Seeking Secrecy

Abstract

Young people who self-harm face challenges in seeking help, and there is a lack of qualitative research with under 16s despite rates of self-harm being high and help-seeking low. Data were collected from 122 young people aged 13–26 years, 108 of whom were aged 13–16 years, through multiple methods. This included six focus group discussions with 33 young people who had limited experience of self-harm; in-depth interviews with five people who had self-harmed and a qualitative online survey completed by 88 young people who had self-harmed. The analysis was thematic. Participants articulated views which could inhibit help-seeking: Young people provided strong negative judgements about ‘attention-seeking’ as a motive for self-harm, while ‘private’ self-harm was valorized. Talking to others about self-harm was identified as beneficial, but it was unclear how possible this would be, if self-harm must also be kept ‘secret’. Findings suggest that framing self-harm as private and secretive may be counterproductive.