title: The impact of prison staff responses on self-harming behaviours: prisoners' perspectives.
abstract: OBJECTIVE
  To further understanding of how health and correctional staff responses to self-harming behaviours influence prisoners and their subsequent actions.
  
  
  METHODS
  Participant-centred, qualitative methods were used to explore the complex and under-researched perspectives of self-harming male prisoners.
  
  
  METHODS
  Semi-structured interviews were conducted with 20 adult male prisoners who had engaged in repetitive, non-suicidal self-harm during their current prison sentence, or considered doing so. The interviews were analyzed drawing on principles of thematic analysis and discourse analysis.
  
  
  RESULTS
  With some exceptions, prison officers, nurses, and doctors are portrayed by prisoners as being ill-prepared to deal with repetitive self-harm, often displaying actively hostile attitudes and behaviours.
  
  
  CONCLUSIONS
  These findings underscore the need for appropriate training, support and supervision for staff working with self-harming prisoners.
authors.affiliation: Department of Psychiatry, Centre for Suicide Research, Warneford Hospital, University of Oxford, UK. lisa.marzano@psych.ox.ac.uk
authors.forename: Lisa
authors.initials: L
authors.lastname: Marzano
authors.forename: Karen
authors.initials: K
authors.lastname: Ciclitira
authors.forename: Joanna
authors.initials: J
authors.lastname: Adler
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D004645:Empathy; D006301:Health Services Needs and Demand; D006791:Hostility; D006801:Humans; D007398:Interpersonal Relations; D007406:Interview, Psychological / Q000379:methods; D008297:Male; D011329:Prisoners / Q000523:psychology*; D011330:Prisons / Q000458:organization & administration*; D011369:Professional-Patient Relations; D016728:Self-Injurious Behavior / Q000523:psychology*