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Transcript of Self-Harm
deep distress-without the wish to die. . Neema Mirzaagha, Zara Khan, Jean Kibulu, Maher Haddad, Gabin Owandji, Jessica Bos MYTHS & FACTS
1) Self harm is attention seeking?
2) Adolescents who self harm are suicidal?
3) Adolescents who self harm have mental health issues and/or problems like depression or severe anxiety?
4) All self injurers suffered a form of abuse as children?
5) Are adolescent boys and girls equally susceptible to self-harm? Causes of Self-Harming Behaviors BEGINNING STAGE REASONS OR PAYOFFS FOR SELF HARM Nonverbal communication
someone comes to look after you
it makes others believe
An internal reflection
Verification of life TRIGGERS SIGHT
TASTE It’s like slapping on a Band-Aid when what you really need are stitches. It may temporarily stop the bleeding, but it doesn’t fix the underlying injury Emotional Distress
Psychological Factors Behaviors Associated with
Self-Harm Bryan is 17 year old male who lives alone with his step dad. Bryan’s biological parents divorced at a young age when Bryan was only 5 years old. Upon the divorce, Bryan’s father fled town and wasn’t seen or heard from since. Bryan lived with his mother in a low income neighborhood while Bryan’s mother worked two jobs to support herself and her only child. At age 10, Bryan’s mother remarried and welcomed her new husband into her home. Bryan wasn’t open to the idea of having a step dad and soon enough he hated the idea and had resentment with his mother over it. A year later, Bryan’s mother died in a fatal car accident. With no family near, Bryan’s step dad inherited sole custody of Bryan. Immediately after, Bryan and his step dad moved into another low income neighborhood where they both lived together.
Bryan’s step dad took to alcohol after the death of his wife. He would spend majority of his time at home in front of the TV drinking or at the bar drinking as well. Bryan on the other hand, had so much intense emotions running through his body, he spent most his nights alone crying in his room. Bryan’s step dad saw Bryan do this, and in rage he physically beat him. He would yell at Bryan and say things like “crying is for babies and feelings are for girls”. The physical and emotional abuse became routine for the next couple years and stopped when Bryan reached 14 years old.
School was no different than home. Bryan was bullied a lot and he didn’t have a strong group of friends so he constantly felt alone. He had interest in his studies but the fear of bullying and going through high school alone drove him away. In result, Bryan constantly skipped classes and his grades were below par.
At age 15, all the intense emotions he had built up inside of him started to reach the surface, anger, sadness, guilt, fear, loneliness and grief. He didn’t know how to deal with such extreme emotions so he resorted to what he was taught from his step dad, to beat himself. Bryan would bang his head of the wall and punch himself in the face and it worked for Bryan. This process continued and Bryan found other ways to self-harm from cutting and burning. Although Bryan finds relief in self-harm, he makes up excuses and tries to hide his scars and marks on his body so nobody will find out. Case Study: Bryan Extremely Irritable
Frequent "Accidents" SIGNS & SYMPTOMS There are many different types of self-harm and they are not always easy to notice. People who self-harm usually try to keep it a secret from their friends and family and often injure themselves in places that can be hidden easily by clothing. SO CYW'S...WHAT IS OUR ROLE NOW?? WHAT APPROACHES WOULD WE TAKE?? Still a lot of control since the thinking is still fairly clear but
they are unaware of what triggers the thought BEHAVIOURIST (SKINNER)
PSYCHO-DYNAMIC (FREUD) CRISIS STAGE Climbing stage: thought processes are starting to race and the concentration will be deteriorating.feelings are important to be able to identified & what alternatives to use."what alternative will you try? would you like me to be involved with this to give you some support? In what way can i help?" Either result in self harm or an alternative.emphasize its never too late to choose an alternative.
Now its your choice if you want to intervene or not.
"Id prefer for you not to self harm. how ever it is your choice.
i cannot stop you but neither can i watch you"
you may want to add: "Call me when you're finished and then i will help you in whatever way i can." If the person decides to use an alternative give positives for not self injuring."that must have been a hard choice, but im glad you made that decision"
If the person decides to self harm then the focus should be on stages prior to self harm.
For example: Do you know what triggered you? what were you thinking/feeling?
what alternatives might you have chosen?
Was their a reason for not choosing an alternative? iNTERVENTiONS FOR THE FOUR STAGES POST CRISIS Young women age 15-19 were the most likely to self-injure. Women in this age group had a self-injury hospitalization rate of more than 140 per 100,00 more than double the rate of men in the same age categories
According to a new report form the canadian institute health information. In 2011 approximately 17,500 canadians or 45 people a day are admitted to hospital after attempting suicide or deliberately harming themselves