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

다국어 초록 (Multilingual 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.

참고문헌 (Reference)

1 안영신, "청소년의 비자살적 자해행동에 관한 연구" 한국정서행동장애학회 33 (33): 257-281, 2017

2 권경인, "청소년 비자살적 자해상담 경험에 대한 현상학 연구: 상담자의 어려움과 대처방안을 중심으로" 한국청소년상담복지개발원 28 (28): 269-291, 2020

3 배수현, "중학생의 비자살적 자해에 영향을 미치는 요인 : 자해의 심각성을 중심으로" 한국정신건강사회복지학회 48 (48): 122-148, 2020

4 김수진, "비자살적 자해의 위험요인과 보호요인 개관" 한국청소년학회 24 (24): 31-53, 2017

5 서미, "비자살적 자해와 극복과정 경험에 대한 질적 연구: 상담경험이 있는 청소년을 대상으로" 한국상담학회 20 (20): 179-207, 2019

6 성요안나, "비자살적 자해에 대한 국내연구 개관: 2000-2018년 연구들을 중심으로" 한국인지행동치료학회 19 (19): 251-280, 2019

7 안인영, "다문화가정 청소년과 한국문화가정 청소년의 정서 특성" 대한소아청소년 정신의학회 27 (27): 306-311, 2016

8 신수정, "고위기(자살시도 및 자해)청소년 개인맞춤형 그뤠잇⁺ 프로그램의 효과" 한국청소년상담복지개발원 28 (28): 73-97, 2020

9 Park DH, "Youth self-injury counseling has tripled in a year" Hankyoreh

10 Nock MK, "Understanding nonsuicidal self-injury: Origins, assessment, and treatment" American Psychological Association 9-18, 2009

11 Plener PL, "Treating nonsuicidal self-injury(NSSI)in adolescents : Consensus based German guidelines" 10 (10): 1-9, 2016

12 Hsieh HF, "Three approaches to qualitative content analysis" 15 (15): 1277-1288, 2005

13 Kelada L, "The relationship between nonsuicidal self-injury and family functioning : Adolescent and parent perspectives" 42 (42): 536-549, 2016

14 Plener PL, "The longitudinal course of non-suicidal self-injury and deliberate selfharm : A systematic review of the literature" 2 (2): 2-, 2015

15 Favazza AR, "The coming of age of self-mutilation" 186 (186): 259-268, 1998

16 Zetterqvist M, "The DSM-5 diagnosis of nonsuicidal self-injury disorder : A review of the empirical literature" 9 (9): 31-, 2015

17 Duggan JM, "School counsellors'understanding of non-suicidal self-injury : Experiences and international variability" 45 (45): 327-348, 2011

18 Education welfare policy division, "Priority support for educational welfare Sejong: Ministry of education"

19 Swannell SV, "Prevalence of nonsuicidal self-injury in nonclinical samples : Systematic review, meta-analysis and meta-regression" 44 (44): 273-303, 2014

20 Whitlock J, "Nonsuicidal self-injury as a gateway to suicide in young adults" 52 (52): 486-492, 2013

21 Cipriano A, "Nonsuicidal self-injury : A systematic review" 8 : 1946-, 2017

22 Fox KR, "Meta-analysis of risk factors for nonsuicidal self-injury" 42 : 156-167, 2015

23 Muehlenkamp JJ, "International prevalence of adolescent non-suicidal self-injury and deliberate self-harm" 6 (6): 10-, 2012

24 Paul E, "Frequency and functions of non-suicidal self-injury : Associations with suicidal thoughts and behaviors" 225 (225): 276-282, 2015

25 Martin J, "Family-based risk factors for non-suicidal self-injury : Considering influences of maltreatment, adverse family-life experiences, and parent-child relational risk" 49 : 170-180, 2016

26 Guba EG, "Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches" Jossey-Bass 423-, 1981

27 서미, "EBP 기반 자살⋅자해 청소년 상담클리닉 운영 모형 개발" 한국청소년상담복지개발원 28 (28): 99-121, 2020

28 American psychological association, "Diagnostic and statistical manual of mental disorders" American Psychiatric Association 947-, 2013

29 Giordano A, "Clinical work with clients who self-injure : A descriptive study" 10 (10): 181-193, 2020

30 Gonzales AH, "Adolescent non-suicidal self-injury(NSSI)interventions" 26 (26): 124-130, 2013