualitative method, and the results were described in the form of categories and sub-categories.Results: Five categories, with 16 sub-categories, were found to be related to the former patients' experiences of their lives. At the time of the interviews, the subjects were in their early thirties and had no ongoing self-harm. In childhood they had experienced a dysfunctional relationship with one or both of their parents, and self-harm was one of several destructive behaviours. Friendships outside the unit were difficult during adolescence. Soon after admission to the psychiatric inpatient unit, relationships with other patients became important and contributed to them wanting to stay at the unit. Meaningful relationships and being part of a social context with healthy expectations were seen as important factors for stopping self-harm at a later stage. The subjects' experiences of their life today ranged from not enjoying it to accepting their current situation.Conclusion: These findings are based on a small sample, but they indicate the importance of relationships and the social context in contributing to and then ending self-harm.

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author
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type
Contribution to journal
publication status
published
subject
in
Nordic Journal of Psychiatry
volume
74
issue
4
pages
273 - 279
publisher
Informa Healthcare
external identifiers
  • pmid:31799887
  • scopus:85076165418
ISSN
1502-4725
DOI
10.1080/08039488.2019.1697747
language
English
LU publication?
yes
id
d012eb5a-c3e7-440c-9171-06d62843d88d
date added to LUP
2020-05-26 14:54:19
date last changed
2024-07-10 16:49:20
@article{d012eb5a-c3e7-440c-9171-06d62843d88d,
  abstract     = {{<p>Purpose: Self-harm is common among adolescents, and is even more frequent among psychiatric populations. The aim of this study was to increase knowledge and understanding of different aspects of life for adults who, when adolescents, had engaged in severe self-harm during inpatient stays.Material and methods: Individual semi-structured interviews were held with seven former inpatients with a history of severe self-harm during inpatient stay in their adolescence. The interviews were analysed using a qualitative method, and the results were described in the form of categories and sub-categories.Results: Five categories, with 16 sub-categories, were found to be related to the former patients' experiences of their lives. At the time of the interviews, the subjects were in their early thirties and had no ongoing self-harm. In childhood they had experienced a dysfunctional relationship with one or both of their parents, and self-harm was one of several destructive behaviours. Friendships outside the unit were difficult during adolescence. Soon after admission to the psychiatric inpatient unit, relationships with other patients became important and contributed to them wanting to stay at the unit. Meaningful relationships and being part of a social context with healthy expectations were seen as important factors for stopping self-harm at a later stage. The subjects' experiences of their life today ranged from not enjoying it to accepting their current situation.Conclusion: These findings are based on a small sample, but they indicate the importance of relationships and the social context in contributing to and then ending self-harm.</p>}},
  author       = {{Hansson, Kristian and Malmkvist, Lars and Johansson, Björn Axel}},
  issn         = {{1502-4725}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{273--279}},
  publisher    = {{Informa Healthcare}},
  series       = {{Nordic Journal of Psychiatry}},
  title        = {{A 15-year follow-up of former self-harming inpatients in child & adolescent psychiatry - a qualitative study}},
  url          = {{http://dx.doi.org/10.1080/08039488.2019.1697747}},
  doi          = {{10.1080/08039488.2019.1697747}},
  volume       = {{74}},
  year         = {{2020}},
}