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By Their Own Young Hand : Deliberate Self-Harm and Suicidal Ideas in Adolescents - Keith Hawton

By Their Own Young Hand

Deliberate Self-Harm and Suicidal Ideas in Adolescents

By: Keith Hawton, Karen Rodham, Emma Evans (As told to)

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Published: 15th June 2006
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Published: 15th June 2006
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Self harm in adolescents is an increasingly recognized problem, and there is growing awareness of the important role schools and health services can play in detecting and supporting those at risk. By Their Own Young Hand explores the findings of the first large-scale survey of deliberate self harm and suicidal thinking in adolescents in the UK, and draws out the implications for prevention strategies and mental health promotion. Six thousand young people were asked about their experiences of self harm, the coping methods they use, and their attitudes to the help and support available. The authors identify the risk and protective factors for self harm, exploring why some adolescents with suicidal thoughts go on to harm themselves while others do not, what motivates some young people to seek help, and whether distressed teenagers feel they receive the support they need. By Their Own Young Hand offers practical advice on how schools can detect young people at risk, cope with the aftermath of self harm or attempted suicide, and develop training programmes for teachers. It also examines the roles of self-help, telephone helplines, email counselling, and walk-in crisis centres. Packed with adolescents' own personal accounts and perspectives, this accessible overview will be essential reading for teachers, social workers and mental health professionals.

Teachers and others in pastoral roles - tutors, SENCOs, counsellors, school nurses - and allied professions that interface with schools - EWOs, educational psychologists and staff in Child and Adolescent Mental Health Services (CAMHS), etc- should be alerted to the existance of this particular book. This is a very valuable book, strongly supported by empirical research. -- Pastoral Care in Education
This excellent British book examines deliberate self-harm in adolescents...A very useful book providing good backgroud knowledge for all ED staff into the nature of adolescent self-harm. -- The Emergency Nursing
This book is a useful tool for those who are beginning to work with young people and for schools and primary care workers who may have limited understanding of self-harm and how to intervene. -- Children, Young People and Families
With the alarming rise in deliberate self-harm among young people, especially girls, there is a need for greater understanding of this important issue. Here is a book that provides this, with a comprehensive overview of the nature and the extent of deliberate self-harm in adolescents... The very practical recommendations and the guidelines provided in the appendices give useful pointers towards identifying vulnerable young people early on, and helping them address their problems before self-harming behaviours become very firmly entrenched patterns of coping. This is an invaluable resource for anyone working with young people, and specifically for teachers, social workers, mental health professionals, policy makers and researchers with an interest in this age group. -- Mental Health Today

Acknowledgementsp. 10
Introduction and Overviewp. 11
The Nature of Deliberate Self-harm in Adolescents
Investigating Deliberate Self-harm in Adolescentsp. 21
Introductionp. 21
Clinical versus community-based studiesp. 21
The rationale for a school-based studyp. 23
Aims of the projectp. 23
Choosing an appropriate method of data collectionp. 23
Developing the questionnairep. 25
Testing the questionnairep. 33
Sample of school pupilsp. 33
Issues of consentp. 35
How we implemented the studyp. 37
Safety-net arrangementsp. 38
Summaryp. 38
The Nature, Prevalence and Impact of Deliberate Self-harm and other Suicidal Phenomena in Adolescentsp. 40
Introductionp. 40
Deliberate self-harmp. 40
Attempted suicidep. 46
Thoughts of self-harmp. 47
Suicide threats and plansp. 48
Methods used in acts of deliberate self-harmp. 48
The motivation behind deliberate self-harmp. 52
Premeditationp. 56
Repetition of deliberate self-harmp. 57
Hospital presentationp. 58
Impact of deliberate self-harmp. 60
Summary and implicationsp. 62
How Do Adolescents who Deliberately Self-harm or Have Thoughts of Self-harm Differ from other Adolescents?p. 65
Introductionp. 65
Genderp. 65
Agep. 67
Ethnicityp. 69
International differencesp. 70
Psychosocial and health characteristics of adolescents who deliberately self-harm or have thoughts of self-harmp. 71
Summary and implicationsp. 90
Adolescents' Help-seeking, Coping Strategies and Attitudes and their Relevance to Deliberate Self-harmp. 94
Introductionp. 94
Help-seeking, communication and copingp. 95
Recognition of problems and the need for helpp. 97
Coping strategies employed by adolescentsp. 98
Talking to othersp. 102
To whom did adolescents who engaged in deliberate self-harm turn for help?p. 102
What stopped adolescents from seeking help?p. 104
Did adolescents who had thoughts of self-harm seek help?p. 106
Attitudes towards young people who engage in deliberate self-harmp. 106
Attitudes towards contacting helping agenciesp. 108
Summary and implicationsp. 110
Prevention and Treatment of Deliberate Self-harm in Adolescents
Schools and Deliberate Self-harmp. 117
Introductionp. 117
Why base prevention strategies in schools?p. 118
What approaches have been used in schools?p. 120
Primary preventionp. 120
Secondary preventionp. 126
Tertiary prevention: dealing with the aftermathp. 129
Summary and implicationsp. 131
The Health Service and Deliberate Self-harmp. 132
Introductionp. 132
General practitioner servicesp. 133
General hospital emergency servicesp. 141
Assessment of adolescents who have deliberately self-harmedp. 144
Treatment options following deliberate self-harmp. 151
Summary and implicationsp. 157
Self-help, Crisis Lines, the Internet and the Media and Deliberate Self-harmp. 160
Introductionp. 160
Self-help booksp. 160
Confidential telephone servicesp. 161
The Internetp. 163
The mediap. 168
Summary and implicationsp. 172
Conclusions and Looking to the Futurep. 174
Concluding commentsp. 190
Guidelines Used in the Schools Study for Categorising Respondents' Descriptions of Deliberate Self-harmp. 194
Information Sheet Given to Participants After Completing the Questionnairep. 201
Self-harm: Guidelines for School Staffp. 202
Robson's Self Concept Scale (Short Version)p. 224
Useful Contact Addresses in the UK for Young People with Problems, or their Friends or Relatives in Need of Advicep. 225
Sources of Information about Deliberate Self-harm, Suicide and Mental Health Problemsp. 230
Further Readingp. 233
Referencesp. 237
Subject Indexp. 258
Author Indexp. 261
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9781843102304
ISBN-10: 1843102307
Audience: Professional
Format: Paperback
Language: English
Number Of Pages: 264
Published: 15th June 2006
Publisher: JESSICA KINGSLEY PUBLISHERS
Country of Publication: GB
Dimensions (cm): 23.4 x 15.9  x 1.6
Weight (kg): 0.41