Self Harm in Children and Adolescents

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Course Description

Conceptual And Theoretical Understanding Of Self-Harm

  • 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



  • 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


  • Pathways out of Self-Harm
  • Referrals, crisis intervention and confidentiality
  • Targeted Therapies: Acceptance And Commitment Therapy© (ACT), Cognitive-Behavioural Therapy, Dialectical Behaviour Therapy
  • Medication
  • Check in and Support

Support And Resources

  • Smart phone Apps for adolescents
  • Guidelines for schools

Course Content

This course includes:

R310 incl VAT