Deliberate self-harm

Question 1

define Deliberate self-harm

*-how does this differ to sucicide

Answer 1

self poisoing or injury, irrespective of apparent purpose of the act

*-intentionally raking of one life

Deliberate self-harm is an expression of personal distress, not an illness, and there are many varied reasons for it

Question 2

why do people self harm

Answer 2

communicating a message

gaining power by escalating conflict

emotional immaturity

inability to cope with stress

offers a release from psychological pain
-replacing those feelings with physical pain

Question 3

risk factors for Deliberate self-harm 8

Answer 3

FHx
-learned behvaiour form friends or celebs, social media

reduced endorphin response to emotional arousal

neglect

physical, emotional and sexual abuse

conflicts, bullying

identity problems

low self esteem

conduct disorder, impuslivivity, substance misuse

Question 4

acute managemnt of Deliberate self-harm 3

Answer 4

before psych intervention
-prioritise treating physical effects of DSH

adequate anaesthesia and/or analgesia

psychiatric assessment
CAHMS if <18

focus assessment on:
-inital risk management- immediate risk of suicide

-ongoing risks with subsequent Deliberate self-harm

relevant psych, medical and social history

Question 5

patients with Deliberate self-harm discharing agaisnt medical advice

Answer 5

if have desire to leave before assessment:
-decide if there is diminished capacity and/or presence of significant mental illness

Question 6

long term mangemnt of Deliberate self-harm 2

Answer 6

psychotherapy
-dialectical behaviour therapy- indiviudal an CBT
-emotion-regulation group therapy

TREATMENT OF OTHER DISORDERS