Clinical characteristics of patients with self harming behaviour in a low secure mental health unit

Beer, M. Dominic; Muthukumaraswamy, Anandamurugan; Khan, Al Aditya; Musabbir, Mohammad Arif

doi:10.1017/s1742646409990112

Cited by 5 publications

(6 citation statements)

References 16 publications

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“…Four case control studies found no association between age and self‐harm (Beer et al . 2010; Karson & Bigelow 1987; McKerracher et al .…”

Section: Resultsmentioning

confidence: 99%

“…In general, descriptive studies reported that self‐harm was more prevalent among women; however, perhaps somewhat surprisingly, case control studies found no significant association between gender and self‐harm (Beer et al . 2010; Bowers et al .…”

Section: Resultsmentioning

confidence: 99%

“…Studies identified various methods of inpatient self‐harm (Table 3). People most commonly self‐harmed by cutting, although head banging, punching or kicking objects, strangulation, inserting objects into the body, re‐opening old wounds, burning, and self‐poisoning were also used (Beasley 1999; Beer et al . 2010; Burrow 1992; Callias & Carpenter 1994; Foster et al .…”

Section: Resultsmentioning

confidence: 99%

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Self‐harm and attempted suicide within inpatient psychiatric services: A review of the Literature

James

Stewart

Bowers

2012

Int J Mental Health Nurs

116

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Self harm is a major public health concern, yet there are considerable challenges in providing support for those who self harm within psychiatric inpatient services. This paper presents the first review of research into self harm within inpatient settings. Searches of the main electronic databases were conducted using key words for self harm and inpatient care. There was substantial variation in the rates of self-harm and attempted suicide between studies, but rates were highest on forensic wards. There was no evidence of differences in prevalence of self-harm between men and women; women, however, were at increased risk of attempting suicide. People were more likely to self-harm in private areas of the ward and in the evening hours, and often self-harmed in response to psychological distress, or elements of nursing care that restricted their freedom. Wards used a variety of strategies to prevent self-harm; however, there is little research into their effectiveness.

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“…Four case control studies found no association between age and self‐harm (Beer et al . 2010; Karson & Bigelow 1987; McKerracher et al .…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Self‐harm and attempted suicide within inpatient psychiatric services: A review of the Literature

James

Stewart

Bowers

2012

Int J Mental Health Nurs

116

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“…Some more observable psychological symptoms from SHA may include weight loss/gain,36 bed wetting,37 38 increase in fatigue/decreased energy, acting out behaviours causing physical harm33 39 and sexually transmitted infections 40. In addition, outward signs of SHA may include risky or self-harm activities or self-abuse may also be observed by the physician (eg, excessive dieting or bingeing, limited condom use) 36 39 41 42. There may also be various other social or behavioural problems,23 33 36 39 including the harming of others (eg, pets, bullying of peers, schoolmates or neighbours, and harming family members) 43.…”

Section: Psychological Consequences Of Sha In Sportmentioning

confidence: 99%

Sexual harassment and abuse in sport: the role of the team doctor: Table 1

2011

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Sexual harassment and abuse occur in all sports and at all levels with an increased risk at the elite level. The physical and psychological consequences of sexual harassment and abuse are signifi cant for the athlete, their team and for the health and integrity of sport in general. The sports medicine health professional has an integral role to play in the prevention of sexual harassment and abuse in sport. This paper provides sport healthcare professionals with a practical guide on prevention strategies and advice on the recognition and management of suspected abuse.Sexual harassment and abuse (SHA) occurs in all sports, at all levels. 1-3 Given the widespread occurrence of SHA within sport, 3 4 it is vital that all people involved with athletes are made aware of the risk factors and consequences of this abuse. Team doctors and sports physicians are in a pivotal position, given their frequent contact with athletes, to identify these potential risks and consequences. This paper focuses on the team doctor's role in the identifi cation, prevention and treatment of SHA in sport and will begin with an overview of the defi nition of SHA and the risk factors and consequences of SHA. The paper will then discuss methods directed at the prevention of SHA, including the role the team doctor can play in prevention. WHAT IS SEXUAL HARASSMENT AND ABUSE IN SPORT?The inappropriate sexual encounters experienced through SHA in sport can occur in various forms, including sexual harassment, sexual abuse, gender harassment, hazing and homophobia. Sexual harassment is considered sexualised verbal, nonverbal or physical behaviour. This form of harassment may be intended or unintended and legal or illegal. The underlying aspect of sexual harassment is that it is 'based upon an abuse of power and trust and that is considered by the victim or a bystander to be unwanted or coerced' (pp1). 5 Brackenridge 6 similarly defi ned sexual harassment as 'unwanted attention on the basis of sex' (pp 116) and sexual abuse as 'groomed or coerced collaboration in sexual and/or genital acts where the victim has been entrapped by the perpetrator' (pp 116-117). Sexual abuse has also been defi ned as 'any sexual interaction with person(s) of any age that is perpetrated against the victim's will, without consent or in an aggressive, exploitative, manipulative or threatening manner" (pp 3). 7 Sexual abuse therefore involves any sexual activity where consent is not or cannot be given. In sport, sexual abuse often involves manipulation and entrapment of the athlete. Gender harassment consists of 'derogatory treatment of one gender or another that is systematic and repeated but not necessarily sexual in nature'. 5 Hazing is considered 'any activity expected of someone joining a group that humiliates, degrades, abuses or endangers, regardless of the person's willingness to participate' (page 8) 8 and often has sexual components. 9 10 Homophobia is a 'form of prejudice and discrimination ranging from passive resentment to active victimisation of lesbian,...

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“…Adolescents with disorders characterised by conduct issues, such as those with MDCE, may also engage in deliberate self-harm (DSH) and aggressive behaviours within secure settings (Beer et al, 2010). Decreased DSH has been reported within female adolescent populations who were engaged in DBT programmes (Fleischhaker et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Adolescent inpatient completers of dialectical behaviour therapy

Hancock-Johnson

Staniforth

Pomroy

et al. 2019

JFP

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Purpose Dialectical behaviour therapy (DBT) aims to reduce emotional dysregulation and engagement in less adaptive behaviours for adults with mixed disorders of conduct and emotions (MDCE). However, there is limited evidence available for the effectiveness of DBT skills training for adolescents with MDCE who are resident within a secure impatient setting. The paper aims to discuss these issues. Design/methodology/approach A retrospective study investigated changes in aggressive and self-injurious behaviours in 22 adolescents within a secure inpatient mental health setting with MDCE who had completed one cycle of DBT skills training. Changes in symptomatic problems, behavioural and social impairment were also investigated in 17 of the 22 participants who completed the DBT skills training cycle. Findings There were statistically significant decreases in the frequencies of engagement in total aggressive and deliberate self-harm behaviours after the DBT skills training cycle. There was a significant improvement in symptomatic and behavioural impairment, but not in social impairment. Practical implications The findings of this study suggest that DBT skills training may be beneficial for behavioural and symptomatic outcomes in adolescent inpatients with MDCE. Originality/value This study provides preliminary evidence for the effectiveness of DBT skills training for adolescents with MDCE within a secure inpatient setting. Additional studies are required to investigate the clinical benefits of specific aspects of DBT for individual patients.

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Clinical characteristics of patients with self harming behaviour in a low secure mental health unit

Cited by 5 publications

References 16 publications

Self‐harm and attempted suicide within inpatient psychiatric services: A review of the Literature

Self‐harm and attempted suicide within inpatient psychiatric services: A review of the Literature

Sexual harassment and abuse in sport: the role of the team doctor: Table 1

Adolescent inpatient completers of dialectical behaviour therapy

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