Non-suicidal self-harm in adolescents: Integrative Community Therapy as a sharing and coping strategy
DOI:
https://doi.org/10.11606/issn.1806-6976.smad.2020.155736Keywords:
Adolescent, Non-suicidal self-injury, Coping strategies, School health, NursingAbstract
Objective: to learn though the Integrative Community Therapy (ICT) the factors related to non-suicidal self-harm in adolescents and their contribution to coping strategies. Method: a qualitative study, conducted with adolescents who participated in the Integrative Community Therapy wheels, which were saved and recorded in a field diary. Thematic analysis was used and it was based on the Life Skills Model. Results: self-harm has emerged on six wheels, as a theme
or wrapped in other suffering. The following categories emerged from the analysis: “Adolescence and non-suicidal self-harm: Anguish relief” and “Integrative Community Therapy Wheel: Therapeutic space” and its subcategories. Conclusions: adolescents find in non-suicidal selfharm a way to materialize and alleviate the suffering resulting from multiple factors. Community Therapy revealed a living space of sharing and re-signification of suffering.
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References
Ministério da Saúde (BR). Atenção psicossocial a crianças e adolescentes no SUS: tecendo redes para garantir direitos. Brasília: Ministério da Saúde; 2014. [Acesso 15 set 2017]. Disponível em: bvsms.saude.gov.br/bvs/publicacoes/atencao_psicossocial_criancas_adolescentes_sus.pdf 2.Arcoverde RL, Soares LSLC. Funções Neuropsicológicas Associadas a Condutas Autolesivas: Revisão Integrativa de Literatura. Psicol Reflex Crít. 2012; 25(2): 293-300. doi: http://dx.doi.org/10.1590/S0102-79722012000200011
Araujo JFB, Chatelard DS, Carvalho IS, Viana TC. O corpo na dor: automutilação, masoquismo e pulsão. Estilos Clín. 2016; 21(2): 497-515. doi: http://dx.doi.org/http//dx.doi.org/0.11606/issn.1981-1624.v21i2p497-515.
Krug EG, Dahlberg LL, Mercy AB, Zwi AB, Lozano R. World report on violence and health. Geneva: World Health Organization; 2002. [cited Jun 22 2020]. Available from: https://opas.org.br/wp-content/uploads/2015/09/relatorio-mundial-violencia-saude.pdf
Lenkiewicz K, Racicka E, Bryńska, A. Self-injury- placement in mental disordes classifications, risk factors and primary mechanisms. Review of the literature. Psychiatr Pol. 2017; 51(2): 323–34. doi: https://doi.org/10.12740/PP/62655 6.Guerreiro DF, Sampaio D. Comportamentos autolesivos em adolescentes: uma revisão da literatura com foco na investigação em língua portuguesa. Rev Port Saúder Pública. 2013; 31(2): 204-13. doi: http://dx.doi.org/10.1016/j.rpsp.2013.05.001
Hall B, Place M. Cutting to cope - a modern adolescent phenomenon. Child Care Health Dev. 2010; 36(5): 623-9. doi: 10.1111/j.1365-2214.2010.01095.x
Plener PL, Kaess M, Schmahl C, Pollak S, Fegert IM, Brown R. Nonsuicidal self-injury in adolescents. Dtsch Arztebl Int. 2018; 115(3): 23–30. doi: 10.3238/arztebl.2018.0023.
Radziwillowicz W, Lewandowsk M. From traumatic events and dissociation to body image and depression symptoms - in search of self-destruction syndrome in adolescents who engage in nonsuicidal self-injury. Psychiatr Pol. 2017;51(2):283–301. doi: https://doi.org/10.12740/PP/63801
Barreto AP. Terapia Comunitária: passo a passo. 4 ed. Fortaleza: Gráfica LCR; 2008.
Tong A, Sainsbury P, Craig J. Consolidated criterio for reporting qualitative research (COREQ): a 32- item checklist for interviews and focus group. Int Qual Health Care. 2007; 19(6):349–57. doi: https://doi.org/10.1093/intqhc/mzm042
Bardin L. Análise de conteúdo. Lisboa: Edições 70; 2009.
World Health Organization (WHO). Programme on Mental Health: Division of Mental Health, Life Skills Education in Schools. Genebra;1997.
Crowell SE, Beauchaine TP, Hsiao RC, Vasilev CA, Yaptangco M, Linehan MM. Differentiatig adolescent self-injury from adolescent depression: possible implications for bordeline personality development. J Abnorm Child Psychol. 2012; 40(1):45–57. doi: https://doi.org/10.1007/s10802-011-9578-3
Rasmussen S, Hawton K, Philpott-Morgan S, O Connor RC. Why do adolescentes self-harm? 2016; 37(3):176-83. doi: 10.1027/0227-5910/a000369
Jorge JC, Queiros O, Saraiva J. Descodificação dos comportamentos autolesivos sem intenção suicida. Estudo qualitativo das funções e significados na adolescência. Aná Psicol. 2015; 33(2):207-19. doi: http://dx.doi.org/10.14417/ap.991.
Fortes I, Macedo MMK. Self-mutilation in adolescence – scratches in the otherness experience. Psicogente. 2017; 20 (38):353-67. doi: http://doi.org/10.17081/psico.20.38.2556 18.Damous I, Klautau P. Marcas do infantil na adolescência: automutilação como atualização de traumas precoces. Tempo Psicanal. [Internet]. 2016;48(2):95-113. [Acesso 20 maio 2017]. Available from: http://pepsic.bvsalud.org/pdf/tpsi/v48n2/v48n1a07.pdf
Vilhena M, Prado YZC. Dor, angústia e automutilação em jovens – considerações psicanalíticas. Adolesc Saúde. [Internet]. 2015; 12(2):94-8. [Acesso 30 jun 2017]. Disponível em: http://www.adolescenciaesaude.com/detalhe_artigo.asp?id=507
Drieu D, Proia-Lelouey N, Zanello F. Ataques ao corpo e traumatofilia na adolescência. Ágora. (Rio Janeiro). 2011; 14 (1):9-20. doi: http://dx.doi.org/10.1590/S1516-14982011000100001.
Nascimento TLN. Bullying: a realidade dolorida de um fenômeno sem distinção de gêneros. Em Aberto. [Internet]. 2014; 27(92):89-98. doi: http://dx.doi.org/10.24109/2176-6673.emaberto.27i92.2442
Hay C, Meldrum R. Bullying victimization and adolescent self-harm: testing hypotheses from general strain theory. J Youth Adoesc. 2010; 39:446-59. doi: 10.1007/s10964-009-9502-0
Albuquerque GA, Parentez JS, Bélem JM, Garcia CL. Violência psicológica em lésbicas, gays, bissexuais, travestis e transexuais no interior do Ceará, Brasil. Saúde Debate. 2016; 40(109):100-11. doi: http://dx.doi.org/10.1590/0103-1104201610908.
Bresin K, Gordon KH. Endogenous opioids and nonsuicidal self-injury: a mechanism of affect regulation. Neurosci Biobehav Rev. 2013; 37:374:83. doi: 10.1016/j.neubiorev.2013.01.020
Cedaro JJ, Nascimento JPG. Dor e gozo: relatos de mulheres jovens sobre automutilações. Psicol. 2013; 24(2):203-23. doi: http://dx.doi.org/10.1590/S0103-65642013000200002.
Zago FC, Bredariol ACP, Mesquita DP. A aplicação da Terapia Comunitária na intervenção com adolescentes: novas estratégias de prevenção e promoção. Cad Bras Ter Ocup. 2013; 21(2):361-71. doi: http://dx.doi.org/10.4322/cto.2013.037
Rocha IA, Sá ANP, Braga LAV, Ferreira MO Filha, Dias MD. Community Integrative Therapy: situations of emotional suffering and patients’ coping strategies. Rev Gaúcha Enferm. 2013;34(2):155-62. doi:http://dx.doi.org/10.1590/S1983-14472013000300020.
Silva FR, Assis SG. Prevenção da violência escolar: uma revisão da literatura. Educ Pesqui. 2018; 24. e157305. doi: http://dx.doi.org/10.1590/s1517-9702201703157305.
Leme VBR, Del Prette ZAP, Coimbra S. Social skills, social support and well-being in adolescents of different family configurations. Paidéia. 2015;25(60):9-18. doi: http://dx.doi.org/10.1590/1982-43272560201503.
