TY  - JOUR
PY  - 2022//
TI  - What helps people to reduce or stop self-harm? A systematic review and meta-synthesis of first-hand accounts
JO  - Journal of public health (Oxford)
A1  - Brennan, Cathy A.
A1  - Crosby, Helen
A1  - Sass, Cara
A1  - Farley, Kate L.
A1  - Bryant, Louise D.
A1  - Rodriquez-Lopez, Rocio
A1  - Romeu, Daniel
A1  - Mitchell, Elizabeth
A1  - House, Allan O.
A1  - Guthrie, Else
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: Self-harm is an important public health problem but therapeutic interventions, particularly for people who have a history of multiple repetition, are not always taken up or effective when they are. The aim of this review is to explore first-hand accounts of what helps outside therapy and identify actions and processes, which can support the reduction or cessation of self-harm. <br><br>METHODS: A systematic review and thematic meta-synthesis of the first-person accounts of what has helped to reduce or stop self-harm reported in primary studies. <br><br>RESULTS: The meta-synthesis combined 546 participant excerpts from 56 studies. Two over-arching themes were identified: (i) breaking the chain incorporated actions taken to break the link between a person's current psychological or social state and the act of self-harm and (ii) building a new foundation for change captured actions over the longer-term, focusing on practical changes in relationships and in a person's way of life, such as work or living arrangements. <br><br>CONCLUSIONS: The results emphasize the importance of interpersonal change in reducing or stopping self-harm. While interpersonal factors are acknowledged as important reasons behind self-harm, they are often under-represented in self-management advice and therapeutic interventions that focus on individual psychopathology.<p />  <p>Language: en</p>
LA  - en
SN  - 1741-3842
UR  - http://dx.doi.org/10.1093/pubmed/fdac022
ID  - ref1
ER  -