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Barriers to Youth Disclosing Self-Injurious Thoughts and Behaviors: A Focus on the Therapeutic Context.

Authors :
Mirichlis, Sylvanna
Burke, Taylor A.
Bettis, Alexandra H.
Dayer, Koosje
Fox, Kathryn R.
Source :
Archives of Suicide Research. Nov2024, p1-16. 16p. 1 Illustration.
Publication Year :
2024

Abstract

AbstractObjectiveMethodResultsConclusionsDisclosure of self-injurious thoughts and behaviors (SITBs) can serve as a catalyst to receiving mental health and lifesaving care; yet, many young people do not disclose these experiences to their therapists. In this study we aimed to identify barriers to adolescents disclosing their SITBs to their therapists and to compare these barriers across non-disclosure of suicidal ideation, suicidal behavior, and non-suicidal self-injury.Participants (<italic>n</italic> = 292) all had lived experience of at least one SITB and were an average age of 15.55 years, with the majority identifying as cisgender girls (68.15%). Using inductive content analysis of open-ended responses, six main categories of disclosure barriers were identified.These overarching barriers were: Agency Theft, Irrelevance, Therapeutic (Mis)Alliance, Internalized Stigma, Anticipated Stigma, and Lacking Disclosure Self-Efficacy. The majority (85.29%) of subordinate barriers were common across the three SITBs.Adolescents may hesitate to disclose their SITBs to their therapists for many reasons; prioritizing the therapeutic relationship and working collaboratively with adolescents could be instrumental in not only fostering disclosure but also an overall more positive therapeutic experience. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
13811118
Database :
Academic Search Index
Journal :
Archives of Suicide Research
Publication Type :
Academic Journal
Accession number :
180722919
Full Text :
https://doi.org/10.1080/13811118.2024.2424233