Empirical Review on Youth Self-Injury
- Epidemic facts on the incidence and prevalence of youth self-injury
- Psychiatric and medical comorbidity associated with youth self-injury
- Reactive Attachment Disorder
- Obsessive-Compulsive Disorder
- Complex Posttraumatic Stress Disorder
- Major Depressive Disorder
- Disruptive Behavioral Disorders
The Clinical Assessment of Youth Self-Injury
- General diagnostic interview and mental status examination
- Review of the spectrum self-injurious behaviors
- Cognitive-behavioral, psychodynamic, family systems, feminist, and neuropsychological perspectives on self-injury
- Comparative analysis of suicidal, para-suicidal, and non-suicidal self-injury
- Suicidal and lethality risk and protective factor assessment
- Personality assessment
- Norm-referenced self-injury inventories
- Consultation and collaboration with health care and allied health care professionals
The Treatment of Youth Self-Injury
- Treating the behavior as addiction and obsessive-compulsive behavior
- Four-step therapeutic assessment and treatment approach
- Emergency triage and case conceptualization
- Therapeutic assessment and functional analysis of self-injury behaviors and reinforcements
- Motivational interviewing — treating self-injury as an addiction
- Exposure therapy — treating obsessive-compulsive features of self-injury
- Counseling techniques
- Family systems counseling
- Group psychotherapy approaches
- Psychodynamic
- Existential, Adlerian-feminist psychotherapy of self-injury
- Cognitive-behavioral
- Metaphorical/narrative therapy approaches for self-injury
- Pharmacotherapy
- Commonly prescribed medications
- When to send out a referral
- Contraindications
- Self-care techniques for clients to use when the urge is strong
- Coordination of medical care and mental health care
- Professionals, educators, and allied health care professionals
- Relapse prevention
- Ethical practice risk management
- Tips for professional self-care—to prevent the clinician from burnout and vicarious traumatization
- Coordination of care amongst professionals: professional team-building
- HIPAA compliance, duty-to-warn issues; ethical and legal dilemmas
- Examination of community resources and references (including use of the internet in the assessment and treatment of self-injury)