Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5569886 | Journal of Pediatric Health Care | 2017 | 8 Pages |
Abstract
Nonsuicidal self-injury (NSSI) in youth is a major public health concern. A retrospective chart review was conducted within a hospital system to examine (a) youth self-reports of reasons for engaging in NSSI and (b) additional contextual circumstances that may contribute to youth NSSI. Detailed history, physical examination, and treatment/discharge data were extracted by thoroughly reviewing all electronic documents in each medical record. The final sample (NÂ =Â 135) were predominantly female (71.1%), and well over half (63.8%) reported Medicaid or uninsured status. Qualitative content analysis of youth self-reports and hospital progress notes showed that NSSI served as an emotional and functional coping mechanism. Five primary themes characterized the contextual influences on youth engaging in NSSI: (1) Personal Emotions, (2) Trauma, (3) Relationship Quality, (4) Sense of Loss, and (5) Risk Behaviors. Practical clinical practice suggestions for working with youth are discussed using these themes as a template for assessing risk and protective factors.
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Authors
Cara C. PhD, RN, FNP-C, Amanda J. BSN, RN, Stephanie RN, MSN, CPNP-PC, Amanda N. PhD, MSW, Karla A. PhD, MPH,