Self injury
Download
1 / 6

Self-Injury - PowerPoint PPT Presentation


  • 268 Views
  • Updated On :

Self-Injury. Deliberate Harm to Self Smoking etc… Assessment of Severity Directness (intentionality) Lethality Repetition Tissue Damage Scratch, burn, cut. Self-Injurious Behavior. Prevalence In a study of 15-16 yo 10.3% reported engaging in self-injurious behavior (SIB)

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Self-Injury' - thi


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Self injury l.jpg
Self-Injury

  • Deliberate Harm to Self

    • Smoking etc…

  • Assessment of Severity

    • Directness (intentionality)

    • Lethality

    • Repetition

  • Tissue Damage

    • Scratch, burn, cut


Self injurious behavior l.jpg
Self-Injurious Behavior

  • Prevalence

    • In a study of 15-16 yo 10.3% reported engaging in self-injurious behavior (SIB)

      • Habitual SIB is estimated at 1%-3%

    • Females 4x more likely to engage in SIB

    • In the early part of this decade the demographic tended to be females age 20-30 (abuse and neglect)

      • Females are socialized to internalize anger whereas men externalize their anger

  • Methods

    • Burning, Scratching, Picking, Head Banging, Breaking Bones, Pills, Cutting (highest at 72%)


Etiology l.jpg
Etiology

  • Sexual, Emotional, or Physical Abuse

    • A way of being in control

    • A way of repressing feelings (Freud)

      • Stop feeling, feel something, release from tension.

    • A way to punish themselves for being bad

      • Control and predictability

  • Invalidation

    • 1) Self-Attribution (blame, low self-worth)

  • Biological

    • Low serotonin levels are associated with aggression and low impulse control

    • Release of natural opiates (endorphins) when injury occurs

  • Behavioral

    • Operant Conditioning (rewards; e.g. distraction or attention)

    • Classical Conditioning (interoceptive conditioning; e.g. ns=)


Slide4 l.jpg
Why?

  • Affect Regulation

    • Dissociative reconnection

      • Makes it real

  • Communication

    • Expression of things that cannot be said

      • Alexithymia (state of not being able to describe the emotions one is feeling)

  • Control/Punishment

    • Trauma reenactment


Risk factors l.jpg
Risk Factors

  • Mood Disorder (Anxiety/Depression)

  • Low Self-Esteem

  • Withdrawal

  • Few Friends

  • Hypersensitivity to rejection

  • Chronic anxiety

  • Avoidant in their personality

  • Strong dislike for themselves

  • Chronically angry with suppression

  • Abuse and Neglect

  • Mood Disorder


Treatment l.jpg
Treatment

  • Continuum of Care

    • Outpatient Treatment to Hospitalization

  • Treatment

    • Medication (Depression and Anxiety)

    • Interpersonal Therapy

    • Cognitive Behavioral Therapy

      • Identify Negative Automatic Thoughts

      • Educate about Vicious Cycle and Reinforcement

      • Alternatives

      • Behavioral Contracts

    • Problem Solving Therapy and DBT are most effective


ad