Risk Factors and Prevention Strategies of Self-Harm in University Students: A Qualitative Approach (original) (raw)

The aims of the study were to examine how university students identify meaning in self-harm, and how they explain risk factors and prevention strategies of self-harm. A qualitative approach was used along with purposive sampling and was based on in-depth interviews. Participants were 6 Thai university students, who repeatedly harmed themselves, and were recruited voluntarily. The data analysis used was thematic analysis. The results were described in the form of themes and sub-themes. Two themes and four subthemes for participants' meanings of self-harm: 1) releasing psychological suffering, and 2) self-punishment for rethinking selfcare. Nine themes and twenty sub-themes for participants' risk factors of self-harm: 1) depression, 2) feeling overwhelmed with life problems, 3) family relationships and communication in the family, 4) lacking a space to talk and be listened to, 5) selfpressuring, 6) Peer and romantic partner relationships, 7) emotion being triggered by social media and speech, 8) trauma recall, and 9) psychological traits. At last four theme and nine sub-themes for participants' prevention strategies of self-harm: 1) consulting a psychiatrist and taking medications, 2) taking care of family members, peers, and romantic partners, 3) positive thinking, and 4) participating in social activities and pursuing activities to create more happiness. The results showed that the starting point of understanding self-harmed adolescents were provided by the non-family members. It is recommended that parents should clearly express care and concern toward their children's feelings and prioritize physical health.