Self-harm is a distressing and all too common presentation to emergency departments, and yet there is no clear understanding of what it represents, and success rates of interventions to prevent future episodes are enormously variable.Therapeutic Assessment for self-harm is a pragmatic model, developed by the authors of this book and forming an orga
Self-harm is a distressing and all too common presentation to emergency departments, and yet there is no clear understanding of what it represents, and success rates of interventions to prevent future episodes are enormously variable. Therapeutic Assessment for self-harm is a pragmatic model, developed by the authors of this book and forming an organic part of the psychosocial assessment following a self-harming incident. Its main features are that firstly, a therapeutic intervention at the time of distress, compared with a standard psychosocial history and risk assessment, improves patients' responses and their willingness to engage in further therapy, and secondly, that there is a vast range of evidence-based interventions that can be used to build a 'toolkit' that individual practitioners can employ with their patients. Therapeutic Assessment is evidence-based, simple and easy to learn, and this book presents the techniques in a clear, accessible and user-friendly way. Based on extensive research, it will form an essential reference for psychiatrists and clinical psychologists, and for any health professional involved in the assessment of young people who self-harm.
This edited volume features evidence-based reviews and practical approaches for the professional in the hospital, clinic, community and school, with case examples throughout. Divided into five major sections, the book offers background historical and cultural information, discussion of self-injury etiology, assessment and intervention/prevention issues, and relevant resources for those working with youths who self-injure.
Helping Children and Young People who Self-harm will provide clear and practical guidance for nurses and other health professionals confronted by this complex and difficult area.
Self-harm is a growing problem in children and young people but it can be hard to understand and difficult to recognise. Responding to Self-Harm in Children and Adolescents will help professionals to understand self-harm and respond appropriately. It covers what the risk factors are, including social exclusion, and who is most likely to self-harm. Information on what self-harm is and what causes it, including mental health issues, problems in childhood and trauma, is included. The book also covers how to recognise self-harm and how to immediately respond in an emergency, and different intervention methods are explored. Finally, the author discusses means of support, including how parents and friends can help. This accessible guide provides clear and easily digestible information and practical advice to any professional working with a child or young person who is suspected of, or actually self-harming.
Every year thousands of children and young people attend emergency departments with problems resulting from self-harm. More still come to the attention of CAMHS teams, school nurses and other community-based services. Helping Children and Young People who Self-harm provides clear and practical guidance for health professionals and other members of the children’s workforce who are confronted by this complex and difficult area. Providing accessible evidence-based advice, this textbook looks at: what we mean by self-harm and its prevalence the legal background what works for young people who self-harm what children and young people think about self-harm assessment and interventions for self-harm prevention of self-harm service provision and care pathways. Essential for all those working with children and young people, this textbook contains a glossary of terms, practical strategies and case studies.
Nonsuicidal self-injury (NSSI) is a baffling, troubling, and hard to treat phenomenon that has increased markedly in recent years. Key issues in diagnosing and treating NSSI adequately include differentiating it from attempted suicide and other mental disorders, as well as understanding the motivations for self-injury and the context in which it occurs. This accessible and practical book provides therapists and students with a clear understanding of these key issues, as well as of suitable assessment techniques. It then goes on to delineate research-informed treatment approaches for NSSI, with an emphasis on functional assessment, emotion regulation, and problem solving, including motivational interviewing, interpersonal skills, CBT, DBT, behavioral management strategies, delay behaviors, exercise, family therapy, risk management, and medication, as well as how to successfully combine methods.
Self-harm in adolescents is a growing problem which has been poorly de-fined, clinically neglected and insufficiently researched. This volume synthesizes the available research on adolescent self-harm and presents the reader with the best available evidence on self-harm treatment. It is aimed at those who treat, research and teach about self-harm.
Self-harm is a growing problem in adolescence. Poor self-harm identification and poor treatment engagement are important obstacles to developing effective interventions for self-harm. -- Aims: The overarching aim of this thesis is to research new ways of assessing and managing adolescents with self-harm. Specific goals are to examine factors influencing treatment engagement, explore adolescents' views on self-harm assessments, develop and evaluate a therapeutic component in the initial self-harm assessment (Therapeutic Assessment, TA) and improve self-harm detection and characterisation. -- Studies undertaken: (1) a suicide survey (2) a meta-analysis of treatment engagement in Randomised Controlled Trials (RCTs) comparing specific psychological treatment (SPT) with usual care (UC) (3) a qualitative study of adolescents' hopes and expectations from self- harm assessments (4) a pilot study of TA (5) an RCT of TA versus UC (6) a validation study of the Self-Harm Questionnaire (SHQ).
