Self-stigma detracts from the wellbeing, selfesteem, and social connectedness of adults with mental health disorders. Although emerging research has indicated that self-stigma may have similar consequences for parents of children with mental health disorders, currently we lack a comprehensive description of how parents experience self-stigma. To address this, we investigated parents' lived experiences of self-stigma using a descriptive qualitative approach. Directed by interview questions informed by a parent-based participatory action research group (n = 4), we conducted individual semi-structured interviews with 12 parents of children (aged 5-13) diagnosed with emotional and/or behavioural disorders. Data obtained from interviews with 11 mothers was coded and thematically analysed. Five themes were found: (1) the 'good parent' ideal, (2) awareness of external stigma, (3) outcomes of external stigma (social avoidance and self-doubt), (4) selfstigma (believing self-doubt and external stigma), and (5) refuting self-stigma. Our findings show that parents of children with mental health disorders experience selfstigma. However, because it leads to a diminished sense of being a good parent, the self-stigma is of a different type to that which has been described for adults with mental illness. This has important implications for the conceptualisation and assessment of parent self-stigma as research in this area moves forward.

For parents of children with a mental health disorder, self-stigma can negatively impact their self-esteem and empowerment. Although measures of self-stigma exist, these have not been created in consultation with parents of children with a mental health disorder. Thus, the aim of this study was to construct a new scale based on parents' experiences and developed in partnership with parents through participatory action research (PAR). Draft items that reflect parents' self-stigmas were drawn from qualitative research. A PAR group further developed these items for conceptual and experiential representativeness, and wording suitability and interpretability. With data from 424 parents of children with a mental health disorder, factor analyses indicated three factors: self-blame, self-shame, and bad-parent self-beliefs. These factors were negatively correlated with self-esteem and empowerment. Internal consistencies were acceptable. In sum, parent self-stigma is best operationalised as including self-blame, self-shame, and bad-parent self-beliefs. A valid, PAR-informed measure is provided to promote consistent, authentic, and sensitive measurement of these components.

Parents of children with mental health disorders are often faced with the dilemma of disclosing or concealing their child's disorder. These decisions have important implications for both child and parent. Our aim is to describe mothers' experiences with the disclosure dilemma; specifically, we describe what is disclosed (or concealed), how, and why, as well as the consequences of these decisions. Data from interviews with 11 mothers of children (aged 5-13 years) with mental health disorders, and a participatory action research group (four mothers) were thematically analyzed. Mothers selectively disclosed (and concealed) to protect and advocate for their child. Their decisions were often influenced by, or were a reactance to, others' opinions, with mothers not only avoiding, but also defending against stigma, and exercising their right to privacy. Despite anticipating negative feedback, mothers more often experienced empathy and support following disclosure. Recommendations are made for developing mothers' confidence in disclosing.

Transcribing qualitative data is resource-intensive. One less intensive alternative is scribing: the documenting of comprehensive notes, including verbatim quotes by an independent observer during an interview. However, the extent to which a comparable thematic analysis can be derived from scribed interview data relative to verbatim transcriptions of these same interviews has not been investigated. Thus, the purpose of this study is to test the number and content of themes derived from interview data, which had been scribed versus transcribed verbatim and to identify the time and cost differences (if any) between obtaining, processing, and analysing scribed data compared to transcribed data. Two modes of scribing were evaluated: in-person (i.e., from notes obtained during live interviews), and from video-recordings of these same interviews. There was high consistency in the number and content of themes (highest at subtheme level) derived from scribed versus transcribed data. Scribing produced significantly less data than transcribing and was economically superior. Thus, in the context of interview-based studies in which common ideas or meaning are sought through thematic analysis, scribing yields a similarly rich set of themes as transcribing, and hence, may offer a valid and feasible alternative when resources are limited.

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