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A Qualification Study on the Repeated Self-injury of Adolescent

임상군 청소년의 반복적인 자해 경험에 대한 연구

  • Received : 2024.06.19
  • Accepted : 2024.08.20
  • Published : 2024.08.28

Abstract

The purpose of this study is to understand the meaning and context of adolescents' experiences of repetitive self-injury and to suggest that self-injurious behavior has characteristics of addictive disorder. In-depth interviews were conducted from December 26, 2022 to January 1, 2023 by using a semi-structured questionnaire for six adolescents who are attending outpatient psychiatirc clinic showing repetitive behavior of self-injury. The data were analyzed using Colaizzi's phenomeno-logical method focused on deriving the common attributes of all participants. We classified derived common attributes in the aspect of the diagnostic criteria of DSM-5 addictive disorder. 21 sub-themes and 6 categories were derived by gathering common meanings from 268 semantic units. The six categories of this study were raging pain, a wound that cannot not be revealed, extreme pores being pierced, continuous longing for self-harm, process of moving forward with pain. In the future, there is a need to develop various systematic intervention programs, including effective coping methods to help clinical adolescents' recover from self-injury, and further evaluation and research on them.

본 연구는 임상군 청소년의 반복적 자해 경험의 의미와 맥락을 이해하고자 시도되었다. 2022년 12월 26일부터 2023년 1월 1일까지 정신과 외래진료에서 반복적 자해 행동을 보이는 청소년 6명을 대상으로 반구조화된 질문지를 사용하여 진행되었다. 자료는 Colaizzi의 현상학적 방법을 사용하여 분석하였으며, 268개의 의미 단위에서 공통적인 의미를 모아 21개의 하위 주제와 6개의 범주를 도출하였다. 이 연구의 6개 범주는 몰아치는 고통, 드러낼 수 없는 상처, 점점 심해지는 극단적 몸부림, 뚫리는 숨구멍, 지속적인 자해 갈망, 아픔을 품고 나아가는 과정이었다. 추후 임상군 청소년들이 자해로부터 회복하도록 돕는 효과적인 대처 방법을 포함한 다양한 체계적인 중재 프로그램 개발 및 이에 대한 추가적인 평가와 연구가 필요하다.

Keywords

References

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