TY - JOUR PY - 2023// TI - The barriers and facilitators to the reporting and recording of self-harm in young people aged 18 and under: a systematic review JO - BMC public health A1 - Waller, Gillian A1 - Newbury-Birch, Dorothy A1 - Simpson, Diane A1 - Armstrong, Emma A1 - James, Becky A1 - Chapman, Lucy A1 - Ahmed, Farhin A1 - Ferguson, Jennifer SP - e158 EP - e158 VL - 23 IS - 1 N2 - BACKGROUND AND AIMS: This systematic review sought to identify, explain and interpret the prominent or recurring themes relating to the barriers and facilitators of reporting and recording of self-harm in young people across different settings, such as the healthcare setting, schools and the criminal justice setting.

METHODS: A search strategy was developed to ensure all relevant literature around the reporting and recording of self-harm in young people was obtained. Literature searches were conducted in six databases and a grey literature search of policy documents and relevant material was also conducted. Due to the range of available literature, both quantitative and qualitative methodologies were considered for inclusion.

RESULTS: Following the completion of the literature searches and sifting, nineteen papers were eligible for inclusion. Facilitators to reporting self-harm across the different settings were found to be recognising self-harm behaviours, using passive screening, training and experience, positive communication, and safe, private information sharing. Barriers to reporting self-harm included confidentiality concerns, negative perceptions of young people, communication difficulties, stigma, staff lacking knowledge around self-harm, and a lack of time, money and resources. Facilitators to recording self-harm across the different settings included being open to discussing what is recorded, services working together and co-ordinated help. Barriers to recording self-harm were mainly around stigma, the information being recorded and the ability of staff being able to do so, and their length of professional experience.

CONCLUSION: Following the review of the current evidence, it was apparent that there was still progress to be made to improve the reporting and recording of self-harm in young people, across the different settings. Future work should concentrate on better understanding the facilitators, whilst aiming to ameliorate the barriers.

Language: en

LA - en SN - 1471-2458 UR - http://dx.doi.org/10.1186/s12889-023-15046-7 ID - ref1 ER -