Self-Harm

Question 1

What is the definition of self-harm?

Answer 1

Intentional act of self-poisoning or self injury, irrespective of motivation or apparent purpose of act. It is an expression of emotional distress.

Question 2

What are some risk factors for self-harm?

Answer 2

Psychiatric problems: BPD, depression, bipolar disorder, schizophrenia, drug misuse, alcohol abuse, eating disorders
Victims of domestic violence
Socio-economic disadvantage

Question 3

What is the pathophysiology of self-harm?

Answer 3

Self-harm promotes release of endorphins bringing temporary distress reduction and through negative reinforcement these behaviours are repeated

Question 4

What is the biggest single risk factor for suicide?

Answer 4

Deliberate self-harm

Question 5

What is the management of self-harm?

Answer 5

Activated charcoal for drug overdoses
Psychological intervention
Treat associated mental health conditions