Nonsuicidal Self-Injury


Book Description

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.




Working With Self Harm and Suicidal Behaviour


Book Description

Suicide and self-harm are world-wide public health issues that can have devastating effects on families, friends and communities. They are both a priority for anyone working in mental health, social work, emergency departments and related fields, however suicidal and self-harming behaviour can take place anywhere anytime - it may be a pupil in a school, an inmate in a prison or a colleague or family member. For this reason, this book has been written in a clear, accessible and practical style for anyone who wants to learn more about working with and preventing suicidal and self-harming behaviour. - It identifies common risk and protective factors as well as specific warning signs of imminent suicidal behaviour - It provides essential communication skills for undertaking a risk assessment, illustrating how each skill can be used in real-life practice. - It looks specifically at the issue of self-harm and suicide in prisons, schools and emergency departments - It lays out clear strategies for identifying and addressing issues of self-care when working with people who are suicidal or who self-harm - It identifies how we can assist those who are bereaved following the death of a loved one by suicide Packed with learning outcomes, case scenarios and reflective questions, this book acts as a toolkit for anyone working in this difficult field.




Contagion of Violence


Book Description

The past 25 years have seen a major paradigm shift in the field of violence prevention, from the assumption that violence is inevitable to the recognition that violence is preventable. Part of this shift has occurred in thinking about why violence occurs, and where intervention points might lie. In exploring the occurrence of violence, researchers have recognized the tendency for violent acts to cluster, to spread from place to place, and to mutate from one type to another. Furthermore, violent acts are often preceded or followed by other violent acts. In the field of public health, such a process has also been seen in the infectious disease model, in which an agent or vector initiates a specific biological pathway leading to symptoms of disease and infectivity. The agent transmits from individual to individual, and levels of the disease in the population above the baseline constitute an epidemic. Although violence does not have a readily observable biological agent as an initiator, it can follow similar epidemiological pathways. On April 30-May 1, 2012, the Institute of Medicine (IOM) Forum on Global Violence Prevention convened a workshop to explore the contagious nature of violence. Part of the Forum's mandate is to engage in multisectoral, multidirectional dialogue that explores crosscutting, evidence-based approaches to violence prevention, and the Forum has convened four workshops to this point exploring various elements of violence prevention. The workshops are designed to examine such approaches from multiple perspectives and at multiple levels of society. In particular, the workshop on the contagion of violence focused on exploring the epidemiology of the contagion, describing possible processes and mechanisms by which violence is transmitted, examining how contextual factors mitigate or exacerbate the issue. Contagion of Violence: Workshop Summary covers the major topics that arose during the 2-day workshop. It is organized by important elements of the infectious disease model so as to present the contagion of violence in a larger context and in a more compelling and comprehensive way.




ABC of Adolescence


Book Description

Adolescents undergo rapid physical, psychological and social developmental changes that result in management challenges, communication issues, patterns of disease and symptom presentations that are different from children or adults. This can be challenging for health professionals, who rarely have had specific training in dealing with the young people they meet in their clinical work. This ABC covers topics surrounding adolescent development, sexual behaviour and substance misuse, along with education and preventative strategies. It also features other adolescent health problems such as self-harm, eating disorders and psychosomatic presentations. This book is a valuable resource for all those who deal with adolescent patients in primary care, emergency departments, and hospital and outpatient settings.




Healing Self-Injury


Book Description

"Parents who discover a teen's self-injurious behavior are gripped by uncertainty and flooded with questions - Why is my child doing this? Is this a suicide attempt? What did I do wrong? What can I do to stop it? And yet basic educational resources for parents with self-injuring children are sorely lacking. Healing after Self-Injury provides desperately-needed guidance to parents and others who love a young person struggling with self-injury"--




American Psychiatric Association Practice Guidelines


Book Description

The aim of the American Psychiatric Association Practice Guideline series is to improve patient care. Guidelines provide a comprehensive synthesis of all available information relevant to the clinical topic. Practice guidelines can be vehicles for educating psychiatrists, other medical and mental health professionals, and the general public about appropriate and inappropriate treatments. The series also will identify those areas in which critical information is lacking and in which research could be expected to improve clinical decisions. The Practice Guidelines are also designed to help those charged with overseeing the utilization and reimbursement of psychiatric services to develop more scientifically based and clinically sensitive criteria.




Relating to Self-Harm and Suicide


Book Description

Alessandra Lemma - Winner of the Levy-Goldfarb Award for Child Psychoanalysis! Relating to Self-Harm and Suicide presents original studies and research from contemporary psychoanalysts, therapists and academics focusing on the psychoanalytic understanding of suicide and self-harm, and how this can be applied to clinical work and policy. This powerful critique of current thinking suggests that suicide and self-harm must be understood as having meaning within interpersonal and intrapsychic relationships, offering a new and more hopeful dimension for prevention and recovery. Divided into three sections, the book includes: a theoretical overview examples of psychoanalytic practice with self-harming and suicidal patients applications of psychoanalytic thinking to suicide and self-harm prevention. Relating to Self-Harm and Suicide will be helpful to psychoanalytic therapists, analysts and mental health professionals wanting to integrate psychoanalytic ideas into their work with self-harmers and the suicidal. This text will also be of use to academics and professionals involved in suicidal prevention.




Helping Children and Young People who Self-harm


Book Description

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.




Working with Suicidal Individuals


Book Description

*Highly Commended in the Psychiatry Category of the 2011 BMA Book Awards* Working with Suicidal Individuals provides a comprehensive guide to understanding suicide, the assessment of risk, and the treatment and management of suicidal individuals. It begins by covering the theory behind suicidal behaviour, using Transactional Analysis to explore the personality types of suicidal individuals and to understand their motivations. Factors that contribute to an individual becoming suicidal, such as mental illness, are also explored. A comprehensive system for the assessment of suicide risk is provided, including both quantitative and qualitative approaches. Finally, the author discusses different ways suicidal and pseudo-suicidal individuals can be managed and treated, including the 'no suicide contract' and redecision therapy. Case studies are included throughout to demonstrate the theory and practice. This book will be essential reading for all those working with a suicidal or at-risk individual, including practitioners in health, social work, psychotherapy, psychology and counselling.




Deliberate Self-Harm in Adolescence


Book Description

Self-harm in adolescence and late teens is known to be increasing, though it is difficult to detect and inconsistently recorded. This thorough, practical and evidence-based book provides guidance for professionals and parents caring for children and young people at risk of self-harm and suicide. Claudine Fox and Keith Hawton discuss risk factors for self-harm, including depression, substance abuse and antisocial behaviour, and critically examine key screening instruments that can be used to assess risk. They describe how suicidal behaviour can be managed and prevented, and look at the effectiveness of aftercare treatment for those who self-harm, including school-based suicide-prevention programs and family therapy. Also addressed are common myths about self-harm and the problem of varying definitions in this field. Deliberate Self-Harm in Adolescence clearly summarizes and evaluates current research into suicidal behaviour - it is essential reading for social workers, mental health professionals, GPs, teachers and parents.