青少年披露自我伤害想法和行为的障碍:关注治疗环境。

IF 2.5 3区 医学 Q2 PSYCHIATRY Archives of Suicide Research Pub Date : 2024-11-08 DOI:10.1080/13811118.2024.2424233
Sylvanna Mirichlis, Taylor A Burke, Alexandra H Bettis, Koosje Dayer, Kathryn R Fox
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引用次数: 0

摘要

目的:披露自我伤害的想法和行为(SITBs)可以成为接受心理健康和救生护理的催化剂;然而,许多青少年并没有向他们的治疗师披露这些经历。在这项研究中,我们旨在找出青少年向治疗师披露其 SITBs 的障碍,并对这些障碍在不披露自杀意念、自杀行为和非自杀性自伤行为方面的情况进行比较:参与者(n = 292)均有至少一次 SITB 的亲身经历,平均年龄为 15.55 岁,大多数为顺性性别女孩(68.15%)。通过对开放式回答进行归纳内容分析,确定了六大类披露障碍:这些主要障碍是结果:这些主要障碍包括:机构失窃、无关性、治疗(错误)联盟、内化成见、预期成见和缺乏披露自我效能感。大多数从属障碍(85.29%)在三个 SITB 中都存在:青少年在向治疗师披露他们的 SITB 时可能会因多种原因而犹豫不决;优先考虑治疗关系并与青少年合作,不仅有助于促进披露,还能带来更积极的整体治疗体验。
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Barriers to Youth Disclosing Self-Injurious Thoughts and Behaviors: A Focus on the Therapeutic Context.

Objective: Disclosure of self-injurious thoughts and behaviors (SITBs) can serve as a catalyst to receiving mental health and lifesaving care; yet, many young people do not disclose these experiences to their therapists. In this study we aimed to identify barriers to adolescents disclosing their SITBs to their therapists and to compare these barriers across non-disclosure of suicidal ideation, suicidal behavior, and non-suicidal self-injury.

Method: Participants (n = 292) all had lived experience of at least one SITB and were an average age of 15.55 years, with the majority identifying as cisgender girls (68.15%). Using inductive content analysis of open-ended responses, six main categories of disclosure barriers were identified.

Results: These overarching barriers were: Agency Theft, Irrelevance, Therapeutic (Mis)Alliance, Internalized Stigma, Anticipated Stigma, and Lacking Disclosure Self-Efficacy. The majority (85.29%) of subordinate barriers were common across the three SITBs.

Conclusions: Adolescents may hesitate to disclose their SITBs to their therapists for many reasons; prioritizing the therapeutic relationship and working collaboratively with adolescents could be instrumental in not only fostering disclosure but also an overall more positive therapeutic experience.

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来源期刊
CiteScore
6.10
自引率
7.10%
发文量
69
期刊介绍: Archives of Suicide Research, the official journal of the International Academy of Suicide Research (IASR), is the international journal in the field of suicidology. The journal features original, refereed contributions on the study of suicide, suicidal behavior, its causes and effects, and techniques for prevention. The journal incorporates research-based and theoretical articles contributed by a diverse range of authors interested in investigating the biological, pharmacological, psychiatric, psychological, and sociological aspects of suicide.
期刊最新文献
Barriers to Youth Disclosing Self-Injurious Thoughts and Behaviors: A Focus on the Therapeutic Context. Firearm Availability Reduces the Stability of Suicidal Ideation: Results from an Ecological Momentary Assessment Study. Depression, Anxiety, and Stress Mediate the Relationship Between Poor Sleep Quality and Suicidal Ideation Among Young Chinese Men. Correction. Perinatal Factors and Their Association with Early-Adulthood Suicidal Behavior in a Brazilian Birth Cohort.
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