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Motives for deliberate self-harm in a South African tertiary hospital
Background: Although there is a growing body of literature on the epidemiology of deliberate self-harm (DSH) in South Africa, comparatively few studies have investigated the motives for self-harm. No studies have investigated the motives for DSH in Cape Town. Aim: To identify the range of motives fo...
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| Format: | Thesis |
| Language: | English |
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Department of Psychiatry and Mental Health
2022
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| _version_ | 1867613306837008384 |
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| access_status_str | Open Access |
| author | Van Zyl, Petrus Jasper Johannes |
| author2 | Lewis, Ian |
| author_browse | Lewis, Ian Van Zyl, Petrus Jasper Johannes |
| author_facet | Lewis, Ian Van Zyl, Petrus Jasper Johannes |
| author_sort | Van Zyl, Petrus Jasper Johannes |
| collection | Thesis |
| description | Background: Although there is a growing body of literature on the epidemiology of deliberate self-harm (DSH) in South Africa, comparatively few studies have investigated the motives for self-harm. No studies have investigated the motives for DSH in Cape Town. Aim: To identify the range of motives for DSH in Cape Town, and how these motives are associated with different sociodemographic factors, the severity of self-injury, and levels of suicidal intent. Methods: Data were collected for 238 consecutive patients presenting with DSH to the emergency department of Groote Schuur Hospital in Cape Town, South Africa. The data were analysed using bivariate and multivariate analyses. Results: Patients engaged in DSH for a range of motives. Interpersonal issues was the most common motive (70%), followed by financial concerns (22%). Male patients were twice as likely as female patients to report interpersonal motives for their self-harm. Patients who reported interpersonal issues were more likely to engage in methods of DSH that involved damage to body tissue. Patients without tertiary education were more likely to report academic concerns as a motive, and patients who reported psychiatric illness as motive for DSH were more likely to require medical interventions than those who did not. Conclusion: This study contributes novel insights into the motives for DSH in the Cape Town context and provides the foundation for continued research on the subject. The study also gives impetus to the development of therapeutic interventions focused on the motives for self-harm. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/36150 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:34:03.682Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Department of Psychiatry and Mental Health |
| publisherStr | Department of Psychiatry and Mental Health |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/36150 Motives for deliberate self-harm in a South African tertiary hospital Van Zyl, Petrus Jasper Johannes Lewis, Ian Bantjes, Jason medicine Background: Although there is a growing body of literature on the epidemiology of deliberate self-harm (DSH) in South Africa, comparatively few studies have investigated the motives for self-harm. No studies have investigated the motives for DSH in Cape Town. Aim: To identify the range of motives for DSH in Cape Town, and how these motives are associated with different sociodemographic factors, the severity of self-injury, and levels of suicidal intent. Methods: Data were collected for 238 consecutive patients presenting with DSH to the emergency department of Groote Schuur Hospital in Cape Town, South Africa. The data were analysed using bivariate and multivariate analyses. Results: Patients engaged in DSH for a range of motives. Interpersonal issues was the most common motive (70%), followed by financial concerns (22%). Male patients were twice as likely as female patients to report interpersonal motives for their self-harm. Patients who reported interpersonal issues were more likely to engage in methods of DSH that involved damage to body tissue. Patients without tertiary education were more likely to report academic concerns as a motive, and patients who reported psychiatric illness as motive for DSH were more likely to require medical interventions than those who did not. Conclusion: This study contributes novel insights into the motives for DSH in the Cape Town context and provides the foundation for continued research on the subject. The study also gives impetus to the development of therapeutic interventions focused on the motives for self-harm. 2022-03-17T05:01:53Z 2022-03-17T05:01:53Z 2021 2022-03-17T05:01:17Z Master Thesis Masters MMed http://hdl.handle.net/11427/36150 eng application/pdf Department of Psychiatry and Mental Health Faculty of Health Sciences |
| spellingShingle | medicine Van Zyl, Petrus Jasper Johannes Motives for deliberate self-harm in a South African tertiary hospital |
| thesis_degree_str | Master's |
| title | Motives for deliberate self-harm in a South African tertiary hospital |
| title_full | Motives for deliberate self-harm in a South African tertiary hospital |
| title_fullStr | Motives for deliberate self-harm in a South African tertiary hospital |
| title_full_unstemmed | Motives for deliberate self-harm in a South African tertiary hospital |
| title_short | Motives for deliberate self-harm in a South African tertiary hospital |
| title_sort | motives for deliberate self harm in a south african tertiary hospital |
| topic | medicine |
| url | http://hdl.handle.net/11427/36150 |
| work_keys_str_mv | AT vanzylpetrusjasperjohannes motivesfordeliberateselfharminasouthafricantertiaryhospital |