Skip to main content

Table 1 Context, Design and Key Themes of Included Studies. Table presents overview of study characteristics and includes details on: country; school type; socio-demographic profile of school; study participants; sample size at both school and individual level; qualitative research method utilised; health outcome assessed; key themes and concepts to emerge from study data

From: The role of schools in children and young people’s self-harm and suicide: systematic review and meta-ethnography of qualitative research

Study Country School type Profile of School Participants Sample size (schools; participants) Research method Health outcome Key themes and concepts
Best (2006) [49] UK Secondary school Not reported Staff Staff: n = 34 Interview Self-harm (1) Different levels of awareness across staff;
(2) Range of staff’s interpretations of self-harm;
(3) Panic and fear amongst staff during intervention;
(4) Desire to relieve ‘the burden’ of intervening;
Coombes et al. 2013 [50] UK Secondary school 1 boys grammar school; 1 girls high school; 1 mixed sex grammar school; 2 mixed sex community colleges;
Range of educational statements: 1–27; Range of students on CPR: 0–1; Range of male staff: 21 %–58 %
Students Schools: n = 5 Focus group Self-harm (1) Omission of self-harm from the school curriculum;
Students: n = Not reported; (2) Different levels of understanding across students;
Age:13–14 years;
Mak (2011) [50] Hong Kong Secondary school Not reported Students Schools: n = 3; Interview Suicide (1) Pressure to be a high academic achiever;
Students: n = 30;
Age 13–17 years;
Males = 7, Females = 23
McAndrew & Warne (2014) [51] UK Secondary school Not reported Students Students: n = 7; Interview Self-harm (1) Bullying as a trigger factor;
(2) Importance of supportive teachers young people can talk to;
Age 13–17 years;
(4) Dismissive or disengaged staff;
Females = 7
(3) Lack of information and support;
Simm et al. (2008) [52] UK Primary school Not reported Staff Schools: n = 6 Interview with vignette Self-harm (1) Different levels of awareness across staff;
Staff: n = 15 (2) Range of staff’s interpretations of self-harm
Simm et al. (2010) [53] UK Primary school 2 co-ed schools; one girls-only school Staff Schools: n = 6 Interview with vignette Self-harm (1) Different levels of awareness across staff;
(2) Range of staff’s interpretations of self-harm
Staff: n = 15
(3) Frustration amongst staff during intervention;
(3) Omission of self-harm from the school curriculum;
(4) Conflicting views on inclusion of self-harm in the curriculum