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

Self-Harm in Young People: A Therapeutic Assessment Manual

ISBN 9780340987261
Published August 28, 2009 by CRC Press
208 Pages

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Book Description

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.

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

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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


"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