Understanding vulnerability to self-harm in times of economic hardship and austerity:a qualitative study

Autor: Barnes, MC, Gunnell, D, Davies, R, Hawton, K, Kapur, N, Potokar, J, Donovan, JL
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Barnes, M C, Gunnell, D, Davies, R L, Hawton, K, Kapur, N, Potokar, J P & Donovan, J L 2016, ' Understanding vulnerability to self-harm in times of economic hardship and austerity : a qualitative study ', BMJ Open, vol. 6, no. 2, e010131 . https://doi.org/10.1136/bmjopen-2015-010131
BMJ Open
ISSN: 2044-6055
DOI: 10.1136/bmjopen-2015-010131
Popis: Objective: Self-harm and suicide increase in times of economic recession, but little is known about why people self-harm when in financial difficulty, and in what circumstances self-harm occurs. This study aimed to understand events and experiences leading to the episode of self-harm and to identify opportunities for prevention or mitigation of distress.Setting: Participants’ homes or university rooms.Participants: 19 people who had attended hospital following self-harm in two UK cities and who specifically cited job loss, economic hardship or the impact of austerity measures as a causal or contributory factor.Primary and secondary outcome measures: Semistructured, in-depth interviews. Interviews were audio recorded, transcribe8d and analysed cross-sectionally and as case studies.Results: Study participants described experiences of severe economic hardship; being unable to find employment or losing jobs, debt, housing problems and benefit sanctions. In many cases problems accumulated and felt unresolvable. For others an event, such as a call from a debt collector or benefit change triggered the self-harm. Participants also reported other current or past difficulties, including abuse, neglect, bullying, domestic violence, mental health problems, relationship difficulties, bereavements and low self-esteem. These contributed to their sense of despair and worthlessness and increased their vulnerability to self-harm. Participants struggled to gain the practical help they felt they needed for their economic difficulties or therapeutic support that might have helped with their other co-existing or historically damaging experiences.Conclusions: Economic hardships resulting from the recession and austerity measures accumulated or acted as a ‘final straw’ to trigger self-harm, often in the context of co-existing or historically damaging life-experiences. Interventions to mitigate these effects should include providing practical advice about economic issues before difficulties become insurmountable and providing appropriate psychosocial support for vulnerable individuals.
Databáze: OpenAIRE