Conceptual And Theoretical Understanding Of Self-Harm Overview
Myths about Self-Harm – “Freak Discourse”
Prevalence of Self-Harm: Statistics
DSM 5 and other definitions including Nonsuicidal Self-Injury (NSSI) and Deliberate Self-Harm (DSH)
The relationship between non-suicidal and suicidal behaviours
Etiology of self-harm and common co-morbidities – abuse, depression, anxiety, bullying, social rejection, trauma and other psychiatric disorders including personality psychopathology and attachment disorders
Pathways into Self-Harm – additional factors that can increase risk– social media and online communication, blended families
Additional Considerations
Adolescence And The ‘Teenage Brain’ – impulsivity and sensation seeking
Emotional Dysregulation
Special Populations – Autism Spectrum Disorders; Gender Variance, pre-puberty children
Impact on Peers and Professionals
SECTION 2: ASSESSMENT AND INTERVENTION
Assessment
Identifying signs of Self Harm
Talking with Children And Young people (CYP) about Self-Harm
“If the cuts could talk …..”
The psychodynamics of self-harm
The power of secrets
‘Cancel Culture’
The Inventory Of Statements About Self-Harm (ISAS) – screening and assessment – the work of Klonsky and Glenn.
The Self-Harm Risk Assessment For Children (SHRAC) – pioneered by Anne Angelkovska
Intervention
Pathways out of Self-Harm
Referrals, crisis intervention and confidentiality
