You, Jianing. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2009. / Includes bibliographical references (p. 72-79). / Abstract also in Chinese. / List of Tables --- p.vi / List of Figures --- p.vii / Chapter Chapter 1 --- Introduction --- p.1 / Chapter Chapter 2 --- Method --- p.24 / Chapter Chapter 3 --- Results --- p.30 / Chapter Chapter 4 --- Discussion --- p.56 / References --- p.65

Thesis (Ph. D.)--University of Hong Kong, 2006. / Title proper from title frame. Also available in printed format.

<p>Självskadebeteende har uppmärksammats allt mer i samhällsdebatten under senare tid. Sjuksköterskan möter ofta patienter med ett självskadebeteende. Syftet med studien var att beskriva sjuksköterskans attityder till patienter med självskadebeteende. Metoden var en litteraturstudie och datamaterialet bestod av nio vetenskapliga artiklar, publicerade mellan åren 2000-2007. Det analyserade materialet bildade tre teman som visade sjuskköterskors attityder till patienter med ett självskadebeteende: Ej rätt till vård, Erbjuder vård utan hopp om förändrat beteende och Rätt till vård.</p><p>Det framkom att känslor som vrede, rädsla, misslyckande och hopplöshet var kopplade till attityderna till patienter med självskadebeteende. Faktorer som kan påverka sjuksköterskans attityd till självskadebeteende kan inte enkelt beskrivas som negativa eller positiva enligt denna litteraturstudie. Fortsatta studier kan inriktas på att beskriva om attityderna förbättras eller inte och vilka faktorer som påverkar attityderna.</p>

Självskadebeteende har uppmärksammats allt mer i samhällsdebatten under senare tid. Sjuksköterskan möter ofta patienter med ett självskadebeteende. Syftet med studien var att beskriva sjuksköterskans attityder till patienter med självskadebeteende. Metoden var en litteraturstudie och datamaterialet bestod av nio vetenskapliga artiklar, publicerade mellan åren 2000-2007. Det analyserade materialet bildade tre teman som visade sjuskköterskors attityder till patienter med ett självskadebeteende: Ej rätt till vård, Erbjuder vård utan hopp om förändrat beteende och Rätt till vård. Det framkom att känslor som vrede, rädsla, misslyckande och hopplöshet var kopplade till attityderna till patienter med självskadebeteende. Faktorer som kan påverka sjuksköterskans attityd till självskadebeteende kan inte enkelt beskrivas som negativa eller positiva enligt denna litteraturstudie. Fortsatta studier kan inriktas på att beskriva om attityderna förbättras eller inte och vilka faktorer som påverkar attityderna.

Thesis (Ph. D.)--University of Washington, 2001. / Vita. Includes bibliographical references (leaves 98-119).

Thesis (D. Min.)--Boston University, 2001. / Abstract. Includes bibliographical references (leaves 127-132).

Self-harm is a behaviour constructed as ostracised and abhorrent in most social discourses. While there is an abundance of available research about self-harm, a distinctive gap in the literature concerns how an individual begins to self-harm. Research has indicated that having a friend or family member who self-harms is the strongest predictor of future self-harm, yet no published studies have sought to explain this in detail. This thesis explored how self-harming participants construct their first self-harming experience – a behaviour which appears prima facie to be outside of socially accepted conventions, and suggests that this behaviour may become normalised through knowing other self-harmers. It was found that both participants had a self-harming friend prior to the onset of their self-harming behaviour, and that both participants confided in someone who subsequently began to self-harm. Participants positioned these two categories of individuals in different ways. Participants relied on a ‘victim’ discourse to establish their self-harm as meaningful in a way which limited any blame or stigma attributable to them, but which subsequently limited their agency in their narratives. The discourse of attention-seeking heavily influenced participants’ narratives, and was acknowledged as the dominant discourse self-harmers must contend with in presenting their behaviour as meaningful and rational. / Thesis (M.A.)-University of KwaZulu-Natal, Pietermaritzburg, 2011.

No description available.

Objective: Describe emergency department (ED) presentations for self-harm by youth (12-17 yearolds), including the mental health follow-up they receive after their first-ever presentation, and analyze the association between this mental health follow-up and repeat presentation(s). Methods: Population-based health services data from Ontario, Canada, covering April 2002 to March 2009, were used to ascertain ED presentations for self-harm by youth (n=16,835). These data were used to create a retrospective cohort (n=3,497) of those making their first-ever presentation, and individually-linked to inpatient admission and ambulatory physician contact data. Mental health follow-up within 30-days of discharge, either from a psychiatrist or from any physician specialty, was assessed. The associations between follow-up and repeat self-harm presentation(s) within the following year were then analyzed. Results: Conservatively, the overall incidence rate for ED presentations for self-harm by Ontario youth was 239.0 per 100,000 person-years. Rates were higher in girls, increased with age and inversely related to neighbourhood income and community size (population). Self-harm made up a small but severe proportion of ED use by youth. Over half (57.2%) making their first-ever self-harm presentation had no mental health contact with a physician within 30 days of discharge (and several demographic, clinical and health service variables were associated with follow-up). However, mental health follow-up was not associated with reduced odds of repetition or fewer repeat presentations. Conclusions: ED presentations for self-harm by youth in Ontario are remarkably consistent with those reported from other Western countries. Self-harm is an important public health issue in Canada and requires a comprehensive prevention strategy. These data suggested follow-up youth received after their first-ever ED presentation for self-harm may be inadequate and strategies to improve follow-up may be needed. Still, more research is needed to establish the effect of follow-up on relevant outcomes.

Objective: Describe emergency department (ED) presentations for self-harm by youth (12-17 yearolds), including the mental health follow-up they receive after their first-ever presentation, and analyze the association between this mental health follow-up and repeat presentation(s). Methods: Population-based health services data from Ontario, Canada, covering April 2002 to March 2009, were used to ascertain ED presentations for self-harm by youth (n=16,835). These data were used to create a retrospective cohort (n=3,497) of those making their first-ever presentation, and individually-linked to inpatient admission and ambulatory physician contact data. Mental health follow-up within 30-days of discharge, either from a psychiatrist or from any physician specialty, was assessed. The associations between follow-up and repeat self-harm presentation(s) within the following year were then analyzed. Results: Conservatively, the overall incidence rate for ED presentations for self-harm by Ontario youth was 239.0 per 100,000 person-years. Rates were higher in girls, increased with age and inversely related to neighbourhood income and community size (population). Self-harm made up a small but severe proportion of ED use by youth. Over half (57.2%) making their first-ever self-harm presentation had no mental health contact with a physician within 30 days of discharge (and several demographic, clinical and health service variables were associated with follow-up). However, mental health follow-up was not associated with reduced odds of repetition or fewer repeat presentations. Conclusions: ED presentations for self-harm by youth in Ontario are remarkably consistent with those reported from other Western countries. Self-harm is an important public health issue in Canada and requires a comprehensive prevention strategy. These data suggested follow-up youth received after their first-ever ED presentation for self-harm may be inadequate and strategies to improve follow-up may be needed. Still, more research is needed to establish the effect of follow-up on relevant outcomes.