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청소년의 비자살적 자해 상담 및 사례관리의 어려움: 지역사회 요인을 중심으로

The Difficulty of Case Management or Counseling for Non-suicidal Self-injury in Adolescents: Focused on the Factors in the Community

정여원, 김인홍, 박영희,
소속 상세정보
정여원 ( Jeong Yeo-Won ) - Dongguk University College of Medicine Department of Nursing
김인홍 ( Kim In-Hong ) - Dongguk University College of Medicine Department of Nursing
박영희 ( Park Young-Hee ) - Dongguk University College of Medicine Department of Nursing

Abstract


Purpose: This qualitative study is aimed to explore the factors in the aspect of the community that made it difficult for field experts to conduct counseling and case management.

Methods: A total of four focus group interviews composed of 15 field experts including nurses were conducted.

Results: A theme, six categories and 22 subcategories were derived. As for the theme, it was found that legal, educational, and environmental systems reflecting non-suicidal self-injury of the characteristics in adolescents were insufficient. In the legal aspect, the defect of the parental education legal system, the reality of having to rely on parental consent when supporting adolescents with non-suicidal self-injury; in the educational aspect, the lack of manuals and education for counseling and case management for adolescents with non-suicidal self-injury; in the environmental aspects, the defect of economic burden and support, a lack of information systems for various organizations in the local community, absence of a dedicated support system for adolescent with non-suicidal self-injury and a lack of human and physical resources.

Conclusion: Based on the results of this study, there needs to be a responsible institution that can comprehensively manage the non-suicidal self-injury of adolescents, and efforts to develop the competence of community nurses.

키워드

청소년; 비자살적 자해; 지역사회; 질적연구
Adolescent; Self-Injurious behavior; Case management; Qualitative research

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