Self-harm and Suicidality Flashcards
Who is most likely to self-harm?
Young people Young females Young Asian females LAC/YP Prisoners
Which conditions are most commonly associated with self-harm?
BPD Depression Bipolar Schizophrenia Drug/Alcohol misuse
What is one of the top five causes of hospital admissions?
Self-harm
What is the percentage of people who have attended hospital for self-harm that will go on to complete suicide?
1%
What systemic issues need to be considered in self-harm behaviour?
Attitudes towards self-harm
What are some of the psychological characteristics of people who self-harm?
Difficult to engage Hostile Internalised anger Anxious/irritable Poor coping strategies Shame/guilt
Why do people self-harm?
Emotional regulation
Communication
Control/punishment
What is a better way of saying ‘attention seeking’?
care seeking
What are some of the risk factors for self-harm?
Childhood trauma
Invalidation
What is the best way to approach self-harm?
Acceptance and change
What are some specific self-harm intervention-related strategies?
Delaying techniques Linking strategies to current emotional state/function of self-harm Alternatives Psychoeducation about risks Reduce access
What do we need to be mindful of when working with self-harm?
Legal considerations
Risks and benefits
Intra and inter-personal impact
What leads to hope?
Comfort and competence
What is an alternative to talking about mental illness?
Talking about unhappiness/loneliness
What is the main aim for working with self-harm?
Addressing the underlying issue - what are they trying to communicate?