[논문]청소년의 비자살적 자해 경험: 해석 현상학적 분석

고정아; 김지영

doi:10.4040/jkan.23075

청소년의 비자살적 자해 경험: 해석 현상학적 분석
Adolescents' Experiences of Non-Suicidal Self-Injury: An Interpretative Phenomenological Analysis Study 원문보기

Journal of Korean academy of nursing = 대한간호학회지, v.53 no.5, 2023년, pp.538 - 555

고정아 (화성의과학대학교 간호학과) , 김지영 (전북대학교 간호대학.전북간호과학연구소)

Abstract ▼ AI-Helper

Purpose: This qualitative study used interpretative phenomenological analysis and photovoice methods to explore the meaning of non-suicidal self-injury experienced by adolescents. Methods: Participants were adolescents enrolled in middle and high schools in Gyeonggi-do and Jeollabuk-do who were selected through snowball sampling. Six participants had repeatedly engaged in self-injurious behavior for over a year. Data were collected through in-depth interviews and the photovoice method between November 2020 and July 2021. The collected data were analyzed using six steps of interpretative phenomenological analysis. Results: The results yielded 5 main themes and 18 subthemes. The main themes were 'a silent cry to an indifferent world', 'a heartache that one endures with scars', 'an inescapable cycle', 'filling the space in one's heart', and 'healing the wounds'. The study findings revealed that the self-injurious behavior of adolescents began as a consequence of feeling lost and struggling with conflicts at home and school, which helped them relieve tension and pain. Nonetheless, inflicting self-injury only left signs of regret and remorse, which became a trace that the participants wanted to hide. However, the wounds healed after receiving attention and support from others. They were determined to stop engaging in repeated self-injurious behaviors and made efforts to do so. Conclusion: This study can be used as a basis for the development of educational programs to prevent non-suicidal self-injury in adolescents. Additionally, it can inform nursing interventions that focus on building support systems to help adolescents who attempt self-injury.

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