What helps people to reduce or stop self-harm? A systematic review and meta-synthesis of first-hand accounts.

Autor:	Brennan CA; Leeds Institute of Health Sciences, School of Medicine, University of Leeds, LS2 9LJ Leeds, UK., Crosby H; Leeds Institute of Health Sciences, School of Medicine, University of Leeds, LS2 9LJ Leeds, UK.; School of Psychology and Therapeutic Studies, Leeds Trinity University, LS18 5HD Leeds, UK., Sass C; Leeds Institute of Health Sciences, School of Medicine, University of Leeds, LS2 9LJ Leeds, UK., Farley KL; Leeds Institute of Health Sciences, School of Medicine, University of Leeds, LS2 9LJ Leeds, UK., Bryant LD; Leeds Institute of Health Sciences, School of Medicine, University of Leeds, LS2 9LJ Leeds, UK., Rodriquez-Lopez R; Leeds Institute of Health Sciences, School of Medicine, University of Leeds, LS2 9LJ Leeds, UK., Romeu D; Leeds Institute of Health Sciences, School of Medicine, University of Leeds, LS2 9LJ Leeds, UK.; Leeds and York Partnership Foundation Trust, LS15 8ZB Leeds, UK., Mitchell E; School of Psychology, University of Leeds, LS2 9JT Leeds, UK., House AO; Leeds Institute of Health Sciences, School of Medicine, University of Leeds, LS2 9LJ Leeds, UK., Guthrie E; Leeds Institute of Health Sciences, School of Medicine, University of Leeds, LS2 9LJ Leeds, UK.
Jazyk:	angličtina
Zdroj:	Journal of public health (Oxford, England) [J Public Health (Oxf)] 2023 Mar 14; Vol. 45 (1), pp. 154-161.
DOI:	10.1093/pubmed/fdac022
Abstrakt:	Background: Self-harm is an important public health problem but therapeutic interventions, particularly for people who have a history of multiple repetition, are not always taken up or effective when they are. The aim of this review is to explore first-hand accounts of what helps outside therapy and identify actions and processes, which can support the reduction or cessation of self-harm. Methods: A systematic review and thematic meta-synthesis of the first-person accounts of what has helped to reduce or stop self-harm reported in primary studies. Results: The meta-synthesis combined 546 participant excerpts from 56 studies. Two over-arching themes were identified: (i) breaking the chain incorporated actions taken to break the link between a person's current psychological or social state and the act of self-harm and (ii) building a new foundation for change captured actions over the longer-term, focusing on practical changes in relationships and in a person's way of life, such as work or living arrangements. Conclusions: The results emphasize the importance of interpersonal change in reducing or stopping self-harm. While interpersonal factors are acknowledged as important reasons behind self-harm, they are often under-represented in self-management advice and therapeutic interventions that focus on individual psychopathology. (© The Author(s) 2022. Published by Oxford University Press on behalf of Faculty of Public Health.)
Databáze:	MEDLINE
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