关键词: children inpatient setting mental health restrictive practices self-harm young people

Mesh : Humans Child Adolescent Mental Health Inpatients / psychology Self-Injurious Behavior / prevention & control psychology Parents Health Personnel

来  源:   DOI:10.1111/inm.13143

Abstract:
This study aimed to understand the views of children and young people (CYP), parents and staff on how staff should respond to incidents of self-harm carried out by CYP in mental health inpatient settings. Semi-structured interviews were conducted with CYP (n = 6), parents (n = 5) and mental health professionals (n = 6) with experience of this issue. Data were analysed using reflexive thematic analysis. Two superordinate themes were identified: (1) The threshold for intervening; and (2) Interpersonal attributes of staff. There was general agreement among participants about the interpersonal skills that staff should possess to work safely and effectively with this population. There was disagreement between staff and parent participants about the appropriate threshold for using restrictive interventions to manage incidents of self-harm for this group. Our findings suggest that further work is needed to develop effective approaches for addressing self-harm in this population which are considered acceptable to all key stakeholders. The results of this study could be used to inform future intervention development.
摘要:
本研究旨在了解儿童和青少年(CYP)的观点,父母和工作人员如何应对CYP在心理健康住院环境中进行的自我伤害事件。对CYP进行了半结构化访谈(n=6),父母(n=5)和心理健康专业人员(n=6)有这个问题的经验。使用反身性主题分析对数据进行了分析。确定了两个高级主题:(1)干预的门槛;(2)工作人员的人际属性。与会者普遍同意工作人员应该具备的人际交往技能,以便安全有效地与这些人群合作。工作人员和家长参与者之间对于使用限制性干预措施来管理该群体的自我伤害事件的适当阈值存在分歧。我们的研究结果表明,需要进一步的工作来开发有效的方法来解决该人群的自我伤害,这些方法被认为是所有关键利益相关者都可以接受的。这项研究的结果可用于为未来的干预发展提供信息。
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