Adolescent self-harm in Ghana: a qualitative interview-based study of first-hand accounts

Background: Recent prevalence studies suggest that self-harm among adolescents in sub-Saharan Africa is as common as it is in high income countries. However, very few qualitative studies exploring first-person accounts of adolescent self-harm are available from sub-Saharan Africa. We sought to explore the experiences and first-person perspectives of Ghanaian adolescents reporting self-harm - for deeper reflections on the interpretive repertoires available in their cultural context for making sense of self-harm in adolescents. Methods: Guided by a semi-structured interview protocol, we interviewed one-to-one 36 adolescents (24 in-school adolescents and 12 street-connected adolescents) on their experiences of self-harm. We applied experiential thematic analysis to the data. Results: Adolescents’ description of the background to their self-harm identified powerlessness in the family context and unwanted adultification in the family as key factors leading up to self-harm among both in-school and street-connected adolescents. Adolescents’ explanatory accounts identified the contradictory role of adultification as a protective factor against self-harm among street-connected adolescents. Self-harm among in-school adolescents was identified as a means of “enactment of tabooed emotions and contestations”, as a “selfish act and social injury”, as “religious transgression”, while it was also seen as improving social relations. Conclusions: The first-person accounts of adolescents in this study implicate familial relational problems and interpersonal difficulties as proximally leading to self-harm in adolescents. Self-harm in adolescents is interpreted as an understandable response, and as a strong communicative signal in response to powerlessness and family relationship difficulties. These findings need to be taken into consideration in the planning of services in Ghana and are likely to be generalisable to many other countries in sub-Saharan Africa

‘In this job, you cannot have time for family’: Work–family conflict among prison officers in Ghana

This paper documents the experience of work-family conflict (WFC) among prison officers in Ghana. Although the term WFC has been used in relation to prison officers in the UK (Crawley, 2002) and the US (Triplett et al., 1999), the context of WFC in Ghana is unusual. In this predominantly collectivist culture, family responsibilities include obligations to the extended family. WFC is mainly unidirectional, with interference running from work to the family. Officers are thus impaired in fulfilling their family responsibilities, which consequently impairs their daily work and mental well-being. The ‘crisis controlling’ or ‘paramilitary’ organisational structure of the Ghana Prisons Service (GPS) makes it very difficult for the work domain of prison officers to accommodate family responsibilities. Female officers appear to bear a heavier WFC burden than male officers, mainly on account of their traditionally unpaid housekeeping role in addition to their paid employment in a masculine organisational culture. The findings are significant, as they show that the promulgation of family-friendly policies to alleviate WFC-associated stress lies in the hands of the GPS, since WFC emanates solely from the work domain

Corruption Intentions Among Prospective Elites in Ghana: An Economy of Esteem

Besides its multiple harms, corruption undermines the rule of law and impedes the effective functioning of criminal justice institutions. It involves both elites in bending rules and laws as well as police at the bottom of the hierarchy asking for bribes. We analyze corruption intentions within the framework of Brennan and Pettit’s “economy of esteem,” using three main conceptual frameworks: attachment to kinship groups, materialistic orientations, and deterrence. We draw on data from a survey of 530 university students in Ghana to examine predictors of corruption intentions of prospective elites. Our prospective elites were more inclined to resort to influence peddling rather than to pay bribes directly. We find that attitudinal patterns indicative of esteem predict intentions to engage in corrupt exchanges across different agencies and contexts—police, procurement for government, and abuse of power—as well as different types of action, whether bribe payment or nepotism. In contrast, citizenly pride (and self-esteem) motivates integrity across all types of corrupt exchange. Deterrence, in terms of certainty, had a more consistently negative impact on intentions to engage in nepotism than in bribe paying and acceptance, with public procurement being the exception; no effect was found for stigma, and only police nepotism was an exception to the otherwise non-significant effects of severity. </jats:p