Search results for ‘Subject term:"self-harm"’ Sort:
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Harm-minimisation for self-harm
- Author:
- SHAW Clare
- Journal article citation:
- Mental Health Today, September 2012, pp.19-21.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The dominant principle for treating self-harm remains prevention or cessation. Harm-minimisation, which is accepted as mainstream practice in the field of substance misuse, is still regarded as marginal in the field of self-harm, surrounded by controversy, obscured by anxiety, and heavily resisted at organisational and managerial levels. Harm-minimisation approaches accept that someone may need to self-harm at a given point, and focus instead on supporting that person to reduce the risk and damage. This article focuses on the NICE guidelines for longer term management of self-harm (2011) and their conclusions on the issue of harm-minimisation. The NICE guidelines observe that resistance to employing harm reduction for self-harm has no evidential support, and recommends discussing less destructive or harmful methods of self-harm with the service user and their family. In doing so, they add to a number of guidelines advising the use of harm-reduction strategies. The article includes a list of basic principles that promote a thoughtful individualised response to self-harm.
Research unpacked: damage limitation
- Authors:
- HESLOP Pauline, MACAULAY Fiona
- Journal article citation:
- Learning Disability Today, 10(1), January 2010, pp.16-18.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article describes a study which looked at how people with learning disabilities who self-injure make sense of their self-injury and what they say would help most. Twenty-five people with learning disabilities and personal experience of self-injury took part in 1 to 4 research interviews between 2006 and 2008. All the participants were able to describe examples of circumstances leading up to their self-injury. These included external factors over which the participant had little control such as not being listened to, interpersonal factors such as being bullied, and internal factors caused for example by particular thoughts or memories. The participants identified the feelings they experienced before self-injuring, the most common being angry, sad, depressed, low, frustrated, or wound up. Over three-quarters of the participants considered that having someone to talk to who would listen to them would help, and also wanted someone to help look after their injuries. Being encouraged not to self-injure was considered helpful by some and unhelpful by others. The article concludes that the results challenge existing practice which considers that nothing can be done, and indicate the need to work with each person individually to help them use coping strategies. Creating conditions where people with learning disabilities have choice and control over their lives is also important.
Risk factors and correlates of deliberate self-harm behaviour: a systematic review
- Authors:
- FLIEGE Herbert, et al
- Journal article citation:
- Journal of Psychosomatic Research, 66(6), June 2009, pp.477-493.
- Publisher:
- Elsevier
... included if they also assessed nonsuicidal self-harm. Fifty-nine original studies met the criteria. Deliberate self-harm may occur at all ages, yet adolescents and young adults are at a higher risk. Evidence on gender is complex. Only 5 studies realize a prospective design (6 months to 10 years) and test predictors. The majority use cross-sectional and retrospective methods. No longitudinal study (separately) examines new incidence. Evidence of correlates encompasses distal/proximal, person/environment, and state/trait factors. Many studies report associations between current self-harm behaviour and a history of childhood sexual abuse. Adolescent and adult self-harmers experience more frequent and more negative emotions, such as anxiety, depression, and aggressiveness, than persons who do not self-harm. Two studies yield specific interactions between childhood trauma and current traits and states such as low emotional expressivity, low self-esteem, and dissociation with respect to a vulnerability to self-harm. Evidence of distal, biographical stressors is fairly strong. Proximal stressors have rarely been investigated; protective factors, hardly at all. Despite many findings of correlates,
Understanding repeated self-injury: a multidisciplinary approach
- Authors:
- TANTUM Digby, HUBAND Nick
- Publisher:
- Palgrave Macmillan
- Publication year:
- 2009
- Pagination:
- 235p., bibliog.
- Place of publication:
- Basingstoke
This book adopts a holistic approach, bringing together theory, research and case vignettes. It discusses the basic facts, understanding people who self-injure, its phenomenology, overcoming the problem, moulds and matrices, carer challenges, first professional responses and recovery.
Advice on...self-harm
- Author:
- RICHARDSON Celia
- Journal article citation:
- Youth Work Now, September 2007, p.12.
- Publisher:
- Haymarket Professional Publications Ltd.
- Place of publication:
- London
This article summarises the issues relating to self-harm in young people. It covers key triggers, warning signs and what can be done to help those who resort to hurting themselves.
Young people who self harm
- Author:
- GORMAN Fran
- Journal article citation:
- Childright, 226, May 2006, pp.14-15.
- Publisher:
- Children's Legal Centre
This article highlights some of the findings from a national inquiry into self-harm among young people, 'Truth Hurts', produced by the Mental Health Foundation and the Camelot Foundation.
Self-harmers: a group apart?
- Authors:
- TURP Maggie, POINTON Claire
- Journal article citation:
- Counselling and Psychotherapy Journal, 14(5), June 2003, pp.6-8.
- Publisher:
- British Association for Counselling and Psychotherapy
The author, a psychotherapist, believes that self-harm is ultimately connected to a whole range of culturally acceptable self-harming activities such as overwork or heavy smoking. Argues that bringing self-harming behaviour closer together can help practitioners to identify with their self-harming clients.
Complex causes
- Author:
- FERRY Richard
- Journal article citation:
- Nursing Times, 19.1.94, 1994, pp.34-35.
- Publisher:
- Nursing Times
Sheds light on the perplexing nature of self-injurious behaviours by offering a method of classifying them according to their origins.
Suicide statistics
- Author:
- BAKER Carl
- Publisher:
- Great Britain. Department of Health and Social Care
- Publication year:
- 2022
- Pagination:
- 13
- Place of publication:
- London
This paper summarises data on suicide from the Office for National Statistics' (ONS) data on Suicide in England and Wales, National Records of Scotland’s Probable Suicides dataset, and Northern Ireland data published by NISRA. It includes trends by gender, age, English region, and deprivation. In 2020 there were 6,319 deaths registered in Great Britain where the cause was recorded as suicide. Relative to the size of the population, the suicide rate in England and Wales has declined by 28% since 1981. Most of this fall occurred before 2000. In 2021 the rate was higher than it had been in 2005-2012 and 2016-2017. Suicide in England and Wales is three times more common among men than among women. The gap between sexes has increased over time. The suicide rate among women has approximately halved since 1981, while the rate among men has reduced by 17%. Risk of suicide in England and Wales is highest among people aged between 45 and 54 and lowest among people aged under 20 and over 70. The chart below shows data for five-year age groups in 2021, broken down additionally by sex. People living in the most deprived areas of England have a higher risk of suicide than those living in the least deprived areas. The suicide rate in the most deprived 10% of areas (‘decile’) in 2017-2019 was 14.1 per 100,000, which is almost double the rate of 7.4 in the least deprived decile. In the three years from 2019 to 2021, the suicide rate was higher in the North East and Yorkshire & Humber regions than other parts of England. London had the lowest suicide rate. The suicide rate has fallen in all regions, but the fall has been larger in some regions than others. In London the rate fell by 56% since 1981-1983, while in the North East the rate fell by 9%. (Edited publisher abstract)
The scarred body: a personal reflection of self-injury scars
- Author:
- GUNNARSSON Nina Veetnisha
- Journal article citation:
- Qualitative Social Work, 21(1), 2022, pp.37-52.
- Publisher:
- Sage
Self-injury is deemed a pathology and a deviant practice that is not socially sanctioned and culturally accepted as soothing and healing the self. The marked female body is also pathologized and perceived as deviant; hence, having self-inflicted scars may easily lead to social stigma, shame, and the need to hide the scars. In this personal reflection I explore how self-inflicted scars can have the same meaning as self-injury to control the self and act as self-expression, and how the marked female body can be a resistance to the cultural idea of femininity. I draw upon my own personal experiences of self-inflicted scars and how these scars have become intertwined with my identity. I have carved or burnt my body in different situations and from different moods in the past, but they are all with me at the present and will be with me in the future. Without the scars, I am not the person that others see me as or I see myself as. I sometimes feel that I would be nothing without my scars. (Edited publisher abstract)