Levels of self-harm for young people in care are high, and even higher for those in residential care. Recent research highlights the importance of understanding self-harm relationally. Such an approach may be of particular value for understanding the self-harm of young people in care. The aim of this research was to understand the experiences of young people who self-harm whilst living in residential care, with a particular focus on the effect of the care setting on their self-harm. Five young people participated in semi-structured interviews which were analysed using Interpretive Phenomenological Analysis. Four themes emerged: 'The black hole of self-harm', 'Seeking genuine care and containment', 'The cry to be understood' and 'Loss of control to the system.' Young people recognised their need for support with their self-harm, but organisationally driven approaches to managing risk contributed to a perception that the care offered was not genuine, which led to an unwillingness to accept care. The findings highlight the need for a more compassionate, relational response to young people who self-harm in residential care.

中文翻译：

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寻求真正的关怀：对居家护理中自残的年轻人的体验的定性研究

接受护理的年轻人的自残程度很高，而接受住宿护理的年轻人的自残程度更高。最近的研究强调了从关系上理解自我伤害的重要性。这种方法对于了解被照料的年轻人的自我伤害可能特别有价值。本研究的目的是了解居住在寄宿家庭中自残的年轻人的经历，特别关注护理环境对他们自残的影响。五名年轻人参加了使用解释性现象学分析进行分析的半结构化访谈。出现了四个主题：“自我伤害的黑洞”、“寻求真正的关怀和遏制”、“需要理解的呼声”和“系统失控”。年轻人认识到他们在自残方面需要支持，但组织驱动的风险管理方法导致人们认为所提供的护理不是真实的，从而导致不愿意接受护理。调查结果强调，需要对在住宿护理中自残的年轻人做出更富有同情心的、相关的反应。