Implementation of Community Mental Health Nursing Interventions in Addressing Self-Harm Behavior in Adolescents: A Systematic Literature Review

Abstract

The surge in self-harm cases among adolescents globally demands a fundamental transformation in the mental health care system, moving beyond the conventional confines of closed hospitals. This study aims to evaluate the effectiveness of implementing community psychiatric nursing interventions in addressing self-harm behavior in adolescents through a systematic literature review approach. The literature search procedure used the PRISMA 2020 guidelines by accessing the Scopus database through the Publish or Perish application for a range of publications from the last 10 years, which successfully screened 12 primary articles that met the inclusion criteria. The synthesis of findings confirmed that various community intervention strategies, including digital platform-based continuous care, self-determination strengthening programs in school environments, primary nurse counseling, and family-based psychotherapy, have been proven to significantly reduce the frequency of self-harm and reduce social stigma. The study's conclusions emphasize that optimizing the role of psychiatric nurses at the grassroots level is a key to saving adolescents from psychological crises. The novelty of this research lies in the development of a comprehensive hybrid framework that simultaneously integrates digital tele-nursing technology, cross-educational institution collaboration, and family system dynamics into a single, standardized community psychiatric nursing intervention model.