The barriers and facilitators to the reporting and recording of self-harm in young people aged 18 and under: a systematic review

BMC Public Health

Research

Becky James¹  Lucy Chapman²  Diane Simpson³  Gillian Waller⁴  Farhin Ahmed⁵  Dorothy Newbury-Birch⁵  Jennifer Ferguson⁵  Emma Armstrong⁵ 

[1] Department of Health and Social Care, Office for Health Improvement & Disparities, NE15 8NY, Newburn, Newcastle, UK;Durham County Council, County Hall, DH1 5UJ, Durham, UK;Faculty of Education and Society, University of Sunderland, SR6 0DD, Sunderland, UK;NHS Business Services Authority, Stella House, NE15 8NY, Newburn, Newcastle, UK;School of Social Sciences, Humanities and Law, Teesside University, TS1 3BA, Middlesbrough, UK;

关键词: Self-harm;    Young people;    Mental health;    Recording;    Reporting;    Systematic review;   

DOI  :  10.1186/s12889-023-15046-7

 received in 2022-06-29, accepted in 2023-01-13,  发布年份 2023

来源: Springer

【 摘 要 】

Background and aimsThis systematic review sought to identify, explain and interpret the prominent or recurring themes relating to the barriers and facilitators of reporting and recording of self-harm in young people across different settings, such as the healthcare setting, schools and the criminal justice setting.MethodsA search strategy was developed to ensure all relevant literature around the reporting and recording of self-harm in young people was obtained. Literature searches were conducted in six databases and a grey literature search of policy documents and relevant material was also conducted. Due to the range of available literature, both quantitative and qualitative methodologies were considered for inclusion.ResultsFollowing the completion of the literature searches and sifting, nineteen papers were eligible for inclusion.Facilitators to reporting self-harm across the different settings were found to be recognising self-harm behaviours, using passive screening, training and experience, positive communication, and safe, private information sharing. Barriers to reporting self-harm included confidentiality concerns, negative perceptions of young people, communication difficulties, stigma, staff lacking knowledge around self-harm, and a lack of time, money and resources.Facilitators to recording self-harm across the different settings included being open to discussing what is recorded, services working together and co-ordinated help. Barriers to recording self-harm were mainly around stigma, the information being recorded and the ability of staff being able to do so, and their length of professional experience.ConclusionFollowing the review of the current evidence, it was apparent that there was still progress to be made to improve the reporting and recording of self-harm in young people, across the different settings. Future work should concentrate on better understanding the facilitators, whilst aiming to ameliorate the barriers.

【 授权许可】

CC BY   
© Crown 2023

【 图 表 】

Fig. 5