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Self Harm in Children and Young People

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Submitted By jayneyf
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In your opinion what are the main causes of self harm in children and young people. In your answer consider the importance of carrying out an initial assessment and risk management and identify which therapeutic interventions would be most appropriate.

Self-harm, in this context is non-accidental or deliberate self harm it includes activities ranging from scratching the skin to severing arteries, ‘overdosing’ with pharmaceutical medications, taking illicit drugs, binge drinking, tying ligatures around the neck, inserting foreign bodies into open wounds, burning the skin, pulling hair, head banging and biting. (RCPSYCH, 2009)
In children and young adults it usually suggests the presence of strong emotions they feel unable to articulate.
Self-harm is a way of dealing with very difficult feelings that build up inside. People say different things about why they do it.
Some say that they have been feeling desperate about a problem and don't know where to turn for help. They feel trapped and helpless. Self-injury helps them to feel more in control.
Some people talk of feelings of anger or tension that get bottled up inside, until they feel like exploding. Self-injury helps to relieve the tension that they feel.
Feelings of guilt or shame may also become unbearable. Self-harm is way of punishing oneself.
Some people try to cope with very upsetting experiences, such as trauma or abuse, by convincing themselves that the upsetting event(s) never happened. These people sometimes suffer from feelings of 'numbness' or 'deadness'. They say that they feel detached from the world and their bodies, and that self-injury is a way of feeling more connected and alive.
A proportion of young people who self-harm do so because they feel so upset and overwhelmed by difficulties that they wish to end their lives by committing suicide. Often, the decision to attempt suicide is made

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