Caregivers

Mothers often described daily caregiving and household pressures, while grandmothers and fathers emphasized somewhat different issues. Family caregivers are defined by their relationship with a patient rather than by the amount of care they provide. Research has mostly centered adolescents, leaving caregiver needs, coping, and service expectations insufficiently synthesized. Most caregivers were aware of possible harms, but screens were embedded in daily routines because of practical household and social constraints. Relatives can either support or obstruct a good death depending on whether they respect the patient’s wishes. Caregiver distress is often intensified by the unpredictable and recurring nature of NSSI. Caregivers of adolescents who self-injure experience emotional distress, psychological strain, and disrupted family relationships. Caregivers reported limited support and excessive burden that could damage relationships and create conflict. Home death may be preferred by patients but can raise concerns about burdening relatives. The study sample included mostly mothers, with fewer grandmothers and very few fathers. Eligible participants were primary caregivers directly i…