Self-Injurious Behavior in Child and Adolescent Psychiatry Inpatient Units: Actual Aspects of the Complex Care Provision
Background: Nonsuicidal self-injurious behavior in children and adolescents is a major concern that requires mental health professionals’ attention. The aim of this study is to analyze clinical care aspects of children and adolescents who self-harm in psychiatric hospitals. Materials and methods: I...
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| Format: | Article |
| Language: | English |
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Vilnius University Press
2024-12-01
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| Series: | Acta Medica Lituanica |
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| Online Access: | https://www.zurnalai.vu.lt/AML/article/view/35329 |
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| author | Sigita Lesinskienė Mariam Afrahi Kamilė Pociūtė |
| author_facet | Sigita Lesinskienė Mariam Afrahi Kamilė Pociūtė |
| author_sort | Sigita Lesinskienė |
| collection | DOAJ |
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Background: Nonsuicidal self-injurious behavior in children and adolescents is a major concern that requires mental health professionals’ attention. The aim of this study is to analyze clinical care aspects of children and adolescents who self-harm in psychiatric hospitals.
Materials and methods: In 2023, 30 various specialists from five different child and adolescent psychiatric units in Lithuania were interviewed. The survey used a semistructured interview consisting of twelve questions related to complex clinical care methods of children and adolescents who self-harm. The interview responses were summarized and grouped into 5 categories: assessment and monitoring, methods and consequences of self-injury, safety measures, prevention and treatment, insights from staff.
Results: Self-injurious behavior in psychiatric inpatient settings was managed through risk assessment, monitoring, communication, medication, counselling, removal of sharp objects, patient allocation, and a several of other methods such as safety contracts, rewards or alternate pain-inducing or self-harm mimicking stimuli. Despite the hospital’s safety procedures patients frequently devised alternate methods to self-harm, such as hitting and scratching themselves and using nonspecific materials.
Conclusions: The management of self-harm in children and adolescents psychiatric settings remains insufficient. Further research is needed to explore alternative ways of managing self-injurious behavior in child and adolescent psychiatric hospitals.
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| format | Article |
| id | doaj-art-b0c12c2f3af54d6dbaa30b2a1c81399a |
| institution | Kabale University |
| issn | 1392-0138 2029-4174 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Vilnius University Press |
| record_format | Article |
| series | Acta Medica Lituanica |
| spelling | doaj-art-b0c12c2f3af54d6dbaa30b2a1c81399a2025-02-11T18:08:33ZengVilnius University PressActa Medica Lituanica1392-01382029-41742024-12-0131210.15388/Amed.2024.31.2.7Self-Injurious Behavior in Child and Adolescent Psychiatry Inpatient Units: Actual Aspects of the Complex Care ProvisionSigita Lesinskienė0https://orcid.org/0000-0003-2922-8626Mariam Afrahi1https://orcid.org/0000-0002-3782-2548Kamilė Pociūtė2https://orcid.org/0009-0003-9916-4418Vilnius University, Faculty of Medicine, Institute of Clinical Medicine, Clinic of Psychiatry, Vilnius, LithuaniaVilnius University, Faculty of Medicine, Vilnius, LithuaniaVilnius University, Faculty of Medicine, Institute of Clinical Medicine, Clinic of Psychiatry, Vilnius, Lithuania Background: Nonsuicidal self-injurious behavior in children and adolescents is a major concern that requires mental health professionals’ attention. The aim of this study is to analyze clinical care aspects of children and adolescents who self-harm in psychiatric hospitals. Materials and methods: In 2023, 30 various specialists from five different child and adolescent psychiatric units in Lithuania were interviewed. The survey used a semistructured interview consisting of twelve questions related to complex clinical care methods of children and adolescents who self-harm. The interview responses were summarized and grouped into 5 categories: assessment and monitoring, methods and consequences of self-injury, safety measures, prevention and treatment, insights from staff. Results: Self-injurious behavior in psychiatric inpatient settings was managed through risk assessment, monitoring, communication, medication, counselling, removal of sharp objects, patient allocation, and a several of other methods such as safety contracts, rewards or alternate pain-inducing or self-harm mimicking stimuli. Despite the hospital’s safety procedures patients frequently devised alternate methods to self-harm, such as hitting and scratching themselves and using nonspecific materials. Conclusions: The management of self-harm in children and adolescents psychiatric settings remains insufficient. Further research is needed to explore alternative ways of managing self-injurious behavior in child and adolescent psychiatric hospitals. https://www.zurnalai.vu.lt/AML/article/view/35329self-harminpatient unitsclinical aspectschildrenadolescents |
| spellingShingle | Sigita Lesinskienė Mariam Afrahi Kamilė Pociūtė Self-Injurious Behavior in Child and Adolescent Psychiatry Inpatient Units: Actual Aspects of the Complex Care Provision Acta Medica Lituanica self-harm inpatient units clinical aspects children adolescents |
| title | Self-Injurious Behavior in Child and Adolescent Psychiatry Inpatient Units: Actual Aspects of the Complex Care Provision |
| title_full | Self-Injurious Behavior in Child and Adolescent Psychiatry Inpatient Units: Actual Aspects of the Complex Care Provision |
| title_fullStr | Self-Injurious Behavior in Child and Adolescent Psychiatry Inpatient Units: Actual Aspects of the Complex Care Provision |
| title_full_unstemmed | Self-Injurious Behavior in Child and Adolescent Psychiatry Inpatient Units: Actual Aspects of the Complex Care Provision |
| title_short | Self-Injurious Behavior in Child and Adolescent Psychiatry Inpatient Units: Actual Aspects of the Complex Care Provision |
| title_sort | self injurious behavior in child and adolescent psychiatry inpatient units actual aspects of the complex care provision |
| topic | self-harm inpatient units clinical aspects children adolescents |
| url | https://www.zurnalai.vu.lt/AML/article/view/35329 |
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