Personal Statement On Self Harm

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Self-harm patients are at a risk for suicide whether this is an intended outcome or a result of self-harm gone wrong. 25% of people who commit suicide will have been seen in a hospital setting for a self harm injury in the past 12 months (Emerson, 2010). As well, 72% of suicide victims under the age of 25 have had a history or self-harm behavior (as sited in Cook, Clency, Sanderson, 2004). These statists provide a strong argument for the importance of vigilance and ongoing monitoring when providing care for clients who display self-harm behavior. This paper will argue the importance for close monitoring when caring for self harm but not necessarily the prevention of self harm itself. Vigilance and monitoring are important However there is evidence that complete preventions is not necessarily the best approach to self-harm (Duffin, 2006).
The Diagnostic and statistical manual of mental disorders fifth edition (DSM-5) uses the term non suicidal self-injury. Self-injury is defined as “intentional self inflicted damage to the surface of his or her body of a sort likely to induce bleeding, bruising, or pain, with the expectation that the injury will lead to only minor or moderate physical harm”(American psychiatric Association, 2013,p803). There must be an absence of suicidal intent; this is either stated by the patient, or determined by the fact that the method of harm is not likely to result in death. Although often misunderstood and seen as an attention seeking more
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