Self Harm in Secure Settings: Exploring the Lived Experiences of People who Self Harm in Secure Hospitals
AffiliationUniversity of Chester; University of Salford
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Other TitlesExperiences of People Who Self Harm in secure settings
AbstractGlobally, an increasing number of people who Self Harm (SH) are being treated in mental health hospitals. Incidences of SH are common in secure hospitals, with those using the behaviour being highly dependent on staff for care and support but impacting on often limited resources. Whilst literature related to the lived experiences of people who SH exists, this is in its infancy in African countries. The aim of this study was to explore the lived experiences of people who SH in two secure mental health hospitals in Ghana. Interpretive Phenomenological Analysis (IPA) was used to explore the experiences of people who SH in two secure mental hospitals in Ghana. A convenience sample of nine participants were recruited and face to face in-depth semi structured interviews were used to collect data. With the permission of each participant all interviews were audio recorded and notes were made by the researcher (first author). Each interview was transcribed and analysed using the IPA seven- step approach, with three superordinate and 11 subordinate themes being identified. The superordinate themes were: Being let down; Living with the negative self; Forces of the supernatural and religion. Findings demonstrate that there is a need to develop a collaborative health care package if appropriate care and support is to be offered to people in secure settings who use high-risk behaviours, such as SH. To ensure care is holistic, culturally, and temporally relevant research is needed, particularly in Sub-Saharan Africa.
CitationDake, A., Murphy, N., & McAndrew S. (2023). Self-harm in secure settings: Exploring the Lived Experiences of people who self-harm in secure hospitals. International Journal of Mental Health Nursing, 32(2), 534-543. https://doi.org/10.1111/inm.13092
DescriptionThis is the peer reviewed version of the following article: [Dake, A., Murphy, N., & McAndrew S. (2023). Self-harm in secure settings: Exploring the Lived Experiences of people who self-harm in secure hospitals. International Journal of Mental Health Nursing, 32(2), 534-543], which has been published in final form at [https://doi.org/10.1111/inm.13092]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
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