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Bakgrund: Självskadebeteende är ett ökande fenomen bland världens ungdomar. Det har visat sig vara fler flickor än pojkar som självskadar. Psykisk ohälsa är en individuell uppfattning och därmed svår att definiera men det resulterar ofta i ett stort personligt lidande där en ständig kamp mellan gott och ont, lust och lidande pågår inom människan. Sjuksköterskan ska främja hälsa och lindra lidande och ett negativt bemötande har visats kunna förvärra ett självskadebeteende. Många med ett självskadebeteende har bemötts med kritik och känt skam över sitt beteende. Syfte: Syftet med denna studie var att belysa tonårsflickors upplevelser av bakomliggande orsaker till självskadebeteendet. Metod: Använd metod var kvalitativ innehållsanalys med induktiv ansats. Resultat: Ur analysen framträdde två kategorier: Utsatt för övergrepp och Känslostormarnas våld med fyra underkategorier Konklusion: Studien visar att övergrepp och känslostormar var bakomliggande orsaker och att flickorna hade svårigheter att hantera detta på egen hand. Sjuksköterskans svårigheter att bemöta tonårsflickorna med självskadebeteende kan relateras till kunskapsbrist. Studiens syfte uppnåddes då tonårsflickornas upplevelser av bakomliggande orsaker till självskadebeteendet belysts i resultatet, vilket kan ge ökad förståelse för sjuksköterskor i framtida vårdmöten. / Background: Self-destructive behavior is a growing phenomenon amongst teenagers in the world. It has proven to be more girls than boys who self-harm. Psychological illness is an individual perception and thus difficult to define but often results in a great personal suffering, where a constant struggle between good and evil, desire and suffering is going on within the person. A nurse shall promote health and alleviate suffering, and a negative attitude has been shown to worsen the self-destructive behavior. Many of the people with a self-harm behavior has been met with criticism and felt ashamed of their behavior. Aim: The aim of his study was to shed light on teenage girls’ experience of underlying causes of the self-destructive behavior.  Method: The used method was a qualitative content analysis with an inductive approach.. Results: From the analysis of the data material emerged two categories emerged: The victim of abuse and the violence of emotional storms with four subcategories. Conclusion: The study shows that abuse and emotional storms were the underlying causes and that the girls had difficulties to handle this on their own. Nurses have difficulties to meet teenage girls with a self-destructive behavior related to their lack of knowledge. The study's aim was achieved when the teenage girls' experience of what is behind the self-harm was highlighted in the results which may increase understanding of nurses in future treatment sessions.

Thesis (MSc) -- Stellenbosch University, 2013. / ENGLISH ABSTRACT: Suicidal behaviour is a serious public health problem. Globally and in South Africa a gendered pattern of suicide rates has been observed, with males being more likely to kill themselves than females. To date little quantitative and qualitative research is available on young male suicidal behaviour in South Africa. This study investigated the attitudes, beliefs and myths young male students hold about suicidal behaviour. Thirteen male university students (ages 20 to 25 years; with and without a history of suicidal behaviour), who volunteered to take part in the present study in response to an email invitation, were interviewed. The attitudes, beliefs and myths identified from the qualitative data are grouped into four themes: 'Moral acceptability of suicidal behaviour', 'Perceived causes and risk factors of suicidal behaviour', 'Perceived motives of suicidal behaviour', and 'Perceived prevention and protective factors of suicidal behaviour'. Besides these four themes, two underlying narratives are identified and discussed: (1) 'Apart or a part: Belonging and suicidal behaviour' is centred on the idea that perceiving oneself to be an integral part of a social system is protective against suicidal behaviour, while a thwarted sense of belonging increases vulnerability to suicidal behaviour. (2) 'Dying to be a man: (Re) negotiating masculinity and suicidal behaviour' is concerned with participants' views that men's relational position to hegemonic (socially most dominant) forms of masculinity is a factor in male suicidal behaviour. Participants regard hegemonic forms of masculinity to be both a part of the problem of suicidal behaviour and a potential solution to suicidal behaviour. These findings are interpreted through a social constructionist lens of gender as performance. Finally, implications of findings for future research, prevention and treatment are discussed. / AFRIKAANSE OPSOMMING: Selfmoordgedrag is 'n ernstige openbare gesondheidsprobleem. Wêreldwyd en in Suid-Afrika is mans meer geneig as vrouens om selfmoord te pleeg. Tot op hede is daar min kwantitatiewe en kwalitatiewe navorsing beskikbaar van jong manlike selfmoordgedrag in Suid-Afrika. Hierdie studie ondersoek die houdings, oortuiging en mites oor selfmoordgedrag van jong manlike studente. Dertien manlike universiteitstudente (ouderdomme 20 tot 25 jaar, met en sonder 'n geskiedenis van selfmoordgedrag) het vrywillig aan die huidige studie deel geneem in reaksie op 'n e-pos uitnodiging. Die houdings, oortuiging en mites wat vanaf die kwalitatiewe data geïdentifiseer is, is in vier temas gegroepeer: 'Morele aanvaarbaarheid van selfmoordgedrag', 'Siening van die oorsake en risiko faktore van selfmoordgedrag', 'Waargenome motiewe van selfmoordgedrag', en 'Waargenome voorkoming en beskermende faktore van selfmoordgedrag'. Naas hierdie vier temas, is twee onderliggende temas geïdentifiseer en bespreeek: (1) 'Samehorigheid en selfmoordgedrag' is gemoeid met die idee dat om 'n integrale deel van 'n sosiale sisteem te wees is beskermend teen selfmoordgedrag, terwyl 'n persepsie van isolasie tot selfmoordgedrag kan lei. (2) 'Onderhandeling van manlikheid en selfmoordgedrag' is gemoeid met die deelnemers se sienings dat mans se verhouding tot hegemoniese vorme (sosiaal mees dominante vorme) van manlikheid 'n faktor in manlike selfmoordgedrag is. Deelneemers beskou hegemoniese vorme van manlikheid as beide 'n deel van die probleem en 'n moontlike oplossing vir selfmoordgedrag. Hierdie bevindinge is geïnterpreteer deur middel van 'n sosiale konstruksionistiese lens van geslag as prestasie. Die implikasies van die bevindings vir toekomstige navorsing, voorkoming en behandeling word ten slotte bespreek.

Thesis (M.A.)--University of the Witwatersrand, Faculty of Humanities, 1991. / This study examines factors associated with attempted suicide during adolescence. The sample consists of 10 Black adolescent girls who atempted suicide in the past year, and were admitted to Baragwanath Hospital. Each subject was questioned on demographic information and completed the Separation Anxiety Test (Hansburg, 1972) and Section 1 of the Inventory of Parent and Peer Attachment (Armsden and Greenberg, 1987), which assesses attachment to a parent. Subjects were also required to answer questions on their choice of responses. Common trends were found to exist among adolescent girls who attempt suicide. Adolescent girls who attempt suicide have disruptive home environments where parents experience marital problems. They show a low degree of attachment, high degree of hostility, stress avoidance during the stage of identity crisis, and they maintain a poor attachment-individuation balance. These findings suggest that the most common treatment strategy, ie. crisis intervention is not sufficient as it does not deal with underlying problems of adolescent suicide.

<p>Den här uppsatsen är en litteraturstudie som behandlar problemet självdestruktivitet ur ett sociologiskt perspektiv. Jag har valt detta för att det är ett aktuellt problem och det är intressant att se det ur en sociologisk synvinkel istället för en psykologisk som kanske är vanligare att inta. Vilka sociologiska faktorer kan spela in gällande detta problem? Den litteratur som har legat till bakgrund för studien behandlar vilka som skadar sig, varför de gör det och olika definitioner samt vilka avgränsningar som bör göras för att ringa in fenomenets innebörd. Att skära, bränna och slå sig själv visar på ett självdestruktivt beteende och en orsak kan vara depression eller ångest.</p><p>Problemställningen som jag sökte ett svar på löd: Vilka ungdomar är det som skadar sig och varför? I den teoretiska genomgången så ligger fokus på kategorierna modernitet, kropp och ungdom. Utifrån detta tas olika sociologiska begrepp upp och analyseras i diskussionsfasen. I undersökningen så har jag bl.a. kommit fram till att dagens konsumtionssamhälle samt individualiseringen är en sannolikt bidragande faktor till att vissa unga människor utvecklar ett självdestruktivt handlande.</p> / <p>This study is an attempt to adress the problem of self-destructive behaviour from a sociological point of view. I feel that this is an important isssue in contemporary society, and that a sociological perspecitve may have something to offer that the more common psychological perspective may miss out on. The literature upon which the study is based deals with questions such as: What definition of the problem is most suitable? What are the characteristics of self-destructive behaviour and why do people hurt themself deliberately?</p><p>The specific question I approached was: Who are the young people that hurt themselves and why? The theoretical framework focuses on modernity, body and youth, and I make use of sociological concepts in the discussion. Some of my conclusions were that the consumeristic society of today and the individualization could be relevant factors in developing a self-destructive pattern.</p>

Den här uppsatsen är en litteraturstudie som behandlar problemet självdestruktivitet ur ett sociologiskt perspektiv. Jag har valt detta för att det är ett aktuellt problem och det är intressant att se det ur en sociologisk synvinkel istället för en psykologisk som kanske är vanligare att inta. Vilka sociologiska faktorer kan spela in gällande detta problem? Den litteratur som har legat till bakgrund för studien behandlar vilka som skadar sig, varför de gör det och olika definitioner samt vilka avgränsningar som bör göras för att ringa in fenomenets innebörd. Att skära, bränna och slå sig själv visar på ett självdestruktivt beteende och en orsak kan vara depression eller ångest. Problemställningen som jag sökte ett svar på löd: Vilka ungdomar är det som skadar sig och varför? I den teoretiska genomgången så ligger fokus på kategorierna modernitet, kropp och ungdom. Utifrån detta tas olika sociologiska begrepp upp och analyseras i diskussionsfasen. I undersökningen så har jag bl.a. kommit fram till att dagens konsumtionssamhälle samt individualiseringen är en sannolikt bidragande faktor till att vissa unga människor utvecklar ett självdestruktivt handlande. / This study is an attempt to adress the problem of self-destructive behaviour from a sociological point of view. I feel that this is an important isssue in contemporary society, and that a sociological perspecitve may have something to offer that the more common psychological perspective may miss out on. The literature upon which the study is based deals with questions such as: What definition of the problem is most suitable? What are the characteristics of self-destructive behaviour and why do people hurt themself deliberately? The specific question I approached was: Who are the young people that hurt themselves and why? The theoretical framework focuses on modernity, body and youth, and I make use of sociological concepts in the discussion. Some of my conclusions were that the consumeristic society of today and the individualization could be relevant factors in developing a self-destructive pattern.

This study is an attempt to better understand the experience of self-destructive behaviour in First Nations adolescent girls by telling their stories, discussing factors that may contribute to the behaviours, and providing counselling insight. Not every Native girl experiences self-destructive behaviour, however those that do require more effective solutions to their problems. There is ample literature regarding non-Native girls and their experiences with self-destructive behaviour. This is not the case with Native girls, and this study is an attempt to fill the literature gap, and at the same time provide insight into counselling practice. Many factors may contribute to the experience of self-destructive behaviour in First Nations adolescent girls (e.g., gender, developmental stages, parenting, cultural norms and values, and discrimination). The combination of these issues compounds each other and creates the context for the experience of self-destructive behaviour specific to Native girls. This reality puts them at risk for truancy, juvenile delinquency, teen pregnancy, drug and alcohol abuse, depression, anxiety, eating disorders, self-harming, and ultimately suicide. In order to understand the circumstances or events that lead to a young Native woman's experience with self-destructive behaviour I interviewed three women using in-depth, semi structured interviews. When answering the open-ended questions I asked, the interviewees revealed a story with a beginning, middle, and end. This story reflected the different stages in their lives, childhood, adolescence, and eventually young adulthood. Analysis of the interviews through theme identification revealed common threads through each woman's life. Although each woman had unique experiences, their stories revealed many commonalties. These common themes reflect factors that counsellors should consider when counselling First Nations girls who are experiencing self-destructive behaviour. The results of the study suggest that counsellors should not isolate factors that lead to self-destructive behaviour. For example, First Nations girls experience not just racism or neglectful parenting — they experience both of the factors. The contributing factors begin early in life and compound one another as the girl's life progresses. Hopefully, this study contributes to the betterment of individual Native girls, also to the betterment of the families' and communities' health.

[Truncated abstract]The overall aim of the research reported in this thesis was to develop and validate an instrument that would identify children among the general population at risk of self-harm. To achieve this, four separate yet interrelated studies were conducted. Study One, which sought to explore the risk factors of self-harm in children comprised a series of focus interviews with three paediatricians and 24 mothers of children who had self-harmed or who had verbalized self-harm ideation. The findings revealed that prior to the onset of self-harming or self-harm ideation these children reportedly manifested other problem behaviours that prompted their mothers to seek specialist advice from a paediatrician. The majority of these problem behaviours were characteristic of externalizing problems, either in the form of conduct problems, aggressive behaviours or impulsiveness. Conversely, some problem behaviours were characteristic of internalizing problems such as anxiety and depression. These findings provided valuable information which in addition to the current literature created the conceptual framework for the subsequent studies. Study Two incorporated the information obtained from Study One, along with that obtained from a review of existing instruments that measure self-harm or suicide, to develop a new instrument specifically designed to assess the risk of children in the general population developing self-harming behaviours. Initially, 159 items were generated and using the extant knowledge regarding the risk factors of self-harm as a guide, the items were categorized into risk factors of anxiety, depression, low self- ii worth, social difficulty, social withdrawal, helplessness, hopelessness, atypical cognition, emotional lability, impulsivity, self-harming ideation and self-harm. ... Study Four comprised four interrelated investigations, the purposes of which were to (i) examine the prevalence rates of self-harming ideation and self-harm among young school aged children in the general population; (ii) investigate differences of risk of self-harm between the referred group and community comparison group; (iii) examine the relationship between impulsivity and risk of self-harm in these children and, (iv) examine the relationship between executive function and risk of self-harm among these children. The results from these investigations revealed that approximately 3.5% of children aged between 6 to12 years in the general population manifest self-harming ideations and approximately 2.5% actually self-harm. No significant age or gender differences were found. Children that presented with a higher level of risk of self-harm also presented with a complex array of internalizing and externalizing problem behaviours. Furthermore, children who displayed significantly higher levels of hyperactive-impulsive symptomatology scored higher on the SHRAC instrument, as did the children who had higher levels of executive functioning impairment. The findings are discussed and interpreted in line with the current research literature and are used to make suggestions for future research.

Thesis (Ph.D.)--University of Western Australia, 2007.