Adolescent Self Injury

In this truly comprehensive guide, Dr. D'Onofrio approaches the topic of how first-responders, such as teachers, coaches, social workers, guidance counselors, and campus health counselors, can and do treat adolescent self-injury. From examinations of the core social and emotional issues related to self-injury to the integration of understanding with practice, everything needed for comprehensive care is detailed in this volume. Each part of the book focuses on a basic topic, such as what constitutes self-injury, the foundations for self-injury, and how to engage an adolescent with these issues. Each issue is presented in straightforward chapters that are immediately accessible to those who are currently struggling to address this growing trend among teens. The chapters within each part delve into how to recognize, treat, and approach this illness and incorporate first-person stories from psychologists, teachers, and adolescents themselves.

Nonsuicidal self-injury (NSSI) is a baffling, troubling, and hard to treat phenomenon that has increased markedly in recent years. Key issues in diagnosing and treating NSSI adequately include differentiating it from attempted suicide and other mental disorders, as well as understanding the motivations for self-injury and the context in which it occurs. This accessible and practical book provides therapists and students with a clear understanding of these key issues, as well as of suitable assessment techniques. It then goes on to delineate research-informed treatment approaches for NSSI, with an emphasis on functional assessment, emotion regulation, and problem solving, including motivational interviewing, interpersonal skills, CBT, DBT, behavioral management strategies, delay behaviors, exercise, family therapy, risk management, and medication, as well as how to successfully combine methods.

This volume presents a comprehensive and practical approach to the treatment of suicide and NSSI for adolescents utilizing a mentalizing framework. The beginning of the text provides up-to-date information on the theory of a mentalizing therapy in order to ground the readers in the neuroscientific underpinnings of a mentalizing approach. Next chapters provide information on the fundamental building blocks of a mentalizing therapy at the individual and family level. These chapters provide step-by-step approaches in order to provide examples of the techniques involved in mentalizing treatment that can be employed to address suicidality and NSSI. The next chapter builds on these concepts as the reader learns about mentalizing failures involved in common co-morbidities in adolescents who are experiencing suicidality and/or employing NSSI. The next several chapters cover practical issues related to working within this patient population including the key concept of social systems and connections for both providers and adolescents, the ability of mentalizing theory and therapy to integrate with other effective therapies, how to approach sessions after a suicide attempt, resiliency for patient, family and the provider, along with important self-care for a therapist if a patient commits suicide. The final chapter brings all of the aforementioned elements together in order for the reader to conceptualize employing a mentalizing approach to adolescents and their families when suicide and NSSI concerns are a predominate focus of care. Illustrations of specific therapeutic approaches and a list of resources and guidelines where available are also included. Adolescent Suicide and Self-Injury is an excellent resource for all clinicians working with youths at risk for suicide and/or self-injury, including psychiatrists, psychologists, pediatricians, family medicine physicians, emergency medicine specialists, social workers, and all others.

"Tens of thousands of worried parents have turned to this authoritative guide for the facts about the growing problem of teen self-injury--and what they can do to make it stop. Michael Hollander is a leading expert on the most effective treatment approach for cutting, dialectical behavior therapy (DBT). Vivid stories illustrate how out-of-control emotions lead some teens to hurt themselves, how DBT can help, and what other approaches can be beneficial. Parents get practical strategies for talking to teens about self-injury without making it worse, teaching them specific skills to cope with extreme emotions in a healthier way, finding the right therapist, and managing family stress. Incorporating the latest research, the revised edition offers a deeper understanding of the causes of self-injury and includes new DBT skills"--

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.

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.

"Parents who discover a teen's self-injurious behavior are gripped by uncertainty and flooded with questions - Why is my child doing this? Is this a suicide attempt? What did I do wrong? What can I do to stop it? And yet basic educational resources for parents with self-injuring children are sorely lacking. Healing after Self-Injury provides desperately-needed guidance to parents and others who love a young person struggling with self-injury"--

Parents, teachers, friends, and even many clinicians are both horrified and mystified upon discovering teenagers who intentionally cut, burn, and otherwise inflict pain upon themselves. Often causing permanent and extensive scarring, as well as infections, cutting is increasingly prevalent among today's youth. As many as 1 in 100 adolescents report cutting themselves, representing a growing epidemic of scarred and tormented youths, as we see in this revealing work. As author Plante discusses here, the threat of suicide must always be carefully evaluated, although the majority of cutters are not in fact suicidal. Instead, cutting represents a growing teenage method for easing emotional pain and suffering. Bleeding from self-inflicted wounds not only helps to numb and vent the despair, it can also be a dramatic means of communicating, controlling, and asking for help from others. Parents, teachers, friends, and even many clinicians are both horrified and mystified upon discovering teenagers who intentionally cut, burn, and otherwise inflict pain on themselves. Often causing permanent and extensive scarring, as well as infections, cutting is increasingly prevalent among today's youth. As many as 1 in 100 adolescents report cutting themselves, representing a growing epidemic of scarred and tormented youth, as we see in this revealing work. Author Plante explains the threat of suicide must always be carefully evaluated, although the vast majority of cutters are not in fact suicidal. Instead, cutting represents a growing teenage method for easing emotional pain and suffering. Bleeding from self-inflicted wounds not only helps to numb and vent despair, it can also be a dramatic means of communicating, controlling, and asking for help from others. In this book, Plante features the stories of self-injurers and helps the reader understand the meaning of the injuries, and how to help teens stop. This author, who is a psychologist, a parent, and a Stanford University Medical School faculty member, explains in clear detail how cutters and the adults who love them can heal the pain and stop self-injury. Plante describes the frightening developmental tasks teenagers and young adults face, and how the central challenges of the three I's (Independence, Intimacy, and Identity) compel them to cope through self-destructive acts. Readers will feel as if they are in the therapy room with Plante and these struggling teenagers as they seek to overcome their internal pain and that desperate need to cut and self-injure.