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.

Abstract

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.

Citation

Wadman, R., Armstrong, M., Clarke, D., Harroe, C., Majumder, P., Sayal, K., Vostanis, P., & Townsend, E. (in press). Experience of self-harm and its treatment in looked-after young people: an interpretative phenomenological analysis. Archives of Suicide Research, 22(3), https://doi.org/10.1080/13811118.2017.1355286

• Journal Article Type: Article
• Acceptance Date: May 15, 2015
• Online Publication Date: Sep 7, 2017
• Deposit Date: May 25, 2017
• Publicly Available Date: Sep 8, 2018
• Journal: Archives of Suicide Research
• Print ISSN: 1381-1118
• Electronic ISSN: 1573-8159
• Publisher: Routledge
• Peer Reviewed: Peer Reviewed
• Volume: 22
• Issue: 3
• DOI: https://doi.org/10.1080/13811118.2017.1355286
• Keywords: self-harm; interpretative phenomenological analysis (IPA): looked-after young people; adolescence; qualitative methods
• Public URL: https://nottingham-repository.worktribe.com/output/881317
• Publisher URL: http://www.tandfonline.com/doi/full/10.1080/13811118.2017.1355286
• Additional Information: This is an Accepted Manuscript of an article published by Taylor & Francis in Archives of Suicide Research on 7 September 2017 available online: http://www.tandfonline.com/10.1080/13811118.2017.1355286
• Contract Date: May 25, 2017