Self-harm and Suicidality Flashcards

1
Q

Who is most likely to self-harm?

A
Young people
Young females
Young Asian females
LAC/YP
Prisoners
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2
Q

Which conditions are most commonly associated with self-harm?

A
BPD
Depression
Bipolar
Schizophrenia
Drug/Alcohol misuse
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3
Q

What is one of the top five causes of hospital admissions?

A

Self-harm

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4
Q

What is the percentage of people who have attended hospital for self-harm that will go on to complete suicide?

A

1%

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5
Q

What systemic issues need to be considered in self-harm behaviour?

A

Attitudes towards self-harm

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6
Q

What are some of the psychological characteristics of people who self-harm?

A
Difficult to engage
Hostile
Internalised anger
Anxious/irritable
Poor coping strategies
Shame/guilt
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7
Q

Why do people self-harm?

A

Emotional regulation
Communication
Control/punishment

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8
Q

What is a better way of saying ‘attention seeking’?

A

care seeking

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9
Q

What are some of the risk factors for self-harm?

A

Childhood trauma

Invalidation

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10
Q

What is the best way to approach self-harm?

A

Acceptance and change

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11
Q

What are some specific self-harm intervention-related strategies?

A
Delaying techniques
Linking strategies to current emotional state/function of self-harm
Alternatives
Psychoeducation about risks
Reduce access
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12
Q

What do we need to be mindful of when working with self-harm?

A

Legal considerations
Risks and benefits
Intra and inter-personal impact

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13
Q

What leads to hope?

A

Comfort and competence

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14
Q

What is an alternative to talking about mental illness?

A

Talking about unhappiness/loneliness

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15
Q

What is the main aim for working with self-harm?

A

Addressing the underlying issue - what are they trying to communicate?

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16
Q

What are the two main messages we want to give from therapy?

A

You’re alright

It’s going to be alright

17
Q

Which gender is most likely to complete suicide?

A

Males

18
Q

Which age range is most likely to complete suicide?

A

45-74

19
Q

Who writes about gender and suicide?

A

Brent and Moritz (1996)

20
Q

List 4 factors which determine the choice of suicide method.

A

Availability/acceptability
Familiarity
Anticipated pain/messiness
Chances/consequences of failure

21
Q

What is one thing that might deter people from suicide?

A

Who might find the body?

22
Q

List 3 risk demographic factors for suicide.

A

Being in unskilled occupation/lower SES
Being in prison
Social isolation

23
Q

Who outlined a cognitive model of suicide?

A

Wenzel et al. (2009)

24
Q

Outline the cognitive model of suicide.

A

Life stress + Dispositional vulnerability => Suicide schema activated => Hopelessness and attentional fixation => Suicidal ideation => Suicide attempt

25
Q

List 4 questions for assessing risk of suicide.

A

Questioning about thoughts - intensity, frequency, severity
Intentions/plans
Previous attempts
Triggers

26
Q

What is a fifth key thing we need to know if we are questioning about suicide?

A

Protective factors

27
Q

What are the common elements to working with suicidality (Weinbereger, 2010)?

A
Clear framework for treatment
Management plan
Close attention to affect
Active therapist style
Exploratory AND change oriented interventions
28
Q

What can be a helpful intervention strategy for suicidality?

A

Training problem solving

29
Q

Who identified the common elements of working with suicidality?

A

Weinberger (2010)