Social Work - Research Publications
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ItemVulnerabilities and life stressors of people presented to emergency departments with deliberate self-harm; consolidating the experiences to develop a continuum of care using a mixed-method framework(FRONTIERS MEDIA SA, 2023-01-11)OBJECTIVE: Suicide is a crucial public health concern. However, the interactions between bio psychosocial vulnerabilities and stressors leading to deliberate self-harm behavior remain unexplored, especially in the Indian context. This study examined the experiences leading to self-harm behavior among people who presented to emergency departments with suicidal attempts. METHODS: In this mixed-methods study, we enrolled 44 patients who presented with self-harm behavior at three tertiary health care facilities between October and December 2019. To collect quantitative data, we employed standardized tools: General Health Questionnaire (GHQ-28), General Help-Seeking Questionnaire, Mini International Neuropsychiatric Interview, and the Brief Resilience Scale. Further, we conducted semi-structured interviews to qualitatively explore participants' life experiences and other risk factors. Qualitative analyses were performed using thematic analysis and quantitative descriptive and inferential statistics were performed using STATA software. RESULTS: The mean age of subjects were 29.8 years. The mean suicidality score for the patients was 26 (±8.7). In univariate analysis, depression and anxiety were positively associated with suicidality. While help-seeking behavior and resilience were negatively associated with suicidality. Qualitative results were centered on three major themes; life stressors, family related stressors, and social support-related vulnerabilities. The subjects' lived experiences were introduced in the backdrop of the interplay of vulnerabilities and stressors. CONCLUSION: The biopsychosocial vulnerabilities remain dormant until it is activated by life stressors resulting in severe self-harm behaviors. Mental health team-driven assertive engagement, positive coping, and social support interventions would help prevent reattempts in people with self-harm behaviors.
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ItemDo Social Media Impact Young Adult Mental Health and Well-Being? A Qualitative Study(OXFORD UNIV PRESS, 2022-12-02)Abstract The Social Work profession recognises the ethical and educational implications of social media usage but remains cautious in embracing the technology in the context of clinical practice. Social media platforms allow their users to share thoughts, opinions, experiences, information, develop online communities and access social and emotional support. Social media-focused research in the mental health context has described the risk of vulnerable populations using social media. However, there is a dearth of research examining the lived experiences of young adult social media users or addressing both the perceived risks and benefits. Social Work clinicians need to understand the experience of clients and be able to respond to questions or challenges that service users using social media experience. Deploying inductive thematic content analysis, this study presents the qualitative findings of an online survey eliciting the experience of young adult social media users. Young adults reported varying perspectives, including preferences for anonymity, how social media is employed and consideration that specific platforms are either helpful or harmful. Results are discussed with consideration given to existing literature. This article contributes to the evidence-base for social work and other disciplines, allowing for a greater phenomenological understanding of young adults’ use of social media.