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The UK experience with adolescent self-harm Dr Karen Rodham University of Bath

Recent Research:Meltzer et al (2001)Hawton et al (2002)Green et al (2005)MHF National Inquiry (2006)Hawton et al (2006)Terminology

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The UK experience with adolescent self-harm Dr Karen Rodham University of Bath

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    2. Recent Research: Meltzer et al (2001) Hawton et al (2002) Green et al (2005) MHF National Inquiry (2006) Hawton et al (2006) Terminology & time frame The UK experience with adolescent self-harm

    3. Definition An act with a non-fatal outcome in which an individual deliberately did one or more of the following: Initiated behaviour which they intended to cause self-harm Ingested a substance in excess of the prescribed or generally recognised therapeutic dose Ingested a recreational or illicit drug that was an act that the person regarded as self-harm Ingested a non-ingestible substance or object UK experience with adolescent self-harm

    4. Factors linked to self-harm History of self-harm (self or in family) Mental health Health risk behaviours �Life� events Environment & SES Relationships Gender Ethnicity UK experience with adolescent self-harm

    5. Building a broad based agenda

    6. Prevention Impulsivity Adolescent awareness of MH issues Role of schools? Policy National Suicide Prevention Strategy for England (NICE, 2002) Clinical Guideline 16: Self-Harm (NICE, 2004) Healthy Minds: Promoting emotional health and well-being in schools (Ofsted, 2005) Building a broad based agenda

    7. Clinical Issues Adolescent friendly services? Self-harm services in all hospitals? Development & evaluation of effective treatments for the aftercare of adolescents who have self-harmed (CBT, Individual/family therapy, Emergency card provision) Building a broad based agenda

    8. Research Longitudinal studies of adolescents in the community Studies of those who continue to self-harm and those who stop self-harming How contagious is self-harm? Evaluation of treatments for self-harm Impact of the media on self-harming behaviour Impact of the Internet on self-harming behaviour Building a broad based agenda

    9. References Green, H. et al (2005) Mental health of children and young people in Great Britain 2004. London: Office for National Statistics. Hawton, K. et al (2002) Deliberate self-harm in adolescents: self report survey in schools in England. British Medical Journal, 325, 1207-1211. Hawton, K. et al (2006) By their own young hand: Deliberate self-harm and suicidal ideas in adolescents. London: Jessica Kingsley Publishers. Meltzer, H. et al (2001) Children and adolescents who try to harm, hurt or kill themselves. London: Office for National Statistics. MHF National Inquiry (2006) Truth Hurts: Report of the National Inquiry into self-harm among young people. London: Mental Health Foundation.

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