W6: Suicide and Self-Harm Flashcards
What is the leading cause of death in children and adolescents, and what is prevalence of thought
suicide, 30% of all, 20% in past year
Self-harm occurs in
13% of young people
DSH =
harming oneself for pain not death but be flexible in defining SH with children/adolescents
Self-harm risks include
low mood/depression, social factors, medical problems, substances
DSH occurs in response to
intense emotional pain, distress, emotions, experiences
DSH occurs because children lack
ability to express themselves
The positive reinforcement mechanism in DSH is
pain causes endorphins
The way to stop DSH is to
develop a more effective way of coping with distress
What do we need to know from clients?
WHY, HOW, DURATION, and FREQUENCY
DSH is an attempt to
self soothe
When managing DSH, we want to ___ and consider a ___
identify triggers; graduated approach by substitution
DSH treatments include:
DBT-A and CBT
DBT-A concerns
tolerating uncomfortable emotions and is good for early PDs
CBT focus concerns
challenging distressing thoughts and break thought patterns
Suicide risk assessment in children involves assessing
means, plan, history (attempts, family, community), mood, any recent changes
