Self-harm paper - FINAL - April 2016 - REVISED.pdf (612.14 kB)
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“This is a question we have to ask everyone”: Asking young people about self-harm and suicide

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journal contribution
posted on 02.08.2016, 11:51 by Michelle J. O'Reilly, N. Kiyimba, K. Karim
Introduction: Questions about self-harm and suicide are essential in risk assessments with children and young people, yet little is known about how mental health practitioners do this. Aim: The core aim was to examine how questions about self-harm and suicidal ideation are asked in real world practice. Method: A qualitative design was employed to analyse 28 video-recorded naturally occurring mental health assessments in a child and adolescent mental health service. Data were analysed using conversation analysis (CA). Results: In 13 cases young people were asked about self-harm and suicide, but 15 were not. Analysis revealed how practitioners asked these questions. Two main styles were revealed. First was an incremental approach, beginning with inquiries about emotions and behaviours, building to asking about self-harm and suicidal intent. Second was to externalise the question as being required by outside agencies. Discussion: The study concluded that the design of risk questions to young people had implications for how open they were to engaging with the practitioner. Implications for practice: The study has implications for training and practice for psychiatric nurses and other mental health practitioners in feeling more confident in communicating with young people about self-harm and suicidal ideation.

History

Citation

Journal of Psychiatric and Mental Health Nursing, 2016, 23 (8), pp. 479–488

Author affiliation

/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/MBSP Non-Medical Departments/Neuroscience, Psychology and Behaviour

Version

AM (Accepted Manuscript)

Published in

Journal of Psychiatric and Mental Health Nursing

Publisher

Wiley

issn

1351-0126

eissn

1365-2850

Acceptance date

17/06/2016

Copyright date

2016

Available date

08/08/2017

Publisher version

http://onlinelibrary.wiley.com/doi/10.1111/jpm.12323/full

Notes

The file associated with this record is under a 12 month embargo from publication in accordance with the publisher's self-archiving policy. The full text may be available through the publisher links provided above.

Language

en

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