| Title |
Self-injurious behavior in child and adolescent psychiatry inpatient units: actual aspects of the complex care provision / |
| Translation of Title |
Save žalojantis elgesys vaikų ir paauglių psichiatrijos stacionaruose: aktualūs kompleksinės pagalbos aspektai. |
| Authors |
Lesinskienė, Sigita ; Afrahi, Mariam ; Pociūtė, Kamilė |
| DOI |
10.15388/Amed.2024.31.2.7 |
| Full Text |
|
| Is Part of |
Acta medica Lituanica.. Vilnius : Vilniaus universiteto leidykla. 2024, vol. 31, no. 2, p. 260-272.. ISSN 1392-0138. eISSN 2029-4174 |
| Keywords [eng] |
self-harm ; inpatient units ; clinical aspects ; children ; adolescents |
| Abstract [eng] |
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. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
English |
| Publication date |
2024 |
| CC license |
|
