Help-seeking before and after episodes of self-harm: a descriptive study in school pupils in England
2008

Help-seeking before and after self-harm in school pupils

Sample size: 5293 publication 10 minutes Evidence: moderate

Author Information

Author(s): Sarah Fortune, Julia Sinclair, Keith Hawton

Primary Institution: University of Oxford Centre for Suicide Research

Hypothesis

What sources of help do adolescents with a lifetime history of self-harm approach before and after an episode of DSH?

Conclusion

Adolescents primarily seek help from friends and family, but many do not access formal support services.

Supporting Evidence

  • 40% of adolescents sought help from friends before self-harm episodes.
  • 11% sought help from family members.
  • Only a small number accessed formal services like psychologists or doctors.
  • Barriers to help-seeking included fear of being labeled as attention-seeking.

Takeaway

When kids hurt themselves, they usually talk to friends or family for help, but many don't ask for help from doctors or counselors.

Methodology

A school-based survey of 5,293 adolescents aged 15-16 in the UK using self-report questionnaires.

Potential Biases

Recall biases may affect the accuracy of reported experiences.

Limitations

Selection biases due to non-attendance and incomplete questionnaires limit generalizability.

Participant Demographics

Approximately 87.9% of respondents completed the questionnaire; nearly three-quarters were female, 88% were white, and 59% had been exposed to DSH among peers.

Digital Object Identifier (DOI)

10.1186/1471-2458-8-369

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