Self-Harm in Young People: A Therapeutic Assessment Manual: 1st Edition (Paperback) book cover

Self-Harm in Young People: A Therapeutic Assessment Manual

1st Edition

By Dennis Ougrin, Tobias Zundel, Audrey V Ng

CRC Press

208 pages

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pub: 2009-08-28
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Self-harm is a distressing and all too common presentation to emergency departments, and yet there is no clear understanding of what it represents, and success rates of interventions to prevent future episodes are enormously variable.

Therapeutic Assessment for self-harm is a pragmatic model, developed by the authors of this book and forming an organic part of the psychosocial assessment following a self-harming incident. Its main features are that firstly, a therapeutic intervention at the time of distress, compared with a standard psychosocial history and risk assessment, improves patients' responses and their willingness to engage in further therapy, and secondly, that there is a vast range of evidence-based interventions that can be used to build a 'toolkit' that individual practitioners can employ with their patients.

Therapeutic Assessment is evidence-based, simple and easy to learn, and this book presents the techniques in a clear, accessible and user-friendly way. Based on extensive research, it will form an essential reference for psychiatrists and clinical psychologists, and for any health professional involved in the assessment of young people who self-harm.


"The book is evidence-based with very extensive references and makes excellent use of case studies and examples… I had high expectations from this book, which were all met."

BMA Medical Book Awards 2010

Table of Contents

Defining Self-Harm

Prevalence and Natural History of Self-Harm

The Genetics of Suicidal Behaviour

The Neurobiology of Self-Harm

Psychosocial and Psychiatric Factors Relating to Adolescent Suicidality and Self-Harm

Effective Interventions


Hopes and Expectations from Self-Harm Assessments: Adolescents' Versus Clinicians' Views

Testing Therapeutic Assessment in Real Life

TA Overview

History Taking

Developing Understanding

Instilling Hope

Assessing and Enhancing Motivation

Using a Future Oriented Reflexive Approach

Problem-Solving Techniques

Using Systematic and Narrative Approaches to Create Exits

Using CBT Techniques

About the Authors

Dr Dennis Ougrin MB BS MRCPsych, Kraupl Taylor Research Fellow, Institute of Psychiatry, London, UK

Dr Tobias Zundel, MB BS MRCPsych Tavistock and Portman NHS Foundation Trust, London, UK

Dr Audrey Ng MBBCh MRCPsych MA Central and North West London NHS Foundation Trust, London, UK

Subject Categories

BISAC Subject Codes/Headings:
MEDICAL / Pediatrics
MEDICAL / Psychiatry / General
PSYCHOLOGY / Mental Health