Background: Since the end of the 1990`s the self-harm among adolescents have increased. Research is needed on how to improve the ability to care for these patients. That is why it is important to investigate how patients who self-harm and the next of kin are encountered by the caregivers.

Aim: The aim of this study was to illuminate the experiences of encounters with caregivers at self-harm.

Method: The study was based on narratives, which in this case means analysis of autobiographies. Five autobiographies were analyzed in accordance with a description by Dahlborg-Lyckhage. Four of these were written by self-harmers and one by a next of kin.

Results: Three themes and twelve subthemes emerged which describe both negative and positive experiences of encounters with caregivers. The themes were resignation, impotence and consideration. Negative attitudes and unprofessional manners were often experienced by both the self-harmers and the next of kin. This led to experiences of disappointment, disrespect and powerlessness. When the caregivers confirmed and displayed understanding, the self-harmers and next of kin experienced consideration in the encounter.

Conclusion: As a caregiver it is very important to keep in mind that all patients and their next of kin are individuals. The caregivers need to be professional, display understanding and support. More research increase knowledge and understanding and results hopefully in caring encounters.

Keywords: adolescents, autobiography, next of kin, nursing staff, self-injury.