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...

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Main Authors: Barnes, MC, Gunnell, D, Davies, R, Hawton, K, Kapur, N, Potokar, J, Donovan, JL
Format: Journal article
Language:English
Published: BMJ Publishing Group 2016
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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.
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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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