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. 2024 Apr 16;24(1):1059.
doi: 10.1186/s12889-024-18455-4.

Experiences of support for people who access voluntary, community and social enterprise (VCSE) organisations for self-harm: a qualitative study with stakeholder feedback

Joe Hulin  1 , Vyv Huddy  2 , Phillip Oliver  3 , Jack Marshall  3 , Aarti Mohindra  3 , Brigitte Delaney  4   3 , Caroline Mitchell  3
Affiliations

Experiences of support for people who access voluntary, community and social enterprise (VCSE) organisations for self-harm: a qualitative study with stakeholder feedback

Joe Hulin et al. BMC Public Health. .

Abstract

Background: Prevalence of self-harm In England is rising, however contact with statutory services remains relatively low. There is growing recognition of the potential role voluntary, community and social enterprise sector (VCSE) organisations have in the provision of self-harm support. We aimed to explore individuals' experiences of using these services and the barriers and facilitators to accessing support.

Methods: Qualitative, online interviews with 23 adults (18+) who have accessed support from VCSE organisations for self-harm in the Yorkshire and the Humber region were undertaken. Interviews were audio recorded and transcribed verbatim. Thematic analysis was undertaken using NVivo software.

Results: Participants described how a lack of service flexibility and the perception that their individual needs were not being heard often made them less likely to engage with both statutory and VCSE organisations. The complexity of care pathways made it difficult for them to access appropriate support when required, as did a lack of awareness of the types of support available. Participants described how engagement was improved by services that fostered a sense of community. The delivery of peer support played a key role in creating this sense of belonging. Education and workplace settings were also viewed as key sources of support for individuals, with a lack of mental health literacy acting as a barrier to access in these environments.

Conclusions: VCSE organisations can play a crucial role in the provision of support for self-harm, however, pathways into these services remain complex and links between statutory and non-statutory services need to be strengthened. The provision of peer support is viewed as a crucial component of effective support in VCSE organisations. Further supervision and training should be offered to those providing peer support to ensure that their own mental health is protected.

Keywords: Mental health; Peer support; Qualitative; Self-harm; Self-injury; Third sector.

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Conflict of interest statement

The authors declare no competing interests.

References

    1. National Institute for Health and Care Excellence. Self-harm: assessment, management and preventing recurrence [NICE Guideline 225]. NICE; 2023. - PubMed
    1. Geulayov G, Casey D, McDonald KC, Foster P, Pritchard K, Wells C, et al. Incidence of suicide, hospital-presenting non-fatal self-harm, and community-occurring non-fatal self-harm in adolescents in England (the iceberg model of self-harm): a retrospective study. Lancet Psychiatry. 2018;5(2):167–74. doi: 10.1016/S2215-0366(17)30478-9. - DOI - PubMed
    1. Hawton K, Bergen H, Kapur N, Cooper J, Steeg S, Ness J, et al. Repetition of self-harm and suicide following self-harm in children and adolescents: findings from the Multicentre Study of Self-harm in England. J Child Psychol Psychiatry. 2012;53(12):1212–9. doi: 10.1111/j.1469-7610.2012.02559.x. - DOI - PubMed
    1. Public Health England. Preventing suicide in England: Third progress report of the cross-government outcomes strategy to save lives. 2017.
    1. McManus S, Gunnell D, Cooper C, Bebbington PE, Howard LM, Brugha T, et al. Prevalence of non-suicidal self-harm and service contact in England, 2000-14: repeated cross-sectional surveys of the general population. Lancet Psychiatry. 2019;6(7):573–81. doi: 10.1016/S2215-0366(19)30188-9. - DOI - PMC - PubMed

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