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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.

Authors

R. Wadman

M. Armstrong

D. Clarke david.clarke@nottingham.ac.uk

C. Harroe

P. Majumder

K. Sayal

P. Vostanis

E. Townsend



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.

Journal Article Type Article
Journal Archives of Suicide Research
Print ISSN 1381-1118
Electronic ISSN 1381-1118
Publisher Taylor & Francis (Routledge)
Peer Reviewed Peer Reviewed
Volume 22
Issue 3
APA6 Citation Wadman, R., Armstrong, M., Clarke, D., Harroe, C., Majumder, P., Sayal, K., …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), doi:10.1080/13811118.2017.1355286
DOI https://doi.org/10.1080/13811118.2017.1355286
Keywords self-harm; interpretative phenomenological analysis (IPA): looked-after young people; adolescence; qualitative methods
Publisher URL http://www.tandfonline.com/doi/full/10.1080/13811118.2017.1355286
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf
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....0/13811118.2017.1355286

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Self-harm looked-after young people IPA_Author accepted manuscript_May17.pdf (492 Kb)
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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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