Self-Harm in Eating Disorders (SHINE): a mixed-methods exploratory study
Introduction Self-harm is highly prevalent among young people with eating disorders. However, why a young person may develop and continue to experience both an eating disorder and self-harm is unclear. This study will investigate the frequency, intensity, duration, function, context and processes of...
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| Format: | Article |
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BMJ Publishing Group
2022-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/7/e065065.full |
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| author | Maria Michail Helen Bould Anna Lavis Sheryllin McNeil Anthony Winston Kalen Reid Christina L Easter Rosina Pendrous |
| author_facet | Maria Michail Helen Bould Anna Lavis Sheryllin McNeil Anthony Winston Kalen Reid Christina L Easter Rosina Pendrous |
| author_sort | Maria Michail |
| collection | DOAJ |
| description | Introduction Self-harm is highly prevalent among young people with eating disorders. However, why a young person may develop and continue to experience both an eating disorder and self-harm is unclear. This study will investigate the frequency, intensity, duration, function, context and processes of self-harm among people aged 16–25 diagnosed with an eating disorder. It will explore participants’ perspectives on the genesis and functions of both their self-harm and eating disorder, as well as their support needs. The study was designed with the input of members of a Young Persons’ Advisory Group, who will be key to study delivery and dissemination.Methods and analysis This exploratory study has a sequential mixed-methods explanatory design. Between 70 and 100 young people aged 16–25 with both an eating disorder diagnosis and self-harm thoughts and/or behaviours will be recruited from three NHS Eating Disorder outpatient services in England. Phase 1: a 14-day (six prompts per day) ecological momentary assessment (EMA) of participants’ feelings, thoughts, motivations, behaviours and experiences of self-harm. Phase 2: 20–30 participants from phase 1 will be reapproached to take part in an in-depth qualitative interview on the psychological, emotional and social factors that underlie their self-harm and eating disorder as well as their support needs. EMA data from phase 1 will be analysed using descriptive and multilevel statistics. Qualitative interview data from phase 2 will be analysed using inductive and deductive thematic analysis. Results from both phases will be integrated using a mixed-methods matrix, with each participant’s data from both phases compared alongside comparative analysis of the datasets as a whole.Ethics and dissemination The study gained ethical approval from the NHS HRA West Midlands–Black Country Research Ethics Committee (number: 296032). We anticipate disseminating findings to clinical, academic and lived experience audiences, at academic conferences, through peer-reviewed articles, and through various public engagement activities (eg, infographics, podcasts). |
| format | Article |
| id | doaj-art-7c5add4f37704dd0a03c4f85b3aaf88d |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-7c5add4f37704dd0a03c4f85b3aaf88d2025-01-30T13:20:10ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2022-065065Self-Harm in Eating Disorders (SHINE): a mixed-methods exploratory studyMaria Michail0Helen Bould1Anna Lavis2Sheryllin McNeil3Anthony Winston4Kalen Reid5Christina L Easter6Rosina Pendrous7Institute for Mental Health, University of Birmingham, Birmingham, UKCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School & Medical Research Council Integrative Epidemiology Unit, University of Bristol, Bristol, UKInstitute of Applied Health Research, University of Birmingham Edgbaston Campus, Birmingham, UKBirmingham Women’s and Children’s Hospitals NHS Foundation Trust, Birmingham, UKCoventry and Warwickshire Partnership Trust, Coventry, UKYouth Advisory Group, Institute for Mental Health, University of Birmingham, Birmingham, UKInstitute of Applied Health Research, University of Birmingham, Birmingham, UKInstitute of Applied Health Research, University of Birmingham, Birmingham, UKIntroduction Self-harm is highly prevalent among young people with eating disorders. However, why a young person may develop and continue to experience both an eating disorder and self-harm is unclear. This study will investigate the frequency, intensity, duration, function, context and processes of self-harm among people aged 16–25 diagnosed with an eating disorder. It will explore participants’ perspectives on the genesis and functions of both their self-harm and eating disorder, as well as their support needs. The study was designed with the input of members of a Young Persons’ Advisory Group, who will be key to study delivery and dissemination.Methods and analysis This exploratory study has a sequential mixed-methods explanatory design. Between 70 and 100 young people aged 16–25 with both an eating disorder diagnosis and self-harm thoughts and/or behaviours will be recruited from three NHS Eating Disorder outpatient services in England. Phase 1: a 14-day (six prompts per day) ecological momentary assessment (EMA) of participants’ feelings, thoughts, motivations, behaviours and experiences of self-harm. Phase 2: 20–30 participants from phase 1 will be reapproached to take part in an in-depth qualitative interview on the psychological, emotional and social factors that underlie their self-harm and eating disorder as well as their support needs. EMA data from phase 1 will be analysed using descriptive and multilevel statistics. Qualitative interview data from phase 2 will be analysed using inductive and deductive thematic analysis. Results from both phases will be integrated using a mixed-methods matrix, with each participant’s data from both phases compared alongside comparative analysis of the datasets as a whole.Ethics and dissemination The study gained ethical approval from the NHS HRA West Midlands–Black Country Research Ethics Committee (number: 296032). We anticipate disseminating findings to clinical, academic and lived experience audiences, at academic conferences, through peer-reviewed articles, and through various public engagement activities (eg, infographics, podcasts).https://bmjopen.bmj.com/content/12/7/e065065.full |
| spellingShingle | Maria Michail Helen Bould Anna Lavis Sheryllin McNeil Anthony Winston Kalen Reid Christina L Easter Rosina Pendrous Self-Harm in Eating Disorders (SHINE): a mixed-methods exploratory study BMJ Open |
| title | Self-Harm in Eating Disorders (SHINE): a mixed-methods exploratory study |
| title_full | Self-Harm in Eating Disorders (SHINE): a mixed-methods exploratory study |
| title_fullStr | Self-Harm in Eating Disorders (SHINE): a mixed-methods exploratory study |
| title_full_unstemmed | Self-Harm in Eating Disorders (SHINE): a mixed-methods exploratory study |
| title_short | Self-Harm in Eating Disorders (SHINE): a mixed-methods exploratory study |
| title_sort | self harm in eating disorders shine a mixed methods exploratory study |
| url | https://bmjopen.bmj.com/content/12/7/e065065.full |
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