Understanding and supporting self-harm recovery through qualitative survivor research: development and refinement of the Self-Harm Recovery Mode

通过定性幸存者研究理解和支持自残康复：自残康复模式的开发和完善

基本信息

批准号：
2889169
负责人：
金额：
--
依托单位：
King's College London
依托单位国家：
英国
项目类别：
Studentship
财政年份：
2023
资助国家：
英国
起止时间：
2023 至无数据
项目状态：
未结题

来源：
https://gtr.ukri.org/projects?ref=studentship-2889169
关键词：
Understanding supporting self harm recovery

项目摘要

People with self-harm often feel that cliniciansmisunderstand their experiences, focusing on stoppingbehaviours to achieve clinical recovery. The Self-HarmRecovery Model (SHRM), developed from a review ofcurrent evidence, examines self-harm recovery accordingto people with lived experience. Differently to clinicalrecovery, it shows the process as a "push and pull"between carrying out and reducing/stopping self-harm actsand influenced by factors like coping methods to replaceself-harm and whether people receive sympathetic supportfrom others. However, the evidence does not examinethoughts to self-harm, its links with people's identity andits meaning. Therefore, further research is needed to fullyunderstand self-harm recovery and refine the SHRM. I willconduct interviews with 1) people aged 18-35 with self-harm experiences and 2) clinicians who care for peoplewith self-harm. The interviews with people will help usunderstand how self-harm recovery is experienced and willdevelop the SHRM. The interviews with clinicians will helpus understand if the SHRM is appropriate for clinicalpractice. This study is led by a nurse with experience ofworking with self-harm and personal history of self-harm.People with a history of self-harm will form a LivedExperience Advisory Panel (LEAP) to contribute to theproject. I will ensure safety throughout by considering thewellbeing of people taking part in interviews and LEAPmembers are supported.

自残者常常觉得临床医生误解了他们的经历，专注于停止行为以实现临床康复。自残康复模型（SHRM）是根据对现有证据的审查而开发的，根据有生活经验的人来检验自残康复情况。与临床康复不同，它显示了实施和减少/停止自残行为之间的“推拉”过程，并受到替代自残的应对方法以及人们是否获得他人同情支持等因素的影响。然而，证据并没有检验自残的想法，它与人们的身份及其意义的联系。因此，需要进一步的研究来充分理解自残康复并完善SHRM。我将采访 1) 有自残经历的 18-35 岁人士和 2) 照顾有自残经历的临床医生。对人们的访谈将帮助我们了解自残康复是如何经历的，并将发展 SHRM。与临床医生的访谈将帮助我们了解 SHRM 是否适合临床实践。这项研究由一位具有自残工作经验和个人自残史的护士领导。有自残史的人将组成一个生活经验咨询小组 (LEAP) 为该项目做出贡献。我将通过考虑参与采访者的福祉来确保整个过程的安全，并支持 LEAP 成员。