A qualitative study on lived experience of self-harm in South Asians in the UK: From reasons to recovery

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2023-06-19 DOI:10.1002/cpp.2875

Büşra Özen-Dursun, Maria Panagioti, Reem Alharbi, Sally Giles, Nusrat Husain

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引用次数: 0

Abstract

Objectives

Self-harm rates and clinical presentations differ by ethnicity. South Asian women are at risk of self-harm. Previous research suggested investigating individuals' experiences with self-harm with qualitative studies in developing self-harm prevention strategies. This research aims to explore self-harm experiences among South Asians in the United Kingdom.

Design

Qualitative study.

Methods

Participants were recruited via third-sector organizations and online platforms. Semi-structured interviews were conducted with 11 South Asian individuals with a history of self-harm living in the United Kingdom. The data were analysed based on a reflective thematic analysis approach.

Results

Results revealed four main themes: (1) reasons for self-harm; (2) recovery journey; (3) culture and mental health; and (4) the transition to suicidal thoughts and behaviours. Reasons for self-harm included negative life circumstances, social life difficulties, challenges faced during COVID-19 and mental health problems. Participants described their recovery journey by acknowledging the role of professional help, self-care, psychoeducation and personal growth, improving social relationships, and faith and spirituality. Cultural factors included generational differences and stigma. Culturally adapted psychological interventions were perceived as promising. The reported transition from self-harm to suicidal behaviours was linked to experiencing major stressful life events and the use of severe methods of self-harm.

Conclusions

The findings suggest that socio-cultural factors impact mental health and recovery processes among South Asians. Mental health services should consider improving culturally sensitive clinical practices in responding to self-harm among South Asian communities.

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一项关于英国南亚人自残生活经历的定性研究：从原因到康复。

目的：自残率和临床表现因种族而异。南亚妇女有自残的危险。先前的研究建议在制定自残预防策略时，通过定性研究来调查个人的自残经历。本研究旨在探讨英国南亚人的自残经历。设计：定性研究。方法：通过第三部门组织和在线平台招募参与者。对居住在联合王国的11名有自残史的南亚人进行了半结构化访谈。数据是根据反思性专题分析方法进行分析的。结果：研究结果揭示了四个主要主题：（1）自我伤害的原因；（2）康复之旅；（3）文化与心理健康；以及（4）向自杀思想和行为的转变。自我伤害的原因包括负面生活环境、社会生活困难、新冠肺炎期间面临的挑战和心理健康问题。参与者通过承认专业帮助、自我护理、心理教育和个人成长、改善社会关系以及信仰和精神的作用来描述他们的康复之旅。文化因素包括代际差异和耻辱。适应文化的心理干预被认为是有希望的。据报道，从自残到自杀行为的转变与经历重大压力生活事件和使用严重的自残方法有关。结论：研究结果表明，社会文化因素影响南亚人的心理健康和康复过程。心理健康服务应考虑改善南亚社区应对自残的文化敏感性临床实践。

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

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.