“They aren’t all like that”: perceptions of clinical services, as told by self-harm online communities

Williams, A. Jess; Nielsen, Emma; Coulson, Neil S.

Abstract

Self-harm is a critical public health issue, with strikingly low rates of attendance to clinical services. By offering support, anonymity, and open discussions, online communities hold useful insights into the factors which influence help-seeking behavior. We explore the perceptions of clinical services in three self-harm online communities to understand which services are being used and why. Message threads from each community were extracted randomly until saturation, providing 513 messages across 60 threads. A thematic analysis was performed resulting in four key themes: access to appropriate services during an episode of self-harm, service preference, fears surrounding disclosure, and support.

Citation

Williams, A. J., Nielsen, E., & Coulson, N. S. (2018). “They aren’t all like that”: perceptions of clinical services, as told by self-harm online communities. Journal of Health Psychology, 135910531878840. https://doi.org/10.1177/1359105318788403

• Journal Article Type: Article
• Acceptance Date: Jun 16, 2018
• Online Publication Date: Jul 19, 2018
• Publication Date: Jul 19, 2018
• Deposit Date: Aug 24, 2018
• Journal: Journal of Health Psychology
• Print ISSN: 1359-1053
• Electronic ISSN: 1461-7277
• Publisher: SAGE Publications
• Peer Reviewed: Peer Reviewed
• Pages: 135910531878840
• DOI: https://doi.org/10.1177/1359105318788403
• Keywords: Applied Psychology
• Public URL: https://nottingham-repository.worktribe.com/output/1047551
• Publisher URL: http://journals.sagepub.com/doi/10.1177/1359105318788403