Abstract:
BACKGROUND:Recent prevalence studies suggest that self-harm among adolescents in sub-Saharan Africa is as common as it is in high income countries. However, very few qualitative studies exploring first-person accounts of adolescent self-harm are available from sub-Saharan Africa. We sought to explore the experiences and first-person perspectives of Ghanaian adolescents reporting self-harm - for deeper reflections on the interpretive repertoires available in their cultural context for making sense of self-harm in adolescents. METHODS:Guided by a semi-structured interview protocol, we interviewed one-to-one 36 adolescents (24 in-school adolescents and 12 street-connected adolescents) on their experiences of self-harm. We applied experiential thematic analysis to the data. RESULTS:Adolescents' description of the background to their self-harm identified powerlessness in the family context and unwanted adultification in the family as key factors leading up to self-harm among both in-school and street-connected adolescents. Adolescents' explanatory accounts identified the contradictory role of adultification as a protective factor against self-harm among street-connected adolescents. Self-harm among in-school adolescents was identified as a means of "enactment of tabooed emotions and contestations", as a "selfish act and social injury", as "religious transgression", while it was also seen as improving social relations. CONCLUSIONS:The first-person accounts of adolescents in this study implicate familial relational problems and interpersonal difficulties as proximally leading to self-harm in adolescents. Self-harm in adolescents is interpreted as an understandable response, and as a strong communicative signal in response to powerlessness and family relationship difficulties. These findings need to be taken into consideration in the planning of services in Ghana and are likely to be generalisable to many other countries in sub-Saharan Africa.
journal_name
BMC Psychiatryjournal_title
BMC psychiatryauthors
Quarshie EN,Waterman MG,House AOdoi
10.1186/s12888-020-02599-9subject
Has Abstractpub_date
2020-06-01 00:00:00pages
275issue
1issn
1471-244Xpii
10.1186/s12888-020-02599-9journal_volume
20pub_type
杂志文章相关文献
BMC Psychiatry文献大全abstract:BACKGROUND:Experiments and large-scale epidemiological studies indicate the importance of green space for mental health. However, little research has been conducted to elucidate whether these mental health benefits are more dependent upon the quantity or quality of the green space. METHODS:Symptoms of psychological di...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1926-1
更新日期:2018-10-26 00:00:00
abstract:BACKGROUND:Ambulance personnel, as well as other emergency services like fire-fighters or the police force, are regularly confronted with experiences of extreme psychological distress and potentially traumatizing events in the line of their daily duties. As a consequence, this occupational group is exposed to an elevat...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2065-z
更新日期:2019-03-11 00:00:00
abstract:BACKGROUND:It is well documented that a disproportionate number of homeless adults have childhood histories of foster care placement(s). This study examines the relationship between foster care placement as a predictor of adult substance use disorders (including frequency, severity and type), mental illness, vocational...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-015-0411-3
更新日期:2015-02-26 00:00:00
abstract::Dr. Ougrin's evaluation of cognitive therapy versus exposure in anxiety disorders reported a standardised mean difference [SMD] (95% confidence interval [CI]) of 0.52 (0.37, 0.74) for short-term outcomes and 0.46 (0.29, 0.73) for long-term outcomes in social phobia, and 0.88 (0.69, 1.11) for short-term outcomes and 1....
journal_title:BMC psychiatry
pub_type: 评论,信件
doi:10.1186/1471-244X-12-202
更新日期:2012-11-20 00:00:00
abstract:BACKGROUND:Social anxiety disorder (SAD) is one of the most common anxiety disorders. The efficacy of cognitive behaviour therapy (CBT) has been examined but to date its effects on Quality of Life (QoL) have not been appropriately evaluated especially in the long term.The study aimed to examine, in the long term, what ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-10-81
更新日期:2010-10-14 00:00:00
abstract:BACKGROUND:Internet-based cognitive behavioural therapy (ICBT) is a promising approach to the prevention and reduction of depressive symptoms among adolescents. This study aimed to evaluate the feasibility and efficacy of disseminating a self-directed internet-based mental health intervention (MoodGYM) in senior high s...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-244X-14-14
更新日期:2014-01-21 00:00:00
abstract:BACKGROUND:Previous studies have shown escitalopram is related to sleep quality. However, effects of escitalopram on dynamics of electroencephalogram (EEG) features especially during different sleep stages have not been reported. This study may help to reveal pharmacological mechanism underlying escitalopram treatment....
journal_title:BMC psychiatry
pub_type: 临床试验,杂志文章
doi:10.1186/s12888-020-02519-x
更新日期:2020-03-14 00:00:00
abstract:BACKGROUND:Concentrations of monoamine metabolites in human cerebrospinal fluid (CSF) have been used extensively as indirect estimates of monoamine turnover in the brain. CSF monoamine metabolite concentrations are partly determined by genetic influences. METHODS:We investigated possible relationships between DNA poly...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-4-4
更新日期:2004-03-04 00:00:00
abstract:BACKGROUND:While considerable progress has been made in exploring the psychological, the neural, and the neurochemical dimensions of OCD separately, their interplay is still an open question, especially their changes during psychotherapy. METHODS:Seventeen patients were assessed at these three levels by psychological ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02913-5
更新日期:2020-11-25 00:00:00
abstract:BACKGROUND:Schizophrenia (SCZ) is a heritable, refractory, and devastating psychiatric disorder. Previous studies have shown that the variants of CUB and sushi multiple domains 1 (CSMD1) demonstrate significant genome-wide association with SCZ. However, few studies have been conducted on the effect of antipsychotics on...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2089-4
更新日期:2019-04-15 00:00:00
abstract:BACKGROUND:Polymorphisms at the G72/G30 locus on chromosome 13q have been associated with schizophrenia or bipolar disorder in more than ten independent studies. Even though the genetic findings are very robust, the physiological role of the predicted G72 protein has thus far not been resolved. Initial reports suggeste...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-8-94
更新日期:2008-12-11 00:00:00
abstract:BACKGROUND:Schizophrenia and bipolar depression trials suggest that quetiapine may have an antidepressant effect. OBJECTIVES:This meta-analysis aimed to determine the efficacy, acceptability and tolerability of quetiapine treatment for major depressive disorder (MDD). Only the randomized controlled trials (RCTs) compa...
journal_title:BMC psychiatry
pub_type: 杂志文章,meta分析
doi:10.1186/1471-244X-12-160
更新日期:2012-09-27 00:00:00
abstract:BACKGROUND:Prolonged forensic psychiatric hospitalizations have raised ethical, economic, and clinical concerns. Due to the confounded nature of factors affecting length of stay of psychiatric offender patients, prior research has called for the application of a new statistical methodology better accommodating this dat...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02612-1
更新日期:2020-05-06 00:00:00
abstract:BACKGROUND:Women exposed to gender-based violence (GBV) experience a high rate of common mental disorders and suicidal behaviour ("mental disturbance"). Little is known however about the timing of onset of mental disturbance following first exposure to GBV amongst women with no prior mental disorder. METHODS:The analy...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-014-0312-x
更新日期:2014-11-18 00:00:00
abstract:BACKGROUND:Lithium has proven suicide preventing effects in the long-term treatment of patients with affective disorders. Clinical evidence from case reports indicate that this effect may occur early on at the beginning of lithium treatment. The impact of lithium treatment on acute suicidal thoughts and/or behavior has...
journal_title:BMC psychiatry
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12888-015-0499-5
更新日期:2015-05-19 00:00:00
abstract:BACKGROUND:Interpersonal violence has increased as a health concern, especially in psychiatry practice, over the last decades. Nevertheless, most patients with stable mental disorders do not present an increased risk of violence, and mental disorder is not a necessary or sufficient cause of violent behaviours. People w...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02594-0
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Screening children for behavioural difficulties requires the use of a tool that is culturally valid. We explored the cross-cultural acceptability and utility of the Strengths and Difficulties Questionnaire for pre-school children (aged 3-5) as perceived by families in New Zealand. METHODS:A qualitative inte...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-1063-7
更新日期:2016-10-12 00:00:00
abstract:BACKGROUND:The rise of the internet and related technologies has significant implications for the treatment of complex health problems, including the combination of depression and alcohol/other drug (AOD) misuse. To date, no research exists to test the real world uptake of internet and computer-delivered treatment prog...
journal_title:BMC psychiatry
pub_type: 临床试验,杂志文章
doi:10.1186/1471-244X-12-77
更新日期:2012-07-07 00:00:00
abstract:BACKGROUND:Within the UK National Health Service (NHS), Spiritual and Pastoral Care (SPC) Services (chaplaincies) have not traditionally embraced research due to the intangible nature of their work. However, small teams like SPC can lead the way towards services across the NHS becoming patient- centred and patient-led....
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-0903-9
更新日期:2016-06-17 00:00:00
abstract:BACKGROUND:Human trafficking is a global crime and human rights violation. Although research has demonstrated a high prevalence of mental disorder among trafficked people and that trafficked people are in contact with mental health services, little is known about mental health professionals' experiences of identifying ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-015-0679-3
更新日期:2015-11-17 00:00:00
abstract:BACKGROUND:Perinatal mental distress poses a heavy burden in low- and middle-income countries (LMICs). This study investigated perceptions and experiences of perinatal mental distress among women in a rural Ethiopian community, in an effort to advance understanding of cross-cultural experiences of perinatal mental dist...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02646-5
更新日期:2020-05-12 00:00:00
abstract:BACKGROUND:Adolescents with acute psychiatric disorders are typically treated with long-term clinical admission. However, long term admission may be associated with a variety of negative outcomes. This pilot study presents a new model of care, that is, the combined application of intensive home treatment and the possib...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2407-x
更新日期:2019-12-19 00:00:00
abstract:BACKGROUND:Although it is well established that prostate cancer (PCa) patients are more likely to experience clinical depression than their age-matched non-prostate cancer peers, and that such depression can have negative effects upon survival, little is known about the underlying nature of the depressive symptomatolog...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-11-201
更新日期:2011-12-20 00:00:00
abstract:BACKGROUND:Agitation and containment are frequent in psychiatric care but little is known about their costs. The aim was to evaluate the use of services and costs related to agitation and containment of adult patients admitted to a psychiatric hospital or emergency service. METHODS:Systematic searches of four electron...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/s12888-015-0417-x
更新日期:2015-03-04 00:00:00
abstract:BACKGROUND:Abnormalities in vocal expression during a depressed episode have frequently been reported in people with depression, but less is known about if these abnormalities only exist in special situations. In addition, the impacts of irrelevant demographic variables on voice were uncontrolled in previous studies. T...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2300-7
更新日期:2019-10-15 00:00:00
abstract:BACKGROUND:Accurate diagnosis of delirium is very important for prevention and treatment. Present study was designed to validate the 3-Minute Diagnostic Interview for CAM-defined Delirium Chinese version (3D-CAM-CN) in surgical ICU patients. METHODS:In this prospective diagnostic study, the 3D-CAM was translated into ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02544-w
更新日期:2020-03-24 00:00:00
abstract:BACKGROUND:Surveys on prescription patterns for antipsychotics in the Scandinavian public health system are scarce despite the prevalent use of these drugs. The clinical differences between antipsychotic drugs are mainly in the areas of safety and tolerability, and international guidelines for the treatment of schizoph...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-9-24
更新日期:2009-05-16 00:00:00
abstract:BACKGROUND:Non-adherence to antipsychotic medication in schizophrenic patients is common and associated with symptom relapse and poorer long-term outcomes. The risk factors for treatment non-adherence include dosing frequency and complexity. Besides, slower dose titration in an acute schizophrenic episode may lead to a...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-014-0378-5
更新日期:2015-01-22 00:00:00
abstract:BACKGROUND:Increasing numbers of people with mental disorders receive services at primary care in China. The aims of this study are to evaluate impact of a new training course and supervision for community mental health staff to enhance their levels of mental health knowledge and to reduce their stigmatization toward p...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-015-0660-1
更新日期:2015-10-26 00:00:00
abstract:BACKGROUND:Psychotropic medications are frequently used to treat challenging behaviour in children with intellectual disabilities, despite a lack of evidence for their efficacy. This systematic review and meta-analysis aimed to determine the safety and efficacy of pharmacological interventions for challenging behaviour...
journal_title:BMC psychiatry
pub_type: 杂志文章,meta分析,评审
doi:10.1186/s12888-015-0688-2
更新日期:2015-11-26 00:00:00