Experience of self-harm and its treatment in looked-after young people: an interpretative phenomenological analysis

Objectives: We report the first Interpretative Phenomenological Analysis examination of self-harm and experience of clinical services in young people in the public care system. Methods: Qualitative interviews with 24 looked-after young people. Results: Prevalent themes were 1) Changes in care placem...

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Main Authors: Wadman, R., Armstrong, M., Clarke, D., Harroe, C., Majumder, P., Sayal, K., Vostanis, P., Townsend, E.
Format: Article
Published: Taylor & Francis 2017
Subjects:
Online Access:https://eprints.nottingham.ac.uk/43229/
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author Wadman, R.
Armstrong, M.
Clarke, D.
Harroe, C.
Majumder, P.
Sayal, K.
Vostanis, P.
Townsend, E.
author_facet Wadman, R.
Armstrong, M.
Clarke, D.
Harroe, C.
Majumder, P.
Sayal, K.
Vostanis, P.
Townsend, E.
author_sort Wadman, R.
building Nottingham Research Data Repository
collection Online Access
description Objectives: We report the first Interpretative Phenomenological Analysis examination of self-harm and experience of clinical services in young people in the public care system. Methods: Qualitative interviews with 24 looked-after young people. Results: Prevalent themes were 1) Changes in care placement, 2) Feelings of anger, 3) Not wanting/feeling able to talk, 4) Developing coping techniques, 5) Clinical services: A relational mixed bag (subthemes: feeling (i) patronised, not listened to, (ii) nothing being done, (iii) comfortable/able to talk). Conclusions: Placement change and anger were highly salient to self-harm in this group and experiences of clinical services depended on individual relationships with clinicians. Implications include increasing compassion in therapeutic relationships, recognizing and managing emotional dysregulation and increasing support during placement changes.
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institution University of Nottingham Malaysia Campus
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publishDate 2017
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spelling nottingham-432292020-05-04T19:05:02Z https://eprints.nottingham.ac.uk/43229/ Experience of self-harm and its treatment in looked-after young people: an interpretative phenomenological analysis Wadman, R. Armstrong, M. Clarke, D. Harroe, C. Majumder, P. Sayal, K. Vostanis, P. Townsend, E. Objectives: We report the first Interpretative Phenomenological Analysis examination of self-harm and experience of clinical services in young people in the public care system. Methods: Qualitative interviews with 24 looked-after young people. Results: Prevalent themes were 1) Changes in care placement, 2) Feelings of anger, 3) Not wanting/feeling able to talk, 4) Developing coping techniques, 5) Clinical services: A relational mixed bag (subthemes: feeling (i) patronised, not listened to, (ii) nothing being done, (iii) comfortable/able to talk). Conclusions: Placement change and anger were highly salient to self-harm in this group and experiences of clinical services depended on individual relationships with clinicians. Implications include increasing compassion in therapeutic relationships, recognizing and managing emotional dysregulation and increasing support during placement changes. Taylor & Francis 2017-09-07 Article PeerReviewed Wadman, R., Armstrong, M., Clarke, D., Harroe, C., Majumder, P., Sayal, K., Vostanis, P. and Townsend, E. (2017) Experience of self-harm and its treatment in looked-after young people: an interpretative phenomenological analysis. Archives of Suicide Research, 22 (3). pp. 365-379. ISSN 1381-1118 self-harm; interpretative phenomenological analysis (IPA): looked-after young people; adolescence; qualitative methods http://www.tandfonline.com/doi/full/10.1080/13811118.2017.1355286 doi:10.1080/13811118.2017.1355286 doi:10.1080/13811118.2017.1355286
spellingShingle self-harm; interpretative phenomenological analysis (IPA): looked-after young people; adolescence; qualitative methods
Wadman, R.
Armstrong, M.
Clarke, D.
Harroe, C.
Majumder, P.
Sayal, K.
Vostanis, P.
Townsend, E.
Experience of self-harm and its treatment in looked-after young people: an interpretative phenomenological analysis
title Experience of self-harm and its treatment in looked-after young people: an interpretative phenomenological analysis
title_full Experience of self-harm and its treatment in looked-after young people: an interpretative phenomenological analysis
title_fullStr Experience of self-harm and its treatment in looked-after young people: an interpretative phenomenological analysis
title_full_unstemmed Experience of self-harm and its treatment in looked-after young people: an interpretative phenomenological analysis
title_short Experience of self-harm and its treatment in looked-after young people: an interpretative phenomenological analysis
title_sort experience of self-harm and its treatment in looked-after young people: an interpretative phenomenological analysis
topic self-harm; interpretative phenomenological analysis (IPA): looked-after young people; adolescence; qualitative methods
url https://eprints.nottingham.ac.uk/43229/
https://eprints.nottingham.ac.uk/43229/
https://eprints.nottingham.ac.uk/43229/