To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Presentation at an accident and emergency (A&E) department is a key
opportunity to engage with a young person who self-harms. The needs of
this vulnerable group and their fears about presenting to healthcare
services, including A&E, are poorly understood.
To examine young people's perceptions of A&E treatment following
self-harm and their views on what constitutes a positive clinical
Secondary analysis of qualitative data from an experimental online
discussion forum. Threads selected for secondary analysis represent the
views of 31 young people aged 16–25 with experience of self-harm.
Participants reported avoiding A&E whenever possible, based on their
own and others' previous poor experiences. When forced to seek emergency
care, they did so with feelings of shame and unworthiness. These feelings
were reinforced when they received what they perceived as punitive
treatment from A&E staff, perpetuating a cycle of shame, avoidance
and further self-harm. Positive encounters were those in which they
received ‘treatment as usual’, i.e. non-discriminatory care, delivered
with kindness, which had the potential to challenge negative
self-evaluation and break the cycle.
The clinical needs of young people who self-harm continue to demand
urgent attention. Further hypothesis testing and trials of different
models of care delivery for this vulnerable group are warranted.
This study aims to examine the longitudinal effects of a small-scale nursing home model on the change rates of psychological outcomes by comparing green house (GH) and traditional nursing home residents.
A total of 242 residents (93 GH and 149 traditional home residents) who resided at the home least 6 months from admission. Four minimum dataset assessments every six months from admission were included. The main psychological outcomes were depressive mood, and social engagement. The main independent variable was the facility type that the resident resided in: a GH or traditional unit. Age, gender, ADL function, and cognitive function at admission were controlled in the model. A zero-inflated Poisson (ZIP) growth curve model was utilized to compare change rates of two psychological outcomes between the two groups taking into account many zero counts of two outcome measures.
A rate of increase in depressive symptoms for GH home residents was higher than that of traditional home residents (β = 0.135, p-value = 0.025). GH home residents had a lower rate of increase of the probability of “not being socially engaged” over time compared to traditional home residents (β = −0.274, p-value = 0.010).
The GH nursing home model had a longitudinal effect on increasing the probability of residents’ social engagement over time, but also increasing the recognition of depressive symptoms compared to traditional nursing homes.
To explore what young people who self-harm think about online self-harm discussion forums. SharpTalk was set up to facilitate shared learning between health professionals and young people who self-harm. We extracted themes and illustrative statements from the online discussion and asked participants to rate statements.
Of 77 young people who participated in the forum, 47 completed the questionnaire. They said they learned more about mental health issues from online discussion forums than from information sites, found it easier to talk about self-harm to strangers than to family or friends, and preferred to talk online than face-to-face or on the telephone. They valued the anonymity the forums provided and reported feeling more able to disclose and less likely to be judged online than in ‘real life’.
Mental health professionals should be aware of the value of anonymous online discussion forums for some young people who self-harm, so that they can talk about them and assess their use with their patients.
Email your librarian or administrator to recommend adding this to your organisation's collection.