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Self Harm - Introduction 1

Self Harm - Introduction · • 13% of young people self harm • In 2014 there was a 70% increase in 10 – 14 year olds presenng in A &E • Girls are more likely to self harm than

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Page 1: Self Harm - Introduction · • 13% of young people self harm • In 2014 there was a 70% increase in 10 – 14 year olds presenng in A &E • Girls are more likely to self harm than

Self Harm - Introduction

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Page 2: Self Harm - Introduction · • 13% of young people self harm • In 2014 there was a 70% increase in 10 – 14 year olds presenng in A &E • Girls are more likely to self harm than

Ways people self-harm • Waysofself-harmingcaninclude:• cu5ngyourself• poisoningyourself• over-ea8ngorunder-ea8ng• bi8ngyourself• pickingorscratchingatyourskin• burningyourskin•  inser8ngobjectsintoyourbody• hi5ngyourselforwalls• overdosing• exercisingexcessively• pullingyourhair• ge5ngintofightswhereyouknowyouwillgethurt

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Page 3: Self Harm - Introduction · • 13% of young people self harm • In 2014 there was a 70% increase in 10 – 14 year olds presenng in A &E • Girls are more likely to self harm than

Young people report they self-harm to: •  Comfortthemselves•  FeelAliveinside•  Feelwarmblood•  Gaincontrol• Numbthemselves•  Relieveemo<onaldistressoroverwhelmingfeelings•  Relievetension•  See‘red’•  Stopbadthoughts•  Punishthemselves•  Replaceemo<onalpainwithphysicalpain

Page 4: Self Harm - Introduction · • 13% of young people self harm • In 2014 there was a 70% increase in 10 – 14 year olds presenng in A &E • Girls are more likely to self harm than

Life is hard and this

helps me get through

each day. Some people

smoke, some people drink, I cut.

Page 5: Self Harm - Introduction · • 13% of young people self harm • In 2014 there was a 70% increase in 10 – 14 year olds presenng in A &E • Girls are more likely to self harm than

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Page 6: Self Harm - Introduction · • 13% of young people self harm • In 2014 there was a 70% increase in 10 – 14 year olds presenng in A &E • Girls are more likely to self harm than

Precursors to Self Injury Disassocia8onHyperstress

Feelingoverwhelmed,unabletocope,exposed

and/orsensi8ve

Trigger

SelfInjury

Feelingrelieved,incontroland/or

calm

Feelingnumb,lost,alone,disconnected

and/orunreal

Feelingreal,aliveand/orableto

func8on

Page 7: Self Harm - Introduction · • 13% of young people self harm • In 2014 there was a 70% increase in 10 – 14 year olds presenng in A &E • Girls are more likely to self harm than

Risk Factors for Self Harm Behaviour IndividualFactors FamilyFactors SocialFactorsLowMoodAnxiety Unreasonableexpecta<ons Difficultyinmakingrela<onships

work/loneliness

Anexis<ngpsychologicalordevelopmentaldifficultysuchasAsperger,oralearningdifficulty

Youngcarersrolewithinthefamily Persistentbullyingorpeerrejec<on

Difficultycommunica<ng Domes<cviolence Racism

Lowself-esteem Neglectorabuse(physical,sexualoremo<onal)

HomophobicaTtudesorbullyingofchildrenwhothinktheymaybegay,lesbian,bisexualortranssexual

Poorproblemsolvingskills Poorparentalrela<onshipsandarguments

Easyavailabilityofdrugs,medica<onorothermethodsofself-harm

Hopelessness Depression,deliberateself-harm,bereavementorsuicideinthefamily

Cyberbullyingandsocialmedia

Impulsivity Religious/ethnicity/culturaliden<tydilemmasorconflict

Drugoralcoholabuse

Confusionaboutsexualityorfeelingdifferent/unaccepted

Page 8: Self Harm - Introduction · • 13% of young people self harm • In 2014 there was a 70% increase in 10 – 14 year olds presenng in A &E • Girls are more likely to self harm than
Page 9: Self Harm - Introduction · • 13% of young people self harm • In 2014 there was a 70% increase in 10 – 14 year olds presenng in A &E • Girls are more likely to self harm than

When feelings are very intense… sometimes

distracting ourselves for a minute to allow BIG

IMPULSIVE feelings to pass can help

Page 10: Self Harm - Introduction · • 13% of young people self harm • In 2014 there was a 70% increase in 10 – 14 year olds presenng in A &E • Girls are more likely to self harm than

Statistics AsyoungpeopleandteenagersoYendon’ttalkabouttheirmentalhealththenaccuratedataisnotavailable.However,itisthoughtthat:• 13%ofyoungpeopleselfharm• In2014therewasa70%increasein10–14yearoldspresen<nginA&E• Girlsaremorelikelytoselfharmthanboys• Boysaremorelikelytopunchorheadbudwalls–thisiss<llselfharm• 88%ofallselfharmadmissionsforunder18’sarepoisonings

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Page 11: Self Harm - Introduction · • 13% of young people self harm • In 2014 there was a 70% increase in 10 – 14 year olds presenng in A &E • Girls are more likely to self harm than
Page 12: Self Harm - Introduction · • 13% of young people self harm • In 2014 there was a 70% increase in 10 – 14 year olds presenng in A &E • Girls are more likely to self harm than

Task - Time to Think!

• Completetheshortquizonyourtableanddiscussyourresponses• Usingthe6cardsdecidehoweachstatementcouldbereceivedeitherposi<velyornega<velybythepupil

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Page 13: Self Harm - Introduction · • 13% of young people self harm • In 2014 there was a 70% increase in 10 – 14 year olds presenng in A &E • Girls are more likely to self harm than

Quiz – Why do people self injure? 1.Peoplewhoselfinjureareaden<onseeking.False:Peoplearetryingtocopewithpainorpressuretheyarefeeling2.Peoplewhoselfinjureuseitasawayofreleasingpressureandfeelings.True.Peoplesaythephysicalpainreleasessomeoftheemo<onalpressure.3.Itiseasytostopinjuringyourself.

False:PeopleoYeninjurethemselvesbecauseitistheonlywaytheycanfindtocope.Onlybyworkingthroughtheunderlyingfeelingscanthepressurebetakenaway,andpeopleareabletostopselfinjuring.

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Page 14: Self Harm - Introduction · • 13% of young people self harm • In 2014 there was a 70% increase in 10 – 14 year olds presenng in A &E • Girls are more likely to self harm than

Quiz – Why do people self injure? 4.Peoplewhoselfinjureareusuallyfeelingsuicidal.Mostlyfalse:Self-Injuryisawayofdealingwithpainorstrongfeelings,notanademptatsuicide.Howeveritistruethatpeoplewhoselfinjuremaybeatgreaterriskofademp<ngsuicideatsomestage.

5.Peoplewhohurtthemselveshideitfromothers.Mostlytrue:Theymaydoastheyfeelselfconsciousordon'twantotherstofindout,thoughnotalwaysthecase.

6.Peoplewhoinjurethemselvesareselfish.False:PeoplewhoselfinjureareoYentryingtocopewithalotofinternalemo<onalpressure.

7.Self-Injuryisacryforhelp.Mostlyfalse:Notnecessarily.Self-Injuryisaperson'schosenwayofcoping,evenwhilsttheyareworkingthroughproblemsordifficultemo<ons.However,ifsomeoneisself-injuring,askiftheywanttotalkaboutit

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Page 15: Self Harm - Introduction · • 13% of young people self harm • In 2014 there was a 70% increase in 10 – 14 year olds presenng in A &E • Girls are more likely to self harm than

The Power of Words Eughh!That’sgross.+You'veacknowledgedthecuTng–YouareleTngyourfeelingsgetinthewayandaremakingthemfeelworse

Ohno,youshouldgotoadoctorortheschoolcounsellorknowsaboutthisstuff.+You'releTngthemknowwherethereissupport–Itmightsoundlikeyou'resaying,Talktosomeoneelse-notme!

You'recrazy,cu5ngyourselflikethat.Justpullyourselftogetherandstopdoingit.+You'veacknowledgedthecuTng–Isshereallycrazy?Isitreallythateasyjusttostop?

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Page 16: Self Harm - Introduction · • 13% of young people self harm • In 2014 there was a 70% increase in 10 – 14 year olds presenng in A &E • Girls are more likely to self harm than

The Power of Words Youwannabecareful,thosecutswillgetinfectedyouknow.+You'veacknowledgedthecuTng.–You'reavoidingtheissue.Bedertoaskhowshe'sfeeling.

Ifyoutellmewhat'swrong,IswearIwon'ttellanyone+Youareencouraginghertotalkaboutwhat'sgoingon.Youletherknowshecantrustyou.–SomeofwhatshesaysmaybeupseTng.Youmayworrythisisseriousandwanttotellsomeone.

Howareyoufeeling?+Youareencouraginghertotalkaboutwhat'sgoingon–"Ifeelfine".Shemaynotbereadytotalk,letherknowyouwillbethereifshewantsto.

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