Via recorded webinar
Self-harm, or non-suicidal self-injury (NSSI) is most common among adolescents and young adults. Although NSSI typically decreases in late adolescence, this behavior is one of the strongest antecedents of suicide in youth; and those who engage in repetitive NSSI seem to be at high risk for continuing to use dysfunctional emotion regulation strategies, even after discontinuing NSSI. People engage in NSSI for a wide array of reasons (including a diagnosis of Borderline Personality Disorder, or BPD), but usually this involves an inability to manage emotions in some way, making Dialectical Behavior Therapy (DBT) an ideal treatment for this population.
While most mental health clinicians will encounter NSSI at some point, there is still a paucity of research about this behavior and why it happens; and education programs rarely teach about this behavior and how to work with clients who are engaging in it. This workshop will help you understand NSSI, factors to consider when assessing and working with clients, and how to apply a DBT approach to helping clients eliminate this behavior.
Original recording date: September 21 and 22, 2022 Length: 6 hours
Upon the completion of this course, participants will be able to:
- Define Non-suicidal Self-Injury and important statistics related to it.
- At least 3 tools to help you stay calm when you find out your client is self-harming
- Recite 4 reasons teens self-harm and ways to help yourself, your client, and their family understand the behavior.
- Effectively assess for self-harm and apply 3 tools to help improve commitment to treatment, building rapport and trust.
- Apply at least 3 DBT skills and strategies to work toward eliminate self-harming behaviors.
Sources and Resources (click to expand)
1. Aggarwal S., Patton G., Reavley N., Sreenivasan S., Berk M. Youth self-harm in low- and middle-income countries: Systematic review of the risk and protective factors. International Journal of Social Psychiatry, March, 2017. Volume 63, Issue 4, pages 359 – 375.
2. Aron, E. N. (1996). The highly sensitive person. New York: Broadway Books.
3. Brown, M. Z., Comtois, K. A., & Linehan, M. M. (2002). Reasons for suicide attempts and nonsuicidal self-injury in women with borderline personality disorder. Journal of Abnormal Psychology, 111, 198–202.Brown R., and Plener, P. Non-suicidal Self-Injury in Adolescence. Current Psychiatry Reports March, 2017, 19:20
4. Butler C., Joiner R., Bradley R., Bowles M., Bowes A., Russell C., and Roberts V. Self-harm prevalence and ideation in a community sample of cis, trans and other youth. International Journal of Transgenderism, May, 2019. Volume 20, Issue 4, pages 447 – 458.
5. Chapman A., Gratz K., and Brown M. Solving the puzzle of deliberate self-harm: The experiential avoidance model. Behaviour Research and Therapy 44 (2006) 371–394.
6. Cipriano A., Cell S., and Cotrufo P. Nonsuicidal Self-injury: A Systematic Review. Frontiers in Psychology, November 2017. https://doi.org/10.3389/fpsyg.2017.01946
7. Cooper J., Kapur N., Webb R., Lawlor M., Guthrie E., Mackway-Jones K., Appleby L. Suicide After Deliberate Self-Harm: A 4-Year Cohort Study. American Journal of Psychiatry 2005; 162:297–303.
8. Esposito-Smythers C., Goldstein T., Birmaher B., Goldstein B., Hunt J., Ryan N., Axelson D., Strober M., Gill M. Hanley A., Keller M. Clinical and psychosocial correlates of non-suicidal self-injury within a sample of children and adolescents with bipolar disorder. Journal of Affective Disorders Volume 125, Issues 1–3, September 2010, Pages 89-97.
9. Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152–1168.
10. Muehlenkamp J., Xhunga N. & Brausch A. Self-injury Age of Onset: A Risk Factor for NSSI Severity and Suicidal Behavior. Archives of Suicide Research, Volume 23, 2019 - Issue 4, pages 551 – 563.
11. Rojas-Velasquez, D.A., Pluhar, E.I., Burns, P.A. et al. Nonsuicidal Self-Injury Among African American and Hispanic Adolescents and Young Adults: a Systematic Review. Prev Sci (2020). https://doi.org/10.1007/s11121-020-01147-x.
12. Sachsse, U., von der Heyde, S., & Huether, G. (2002). Stress regulation and self-mutilation. American Journal of Psychiatry, 159, 672.
13. Swannell SV, Martin G, Page A, Hasking St. P, John NJ (2014). Prevalence of nonsuicidal self-injury in nonclinical samples: system review, meta-analysis and meta-regression. Suicide Life-Threat Beh. 44, 273-303.
14. Van der Venne P., Balint A., Drews E., Parzer P., Resch F., Koenig J., Kaess M. Pain Sensitivity and Plasma Beta-Endorphin in Adolescent Non-Suicidal Self-Injury. Journal of Affective Disorders: Available online 11 September 2020 https://doi.org/10.1016/j.jad.2020.09.036
15. Van Dijk, S. 2012. Calming the Emotional Storm. Oakland: New Harbinger Publications.
16. Van Dijk, S. (2021). The DBT Workbook for Teens for Self-Harm. Oakland: New Harbinger Publications.
17. Zaki L., Coifman K., Rafaeli K., Berenson R. and Downey, G. Emotion Differentiation as a Protective Factor Against Nonsuicidal Self-Injury in Borderline Personality Disorder. Behavior Therapy: Volume 44, Issue 3, September 2013, Pages 529-540.
6 CE recorded webinar contact hour(s)
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