Skolsköterskors erfarenheter av elever med självskadebeteende
School nurseExperienceDeliberate self-harmPupilsNursing.SkolsköterskaErfarenheterSjälvskadebeteendeEleverOmvårdnad.
BACKGROUND: Mental disorders amongst students, has increased, and foremost amongst girls. One way to regulate their emotions, is by deliberate self-harm. Due to their profession, school nurses have the ability to detect self-harm amongst students, and can therefor give them a good professional support. AIM: The aim of this study is to describe the school nurse's experience of deliberate self-harm amongst students. METHOD: The study is based on thirteen interviews with school nurses, via e-mail. The e-mails were then analyzed with an inductive qualitative content analysis. RESULTS: Four major categories were identified; how the pupil handles a feeling, different ways to identify, the signification of cooperation and the pupil need optimum support. The school nurse usually identifies deliberate self-harm at open reception and in healthcare conversations. A majority of the school nurses had unsatisfactory experiences when cooperating with child and adolescent psychiatric, and when cooperating with social services. CONCLUSION: School nurses need to be educated in deliberate self-harm amongst students; and guidance for all school nurses when in contact with student who self-harm themselves should be mandatory. Cooperation between social services, the school and child and adolescent psychiatric need to develop further.