nssi

Question 1

numbers

Answer 1

we dont have complete count

Question 2

what is it

Answer 2

deliberate and direct attempt to injure w/o death
frontal thigh, dorsal forearm

Question 3

dx features

Answer 3

desire to feel relief from negative thoughts/feelings, feel they deserve punishment intended to alleviate psychic pain/numbness
repeated, >1yr, most dont seek help

Question 4

dsm5 dx

Answer 4

5+ days in past yr
for reasons: relieve negative thoughts/feelings, resolve interpersonal difficulty, induce positive feeling state
preceeded by negative thoughts, feelings, conflicts with others, preoccupation with behavior that is difficult to resist or recurrent htoughts about behavior
not socially sanctioned behavior
behavior or consequences cause clinically significant distress or interference in important areas of functioning
dont occur solely in context of other mental disorder

Question 5

comorbidity

Answer 5

dep, anx, ed, sud, bpd

Question 6

rf

Answer 6

biologic: serotonin, dopamine, norepi
cog: make up for acts that caused harm/distress to others
env: cultural differences
societal: social phenomienon

Question 7

s/s

Answer 7

scars, cut, scratch, bruise, wound, broken bone, keep sharp object in hand, wear long sleeves year round, freq “ accidents”, spend lots of time alone, pervasive difficulties in interpersonal relationships, question personal identity, instability/impulsive/unpredictable, helpless, hopeless, worthless

Question 8

action

Answer 8

rapport, care for wounds, coping mech, cbt, dbt (dialectical), group therapy, psychopharm

Question 9

assess

Answer 9

self harm inventory

Question 10

misconceptions

Answer 10

only F, suicide attempt, teenagers, crazy, attention seeking, untreatable, manipulative, BPD, cut only, goth/emo, enjoy pain/cant feel it, nothing I can do to help, can stop if they want, danger to others, abused