A systematic review and meta-ethnography exploring personal perspectives of recovery among those with lived experience of non-suicidal self-injury

IF 2.6 3区医学 Q2 PSYCHIATRY Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2024-10-28 DOI:10.1111/papt.12552

Emily Hudson, Bali Hemmings, Samantha Hartley, Peter Taylor

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Abstract

Background

Non-suicidal self-injury (NSSI) is a significant public health concern. Research and treatment interventions largely focus on stopping self-injury. People who self-injure do not necessarily equate recovery to cessation. Qualitative accounts allow greater understanding of personal recovery narratives. This study aimed to synthesise personal conceptualisations of NSSI recovery.

Methods

Participants had lived experience of NSSI and discussed their recovery. Papers not written in English or had a quantitative design were excluded. Four databases (PsycInfo, CINAHL, Medline and Web of Science) were systematically searched. The quality of each paper was assessed using the CASP quality assessment tool. Data were synthesised using a meta-ethnographic approach.

Results

Thirteen studies comprising 159 participants were included. Three overarching themes were developed. While ceasing NSSI was an important aspect of recovery for some, recovery was typically viewed more holistically, encompassing developments within the self and relationships. Recovery was regarded an ongoing non-linear journey. The personal and multifaceted nature of the recovery process emerged through a line of argument synthesis.

Conclusions

This was the first qualitative synthesis of personal conceptualisations of NSSI recovery. The findings highlighted the personal and multifaceted nature of NSSI recovery and supported person-centred models of self-injury recovery. Clinical implications include the importance of expanding self-injury recovery beyond cessation within research and clinical practice, and for collaborative and person-centred approaches to be embraced when supporting those who self-injure.

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系统性回顾和荟萃人种学研究，探索有非自杀性自残经历的人对康复的个人看法。

背景：非自杀性自残（NSSI）是一个重大的公共卫生问题。研究和治疗干预主要集中在停止自我伤害上。自我伤害者并不一定将康复等同于停止自我伤害。通过定性叙述可以更好地理解个人康复叙述。本研究旨在总结关于 NSSI 康复的个人概念：方法：参与者都有 NSSI 的亲身经历，并讨论了他们的康复情况。非英语撰写或定量设计的论文被排除在外。系统检索了四个数据库（PsycInfo、CINAHL、Medline 和 Web of Science）。采用 CASP 质量评估工具对每篇论文的质量进行了评估。采用元人种学方法对数据进行综合：结果：纳入了 13 项研究，共有 159 名参与者。形成了三大主题。对一些人来说，停止非自愿性自杀是康复的一个重要方面，但康复通常被更全面地看待，包括自我和人际关系的发展。康复被视为一个持续的非线性旅程。康复过程的个人性和多面性是通过论证综合得出的：这是首次对新社会性行为（NSSI）康复的个人概念进行定性综合。研究结果强调了 NSSI 康复的个人性和多面性，并支持以人为本的自伤康复模式。临床意义包括：在研究和临床实践中将自我伤害康复扩展到停止自我伤害之外的重要性，以及在支持自我伤害者时采用合作和以人为本的方法的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychology and Psychotherapy-Theory Research and Practice 医学-精神病学

CiteScore

6.10

自引率

5.90%

发文量

审稿时长

6 months

期刊介绍： Psychology and Psychotherapy: Theory Research and Practice (formerly The British Journal of Medical Psychology) is an international scientific journal with a focus on the psychological and social processes that underlie the development and improvement of psychological problems and mental wellbeing, including: theoretical and research development in the understanding of cognitive and emotional factors in psychological problems; behaviour and relationships; vulnerability to, adjustment to, assessment of, and recovery (assisted or otherwise) from psychological distresses; psychological therapies with a focus on understanding the processes which affect outcomes where mental health is concerned.