Flashcards in Self-harm and Suicidality Deck (29):
Who is most likely to self-harm?
Young Asian females
Which conditions are most commonly associated with self-harm?
What is one of the top five causes of hospital admissions?
What is the percentage of people who have attended hospital for self-harm that will go on to complete suicide?
What systemic issues need to be considered in self-harm behaviour?
Attitudes towards self-harm
What are some of the psychological characteristics of people who self-harm?
Difficult to engage
Poor coping strategies
Why do people self-harm?
What is a better way of saying 'attention seeking'?
What are some of the risk factors for self-harm?
What is the best way to approach self-harm?
Acceptance and change
What are some specific self-harm intervention-related strategies?
Linking strategies to current emotional state/function of self-harm
Psychoeducation about risks
What do we need to be mindful of when working with self-harm?
Risks and benefits
Intra and inter-personal impact
What leads to hope?
Comfort and competence
What is an alternative to talking about mental illness?
Talking about unhappiness/loneliness
What is the main aim for working with self-harm?
Addressing the underlying issue - what are they trying to communicate?
What are the two main messages we want to give from therapy?
It's going to be alright
Which gender is most likely to complete suicide?
Which age range is most likely to complete suicide?
Who writes about gender and suicide?
Brent and Moritz (1996)
List 4 factors which determine the choice of suicide method.
Chances/consequences of failure
What is one thing that might deter people from suicide?
Who might find the body?
List 3 risk demographic factors for suicide.
Being in unskilled occupation/lower SES
Being in prison
Who outlined a cognitive model of suicide?
Wenzel et al. (2009)
Outline the cognitive model of suicide.
Life stress + Dispositional vulnerability => Suicide schema activated => Hopelessness and attentional fixation => Suicidal ideation => Suicide attempt
List 4 questions for assessing risk of suicide.
Questioning about thoughts - intensity, frequency, severity
What is a fifth key thing we need to know if we are questioning about suicide?
What are the common elements to working with suicidality (Weinbereger, 2010)?
Clear framework for treatment
Close attention to affect
Active therapist style
Exploratory AND change oriented interventions
What can be a helpful intervention strategy for suicidality?
Training problem solving