Understanding vulnerability to self-harm in times of economic hardship and austerity: a qualitative study
Self-harm and suicide increase in times of economic recession, but little is known about why people self-harm when in financial difficulty, and in what circumstances self-harm occurs. This study aimed to understand events and experiences leading to the episode of self-harm and to identify opportunit...
Main Authors: | , , , , , , |
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Format: | Journal article |
Language: | English |
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BMJ Publishing Group
2016
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_version_ | 1826279080134180864 |
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author | Barnes, MC Gunnell, D Davies, R Hawton, K Kapur, N Potokar, J Donovan, JL |
author_facet | Barnes, MC Gunnell, D Davies, R Hawton, K Kapur, N Potokar, J Donovan, JL |
author_sort | Barnes, MC |
collection | OXFORD |
description | Self-harm and suicide increase in times of economic recession, but little is known about why people self-harm when in financial difficulty, and in what circumstances self-harm occurs. This study aimed to understand events and experiences leading to the episode of self-harm and to identify opportunities for prevention or mitigation of distress.Participants' homes or university rooms.19 people who had attended hospital following self-harm in two UK cities and who specifically cited job loss, economic hardship or the impact of austerity measures as a causal or contributory factor.Semistructured, in-depth interviews. Interviews were audio recorded, transcribed and analysed cross-sectionally and as case studies.Study participants described experiences of severe economic hardship; being unable to find employment or losing jobs, debt, housing problems and benefit sanctions. In many cases problems accumulated and felt unresolvable. For others an event, such as a call from a debt collector or benefit change triggered the self-harm. Participants also reported other current or past difficulties, including abuse, neglect, bullying, domestic violence, mental health problems, relationship difficulties, bereavements and low self-esteem. These contributed to their sense of despair and worthlessness and increased their vulnerability to self-harm. Participants struggled to gain the practical help they felt they needed for their economic difficulties or therapeutic support that might have helped with their other co-existing or historically damaging experiences.Economic hardships resulting from the recession and austerity measures accumulated or acted as a 'final straw' to trigger self-harm, often in the context of co-existing or historically damaging life-experiences. Interventions to mitigate these effects should include providing practical advice about economic issues before difficulties become insurmountable and providing appropriate psychosocial support for vulnerable individuals. |
first_indexed | 2024-03-06T23:53:28Z |
format | Journal article |
id | oxford-uuid:736cbbf7-7d4b-4251-85e1-c2f9726dcd52 |
institution | University of Oxford |
language | English |
last_indexed | 2024-03-06T23:53:28Z |
publishDate | 2016 |
publisher | BMJ Publishing Group |
record_format | dspace |
spelling | oxford-uuid:736cbbf7-7d4b-4251-85e1-c2f9726dcd522022-03-26T19:56:15ZUnderstanding vulnerability to self-harm in times of economic hardship and austerity: a qualitative studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:736cbbf7-7d4b-4251-85e1-c2f9726dcd52EnglishSymplectic Elements at OxfordBMJ Publishing Group2016Barnes, MCGunnell, DDavies, RHawton, KKapur, NPotokar, JDonovan, JLSelf-harm and suicide increase in times of economic recession, but little is known about why people self-harm when in financial difficulty, and in what circumstances self-harm occurs. This study aimed to understand events and experiences leading to the episode of self-harm and to identify opportunities for prevention or mitigation of distress.Participants' homes or university rooms.19 people who had attended hospital following self-harm in two UK cities and who specifically cited job loss, economic hardship or the impact of austerity measures as a causal or contributory factor.Semistructured, in-depth interviews. Interviews were audio recorded, transcribed and analysed cross-sectionally and as case studies.Study participants described experiences of severe economic hardship; being unable to find employment or losing jobs, debt, housing problems and benefit sanctions. In many cases problems accumulated and felt unresolvable. For others an event, such as a call from a debt collector or benefit change triggered the self-harm. Participants also reported other current or past difficulties, including abuse, neglect, bullying, domestic violence, mental health problems, relationship difficulties, bereavements and low self-esteem. These contributed to their sense of despair and worthlessness and increased their vulnerability to self-harm. Participants struggled to gain the practical help they felt they needed for their economic difficulties or therapeutic support that might have helped with their other co-existing or historically damaging experiences.Economic hardships resulting from the recession and austerity measures accumulated or acted as a 'final straw' to trigger self-harm, often in the context of co-existing or historically damaging life-experiences. Interventions to mitigate these effects should include providing practical advice about economic issues before difficulties become insurmountable and providing appropriate psychosocial support for vulnerable individuals. |
spellingShingle | Barnes, MC Gunnell, D Davies, R Hawton, K Kapur, N Potokar, J Donovan, JL Understanding vulnerability to self-harm in times of economic hardship and austerity: a qualitative study |
title | Understanding vulnerability to self-harm in times of economic hardship and austerity: a qualitative study |
title_full | Understanding vulnerability to self-harm in times of economic hardship and austerity: a qualitative study |
title_fullStr | Understanding vulnerability to self-harm in times of economic hardship and austerity: a qualitative study |
title_full_unstemmed | Understanding vulnerability to self-harm in times of economic hardship and austerity: a qualitative study |
title_short | Understanding vulnerability to self-harm in times of economic hardship and austerity: a qualitative study |
title_sort | understanding vulnerability to self harm in times of economic hardship and austerity a qualitative study |
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