Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지
DOI QR코드

DOI QR Code

The Difficulty of Case Management or Counseling for Non-suicidal Self-injury in Adolescents: Focused on the Factors in the Community

청소년의 비자살적 자해 상담 및 사례관리의 어려움: 지역사회 요인을 중심으로

  • Jeong, Yeo Won (Department of Nursing, College of Medicine, Dongguk University) ;
  • Kim, In Hong (Department of Nursing, College of Medicine, Dongguk University) ;
  • Park, Young Hee (Department of Nursing, College of Medicine, Dongguk University)
  • 정여원 (동국대학교 의과대학 간호학과) ;
  • 김인홍 (동국대학교 의과대학 간호학과) ;
  • 박영희 (동국대학교 의과대학 간호학과)
  • Received : 2020.09.08
  • Accepted : 2021.01.04
  • Published : 2021.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This qualitative study is aimed to explore the factors in the aspect of the community that made it difficult for field experts to conduct counseling and case management. Methods: A total of four focus group interviews composed of 15 field experts including nurses were conducted. Results: A theme, six categories and 22 subcategories were derived. As for the theme, it was found that legal, educational, and environmental systems reflecting non-suicidal self-injury of the characteristics in adolescents were insufficient. In the legal aspect, the defect of the parental education legal system, the reality of having to rely on parental consent when supporting adolescents with non-suicidal self-injury; in the educational aspect, the lack of manuals and education for counseling and case management for adolescents with non-suicidal self-injury; in the environmental aspects, the defect of economic burden and support, a lack of information systems for various organizations in the local community, absence of a dedicated support system for adolescent with non-suicidal self-injury and a lack of human and physical resources. Conclusion: Based on the results of this study, there needs to be a responsible institution that can comprehensively manage the non-suicidal self-injury of adolescents, and efforts to develop the competence of community nurses.

Keywords

References

  1. Favazza AR. The coming of age of self-mutilation. The Journal of Nervous and Mental Disease. 1998;186(5):259-268. https://doi.org/10.1097/00005053-199805000-00001
  2. Nock MK, Favazza AR. Nonsuicidal self-injury: Definition and classification. In M. K. Nock, editor. Understanding nonsuicidal self-injury: Origins, assessment, and treatment, Washington, D.C. American Psychological Association; 2009. p. 9-18. https://doi.org/10.1037/11875-001
  3. Cipriano A, Cella S, Cotrufo P. Nonsuicidal self-injury: A systematic review. Frontiers in Psychology. 2017;8:1946. https://doi.org/10.3389/fpsyg.2017.01946
  4. Swannell SV, Martin GE, Page A, Hasking P, St John NJ. Prevalence of nonsuicidal self-injury in nonclinical samples: Systematic review, meta-analysis and meta-regression. Suicide and Life-Threatening Behavior. 2014;44(3):273-303. https://doi.org/10.1111/sltb.12070
  5. Muehlenkamp JJ, Claes L, Havertape L, Plener PL. International prevalence of adolescent non-suicidal self-injury and deliberate self-harm. Child and Adolescent Psychiatry and Mental Health. 2012;6(1):10. https://doi.org/10.1186/1753-2000-6-10
  6. Sheen AY, Song HJ. Non-suicidal self-injury in adolescents. Journal of Emotional & Behavioral Disorders. 2017;33(4):257-281. https://doi.org/10.33770/JEBD.33.4.13
  7. Park DH. Youth self-injury counseling has tripled in a year [internet]. Seoul: Hankyoreh. 2019 [cited 2019 May 29]. Available from: http://www.hani.co.kr/arti/society/rights/895831.html
  8. Plener PL, Schumacher TS, Munz LM, Groschwitz RC. The longitudinal course of non-suicidal self-injury and deliberate selfharm: A systematic review of the literature. Borderline Personality Disorder and Emotion Dysregulation. 2015;2(1):2. https://doi.org/10.1186/s40479-014-0024-3
  9. Seong Y, Bae Y, Kim S. Non-suicidal self-injury in South Korea: A zystematic review of studies from 2000 to 2018. Cognitive Behavior Therapy in Korea. 2019;19(2):251-280. https://doi.org/10.33703/cbtk.2019.19.2.251
  10. Education welfare policy division. Priority support for educational welfare Sejong: Ministry of education; 2020 [cited 2020 Aug 27]. Available from: http://www.bokjiro.go.kr/welInfo/retrieveGvmtWelInfo.do?welInfSno=20
  11. Fox KR, Franklin JC, Ribeiro JD, Kleiman EM, Bentley KH, Nock MK. Meta-analysis of risk factors for nonsuicidal self-injury. Clinical Psychology Review. 2015;42:156-167. https://doi.org/10.1016/j.cpr.2015.09.002
  12. Kim SJ. A Review of the risk and protection factors of non-suicidal self-injury. Korean Journal of Youth Studies. 2017;24(9): 31-53. https://doi.org/10.21509/KJYS.2017.09.24.9.31
  13. Martin J, Bureau JF, Yurkowski K, Fournier TR, Lafontaine MF, Cloutier P. Family-based risk factors for non-suicidal self-injury: Considering influences of maltreatment, adverse family-life experiences, and parent-child relational risk. Journal of Adolescence. 2016;49:170-180. https://doi.org/10.1016/j.adolescence.2016.03.015
  14. Bae SH, Sung HJ. A study on the factors influencing the nonsuicidal self-injury of middle school students: Focusing on the severity of self-injury. Mental Health & Social Work. 2020;48 (2):122-148. https://doi.org/10.24301/MHSW.2020.06.48.2.122
  15. Zetterqvist M. The DSM-5 diagnosis of nonsuicidal self-injury disorder: A review of the empirical literature. Child and Adolescent Psychiatry and Mental Health. 2015;9(1):31. https://doi.org/10.1186/s13034-015-0062-7
  16. Paul E, Tsypes A, Eidlitz L, Ernhout C, Whitlock J. Frequency and functions of non-suicidal self-injury: Associations with suicidal thoughts and behaviors. Psychiatry Research. 2015; 225(3):276-282. https://doi.org/10.1016/j.psychres.2014.12.026
  17. Whitlock J, Muehlenkamp J, Eckenrode J, Purington A, Abrams GB, Barreira P, et al. Nonsuicidal self-injury as a gateway to suicide in young adults. Journal of Adolescent Health. 2013; 52(4):486-492. https://doi.org/10.1016/j.jadohealth.2012.09.010
  18. American psychological association. Diagnostic and statistical manual of mental disorders, fifth edition. Arlington, VA: American Psychiatric Association; 2013. 947 p.
  19. Gonzales AH, Bergstrom L. Adolescent non-suicidal self-injury (NSSI) interventions. Journal of Child and Adolescent Psychiatric Nursing. 2013;26(2):124-130. https://doi.org/10.1111/jcap.12035
  20. Plener PL, Brunner R, Fegert JM, Groschwitz RC, In-Albon T, Kaess M, et al. Treating nonsuicidal self-injury (NSSI) in adolescents: Consensus based German guidelines. Child and Adolescent Psychiatry and Mental Health. 2016;10(1):1-9. https://doi.org/10.1186/s13034-016-0134-3
  21. Seo M, Kim J, Lee T, Kim E. A qualitative study on the process of nonsuicidal self-injury and recovery among adolescents with counseling experiences. Korean Journal of Counseling. 2019;20(4):179-207. https://doi.org/10.15703/kjc.20.4.201908.179
  22. Seo M, Soo SY, Kang YI, Son JA, Kim JH. Development of an evidence-based practice model for counseling youths with suicidal and non-suicidal self-injury. The Korea Journal of Youth Counseling. 2020;28(1):99-121. https://doi.org/10.35151/kyci.2020.28.1.005
  23. Kwon K, Kim JY. A phenomenological study on counselors' experience of difficulties and coping strategies in non-suicidal self-injury crisis counseling for adolescent. The Korea Journal of Youth Counseling. 2020;28(1):269-291. https://doi.org/10.35151/kyci.2020.28.1.012
  24. Shin SJ, Jung ES, Heo MK, Yun EJ. The effect of great program customized to high risk adolescents with suicide attempt and self harm. The Korea Journal of Youth Counseling. 2020;28(1): 73-97. https://doi.org/10.35151/kyci.2020.28.1.004
  25. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research. 2005;15(9):1277-1288. https://doi.org/10.1177/1049732305276687
  26. Guba EG, Lincoln YS. Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches. San Fransisco, CA: Jossey-Bass; 1981. 423 p.
  27. Kelada L, Hasking P, Melvin G. The relationship between nonsuicidal self-injury and family functioning: Adolescent and parent perspectives. Journal of Marital and Family Therapy. 2016;42(3):536-549. https://doi.org/10.1111/jmft.12150
  28. Giordano A, Lundeen LA, Scoffone CM, Kilpatrick EP, Gorritz FB. Clinical work with clients who self-injure: A descriptive study. Professional Counselor. 2020;10(2):181-193. https://doi.org/10.15241/ag.10.2.181
  29. Duggan JM, Heath NL, Toste JR, Ross S. School counsellors' understanding of non-suicidal self-injury: Experiences and international variability. Canadian Journal of Counselling and Psychotherapy. 2011;45(4):327-348. Retrieved from: https://cjc-rcc.ucalgary.ca/article/view/59271
  30. Ahn IY, Seo J, Lee D, Lee SJ, Cha B, Lee CS, et al. Emotional characteristics of adolescents in monocultural and multicultural families in Korea. Journal of the Korean Academy of Child and Adolescents Psychiatry. 2016;27(4):306-312. https://doi.org/10.5765/jkacap.2016.27.4.306