J Korean Acad Community Health Nurs.  2021 Mar;32(1):1-11. 10.12799/jkachn.2021.32.1.1.

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

• Jeong YW
• Kim IH
• Park YH

• KMID: 2526072
• DOI: http://doi.org/10.12799/jkachn.2021.32.1.1

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.

Keyword

Adolescent; Self-Injurious behavior; Case management; Qualitative research