By Their Own Young Hand : Deliberate Self-harm and Suicidal Ideas in Adolescents

Robert I Yufit; David Lester; Ebrary, Inc

Current and comprehensive information concerning the assessment and treatment of suicidal persons and the prevention of suicidal behavior The eighth leading cause of death in the United States and the second leading cause among U.S. teens, suicide is unique in being self-inflicted and is, as such, often preventable. By assessing the risk of suicide accurately, providing effective treatment according to this risk, and implementing strategies against suicidal urges, mental health professionals can successfully guide their clients away from this senseless taking of life. Assessment, Treatment, and Prevention of Suicidal Behavior provides the most current and comprehensive source of information, guidelines, and case studies for working with clients at risk of suicide. It offers clinicians, counselors, and other mental health professionals a practical toolbox on three main areas of interest: Screening and Assessment covers empirically based assessment techniques and how they can define dimensions of vulnerability and measure the risk of self-destructive behavior. Authors discuss research on the use of each screening instrument, guidelines and suggestions for using the instrument in practice, and a case study illustrating its application. Intervention and Treatment compares several different approaches for structuring psychotherapy with suicidal clients. Each author covers a psychotherapy system, its application to suicidal clients, and a case study of its real-world... Leer más…

Antoon A. Leenaars

This book is about unique people—some suicidal and some that died by suicide. The book follows the direction of Henry (Harry) Murray: “Never denigrate a fellow human being in fewer than 2000 words.” The main problem facing this book is the one that is the classical issue of psychiatry/psychology itself: the mind–body problem or the admissibility of introspective qualitative accounts as opposed to objective quantitative reports. This debate resonates toWindelband’s (1904) division of two possible approaches to knowledge; that is, between the nomothetic and the idiographic. The nomothetic approach deals with generalizations, using tabular, statistical, arithmetic, demographic, quantitative methods, whereas the idiographic approach involves the intense study of individual(s) (particulars). The latter typically involves the use of qualitative methods, via clinical case study, history, biography, and so on (although at times, as studies of suicide notes show, quantitative methods can also be used). In the study of each unique individual,personal documents are frequently used; for example, treatment notes, medical reports, diaries, autobiographies, third-party interviews and, if I may, suicide notes. The nomothetic approach is well engrained in suicidology, psychology, psychiatry, and science in general. Keeping in mind that a preface represents a compromise for an author between the press for greater inclusion and the need to restrict oneself to a representative introduction,... Leer más…

Columba Mclaughlin

The book is an attempt to make sense of suicide related behaviour in terms of understanding its aetiology and how practitioners can respond in a caring and therapeutic manner. The last 30 years the data gathered has consistently indicated that suicide is a leading cause of death in young people especially men. Alongside this, the incidence of self harm, which has always been high, does not seem to be abating. Some professionals argue that attempted suicide and self harm are both the same entity. This book puts forward that they are two sides of the same coin and this coin is called suicide-related behaviour. This is a general term used in the book to describe all behaviours where the person intended to kill or harm themselves. In doing so relevant issues within the phenomenon of suicide-related behaviour and specific to both self harm and attempted suicide will be explored and addressed. Leer más…

Mildred Osborne M.d.

Electra is a well-loved, beautiful, highly intelligent teenager. Yet, as is not uncommon, she becomes so depressed she contemplates suicide, considering it for years until she finally takes action. Electra's diary, discovered after her death and presented here by a psychiatrist, reveals her first-person reflections through to her fatal college year, showing how thought distortions are caused and how they chip away at self-esteem and the will to survive. In addition to enlightening professionals and aspiring professionals, this work will empower parents to identify and address growing dimensions in their children's development, and understand the struggles they face. And the end result is that Electra's diary teaches us all a lot about changes that are needed so that we can develop effective suicide prevention and treatment strategies, says author Millie Osborne, M.D. Suicide is now a public health crisis. It is the third leading cause of death for youths aged 15 to 24, and the fourth leading cause of death for children aged 10 to 14. As author Osborne explains, Existing approaches to preventing youth suicide have had little impact on reducing the number of suicides and suicide attempts across America. By unveiling the private thoughts of a suicidal teenager in this unprecedented book, Osborne hopes that the legacy of Electra will be an understanding of the adolescent mind that will spur more effective means to recognize, treat, and heal those at risk, and so vastly reduce... Leer más…

Anthony P. Jurich

This book describes a blend of insight-oriented, behavioral, and strategic family therapy, which the author has developed over thirty-four years of dealing with suicidal adolescents. It aims not to replace other forms of therapy but to augment the therapistвЂTMs own therapeutic style. The book offers an informative and personally told story bringing together scholarship and meaningful glimpses into the thought processes of suicidal youth. Written in an understandable, friendly, and practical style, it will appeal to those in clinical practice, as well as graduate-level students pursuing clinical work. Leer más…

Claudine Fox; Keith Hawton; Royal College Of Psychiatrists. Research Unit

Self-harm in adolescence and late teens is known to be increasing, though it is difficult to detect and inconsistently recorded. This thorough, practical and evidence-based book provides guidance for professionals and parents caring for children and young people at risk of self-harm and suicide. Claudine Fox and Keith Hawton discuss risk factors for self-harm, including depression, substance abuse and antisocial behaviour, and critically examine key screening instruments that can be used to assess risk. They describe how suicidal behaviour can be managed and prevented, and look at the effectiveness of aftercare treatment for those who self-harm, including school-based suicide-prevention programs and family therapy. Also addressed are common myths about self-harm and the problem of varying definitions in this field. Deliberate Self-Harm in Adolescence clearly summarizes and evaluates current research into suicidal behaviour - it is essential reading for social workers, mental health professionals, GPs, teachers and parents. Leer más…

Gerrilyn Smith, Dee Cox, Jacqui Saradjian, Jacquie Sarandji

Presents the personal testimonies of a broad range of women who self-multilate, explores the causes and effects of self-harming behavior, and offers strategies for understanding, overcoming, and healing from self-mutilation. Softcover. DLC: Self--mutilation. Leer más…

Heather Barnett Veague

A person who engages in self-harm causes damage to his or her body. Such behavior is often a symptom of mental illness. Some types of self-injury are impulsive, while other types may be symptomatic of a neurological or psychotic disorder. Often, people who hurt themselves impulsively are using self-harm as a way to cope with painful and intense emotions. People who practice deliberate self-harm put themselves at risk of serious illness, injury, or death. Cutting and Self-Harm explores the nature of self-injury, its history, its diagnosis, its treatment, and possible causes. The Psychological Disorders series explores the symptoms, causes, and effects of the most common psychological disorders. Highlighting the brain chemistry and psychological processes behind the disorders, these books explain how various pharmacological and psychotherapy treatments can help ease or eliminate symptoms. Case studies illustrate how mental health problems impact everyday life so that readers can better understand the signs of psychological disorders and recognize the need for professional help. Leer más…

Daphne Simeon, Eric Hollander

Throughout history, people have invented many different ways to inflict direct and deliberate physical injury on themselvesAwithout an intent to die. Even today, the concept and practice of self-injury is sanctioned by some cultures, although condemned by most. This insightful work fills a gap in the literature on pathologic self-injury. The phenomenon of people physically hurting themselves is heterogeneous in nature, disturbing in its impact on the self and others, frightening in its blatant maladaptiveness, and often indicative of serious developmental disturbances, breaks with reality, or deficits in the regulation of affects, aggressive impulses, or self states. Further complicating our understanding is the large and diverse scope of psychiatric conditions, such as pervasive developmental disorders, TouretteAs syndrome, and psychosis, in which these behaviors occur. This volume presents a comprehensive nosology of self-injurious behaviors, classifying them as stereotypic, major, compulsive, and impulsive (with greater emphasis on the last two categories because they are the most commonly seen). -The chapter on stereotypic self-injurious behaviors (highly repetitive, monotonous behaviors usually devoid of meaning, such as head-banging) focuses on the neurochemical systems underlying the various forms of stereotypic movement disorders with self-injurious behaviors, typically seen in patients with mental retardation and autism, and discusses their... Leer más…

Barry M. Wagner

From The Publisher: In This Remarkably Clear And Readable Evaluation Of The Research On This Topic, Barry Wagner Presents The Current State Of Knowledge About Suicidal Behaviors In Children And Adolescents, Addressing The Trends Of The Past Ten Years And Evaluating Available Treatment Approaches. Wagner Provides An In-depth Examination Of The Problem Of Suicidal Behavior Within The Context Of Child And Adolescent Behavior. Among The Developmental Issues Covered Are The Evolving Capacity For Emotional Self-regulation, Change And Stresses In Family, Peer, And Romantic Relationships, And Developing Conceptions Of Time And Death. He Also Provides An Up-to-date Review Of The Controversy Surrounding The Possible Influence Of Antidepressant Medications On Suicidal Behavior. Within The Context Of An Integrative Model Of The Suicide Crisis, Wagner Discusses Issues Pertaining To Assessment, Treatment, And Prevention. Introduction -- Nature And Scope Of The Problem -- Theoretical And Developmental Considerations -- Social Relationships -- Stress, Coping, And Emotion Regulation -- Psychopathology -- Assessment And Treatment -- Prevention. Barry M. Wagner. Includes Bibliographical References And Index. Leer más…

Amelio A. D'onofrio, Phd

"A useful introduction for those who work with youth who participate in self-injurious behaviors. Serves as a reminder that the most important healing aspect is the therapeutic relationship with the healer." -PsycCRITIQUES Adolescent Self-Injury is unique in offering: Detailed discussion of the complex trauma and its relationship to self-injury Detailed assessment protocol to be used in educational settings A chapter on creating pathways to care in schools and on college campuses In this truly comprehensive guide, Dr. D'Onofrio approaches the topic of how first-responders treat adolescent self-injury. The book discusses some basics, such as what constitutes self-injury and how to engage an adolescent with these issues. The chapters outline how to recognize, treat, and approach this illness, and incorporate first-person stories from psychologists, teachers, and adolescents themselves. (20080721) Leer más…

By Alan Carr

It aims to provide the practitioner with a description of depression, an explanation of factors that contribute to mood disorders and guidance on their assessment and treatment in adolescence. In addition, it aims to provide a framework for the assessment and management of adolescence that have threatened or attempted suicide. Leer más…

Geo Stone

Razors pain you; Rivers are damp; Acids stain you; And drugs cause cramp; Guns aren't lawful; Nooses give; Gas smells awful; You might as well live. ---Dorothy Parker, Resume, 1926 The book is divided into two parts. The first half outlines a wide range of suicide-related topics: history of suicide; sociological, biological, and psychiatric views; why people kill themselves; intervention in suicide; assisted suicide in terminal illness; "living wills" and other advance directives; the practice of euthanasia in the Netherlands and in the US. The second half is an examination of how people kill themselves: This section describes, in sometimes-gory detail: (1) methods people use to commit suicide; (2) the medical consequences of suicide attempts; (3) how to carry out a safe suicidal gesture; (4) how to commit suicide as non-traumatically as possible. You may find parts of it disturbing. But the consequences of ignorance are more disturbing: botched suicides, accidental deaths and maimed survivors, slow and painful deaths. Every 18 minutes someone in the United States kills himself. A few are younger than ten years old; others over ninety. Between seven-and-a-half and sixteen percent take more than a day to die. An estimated 300,000 to 600,000 survive suicide attempts, but suffer varying degrees of injury. Nineteen thousand are permanently disabled each year. Estimates vary, but only about one in ten or twenty suicide attempts is... Leer más…

Fiona Gardner

Self-harm is worryingly common in young women, and is often used as a way of easing emotional suffering. Self-Harm: A Psychotherapeutic Approach explores the issues involved from the perspective of a psychoanalytical psychotherapist. Fiona Gardner examines these issues through extensive clinical material and an analysis of the social and cultural influences behind self-harm. This book will be of interest to all those working with those who are harming themselves, including psychotherapists, school counsellors, social workers and mental health clinicians Leer más…

Sansone Levitt

The number of eating disorders patients presenting with symptoms of self-harm is growing quickly, and yet there is surprisingly little known about this unique population. Self-Harm Behavior and Eating Disorders explores the prevalent but largely uncharted relationship between self-injury behaviors and eating disorders symptoms. In the first major book to focus on this area, a renowned group of international scholars and practitioners addresses the subject from a variety of theoretical and practical perspectives. The book is categorized into sections covering epidemiology, psychodynamics, assessment, and a final section covering potential treatment options, including dialectical behavioral therapy, cognitive therapy, interventions strategies, group therapy, and pharmacological approaches. This unrivaled collection of case studies, theoretical exploration, and practical application forms a benchmark for the field, and offers a stepping-stone for new research and innovative treatment strategies. In an area with little available information, previously spread out among diffuse sources, this volume represents the state-of-the-field resource for anyone working with complex eating disorders patients. Leer más…

Thomas E. Joiner

In the wake of a suicide, the most troubling questions are invariably the most difficult to answer: How could we have known? What could we have done? And always, unremittingly: Why? Written by a clinical psychologist whose own life has been touched by suicide, this book offers the clearest account ever given of why some people choose to die. Drawing on extensive clinical and epidemiological evidence, as well as personal experience, Thomas Joiner brings a comprehensive understanding to seemingly incomprehensible behavior. Among the many people who have considered, attempted, or died by suicide, he finds three factors that mark those most at risk of death: the feeling of being a burden on loved ones; the sense of isolation; and, chillingly, the learned ability to hurt oneself. Joiner tests his theory against diverse facts taken from clinical anecdotes, history, literature, popular culture, anthropology, epidemiology, genetics, and neurobiology--facts about suicide rates among men and women; white and African-American men; anorexics, athletes, prostitutes, and physicians; members of cults, sports fans, and citizens of nations in crisis. The result is the most coherent and persuasive explanation ever given of why and how people overcome life's strongest instinct, self-preservation. Joiner's is a work that makes sense of the bewildering array of statistics and stories surrounding suicidal behavior; at the same time, it offers insight, guidance, and essential information... Leer más…

Robert A. King, Alan Apter, Robert A. King

In an epoch when rates of death and illness among the young have steadily decreased in the face of medical progress, the persistently high rates of youth suicide and suicide attempts around the world remain a tragic irony and a challenge to both our clinical practice and theoretical understanding. How can these deaths be prevented? Can they be anticipated? Are there perceptible patterns of risk and vulnerability? What role do families, gender, culture, and biology play? What are the treatments for and outcomes of suicide attempters? To address these questions, experts from around the world in all areas of psychiatry, from epidemiology, neurobiology, genetics and psychotherapy, have brought together their current findings in Suicide in Children and Adolescents. Leer más…

[Edited By] Mary K. Nixon And Nancy L. Heath

This edited volume features evidence-based reviews and practical approaches for the professional in the hospital, clinic, community and school, with case examples throughout. Divided into five major sections, the book offers background historical and cultural information, discussion of self-injury etiology, assessment and intervention/prevention issues, and relevant resources for those working with youths who self-injure. Leer más…

Dennis Ougrin; Tobias Zundel; Audrey V Ng

Self-harm is a distressing and all too common presentation to emergency departments, and yet there is no clear understanding of what it represents, and success rates of interventions to prevent future episodes are enormously variable. Therapeutic Assessment for self-harm is a pragmatic model, developed by the authors of this book and forming an organic part of the psychosocial assessment following a self-harming incident. Its main features are that firstly, a therapeutic intervention at the time of distress, compared with a standard psychosocial history and risk assessment, improves patients' responses and their willingness to engage in further therapy, and secondly, that there is a vast range of evidence-based interventions that can be used to build a toolkit that individual practitioners can employ with their patients. Therapeutic Assessment is evidence-based, simple, and easy to learn, and this book presents the techniques in a clear, accessible, and user-friendly way. Based on extensive research, it will form an essential reference for psychiatrists and clinical psychologists, and for any health professional involved in the assessment of young people who self-harm. Leer más…

Jan Sutton

Skillfully woven together with empathic insight into the lives and minds of those who self-injure, "Healing the Hurt Within" is replete with the latest developments in the field, informative statistical data, instructive diagrams, carefully selected resources, case studies, expert testimonies, and practical self-help activities. The author's warmth, compassion, and regard for those caught in the cycle of self-injury shines through the pages of this profoundly enlightening and extensively updated 3rd edition. "Healing the Hurt Within" offers solace, hope, and direction to those who self-injure; guidance to family and friends supporting a loved one who self-injures; and, guidelines to professionals and voluntary caregivers on how to respond to clients that self-injure. Contents 1. Exploring self-injury and self-harm; 2. Looking beyond the myths; 3. Further insights into self-injury; 4. Media assertions and attitudes to self-injury, the magnitude of the problem and controversies; 5. Two research studies examined; 6. Childhood trauma, negative core beliefs, perfectionism and self-injury; 7. The cycle of self-injury and the eight Cs of self-injury;8. Dissociation and self-injury; 9. Hurting and healing true stories; 10. Heal thyself; 11. Guide for family, friends an. Leer más…