Non-suicidal self-injury (NSSI)

Non-suicidal self-injury (NSSI) Non-suicidal self-injury (NSSI) - Start

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A Resource for Teachers. Defining non-suicidal self-injury (NSSI) . Deliberate self-inflicted injury to one’s own body tissues without conscious intent to die. Not . considered a socially approved practice within one’s . ID: 647833 Download Presentation

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Non-suicidal self-injury (NSSI)




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Presentations text content in Non-suicidal self-injury (NSSI)

Slide1

Non-suicidal self-injury (NSSI)

A Resource for Teachers

Slide2

Defining non-suicidal self-injury (NSSI)

Deliberate self-inflicted injury to one’s own body tissues without conscious intent to die

Not

considered a socially approved practice within one’s cultureExcludes ear piercing, tattooing, circumcision, or cultural healing rituals

Slide3

Prevalence rates

15

% to 20

% of middle and high school students engage in NSSIBPrevalence rates are much higher in clinical samples of adolescents (between 12-65%)Typical age of onset occurs during middle school, roughly between the ages of 12 to 15

years

In

adolescent samples, females are more likely to report having self-injured but by late adolescence, young males and females report similar ratesThe most commonly found risk factors for NSSI is having difficulties with regulating emotions

Slide4

Common forms of NSSI

scraping

or scratching

skincutting skin self-hitting or banging (to break or bruise) burning pinching

interfering

with a healing wound

self-biting picking or ripping skin

Slide5

NSSI vs.

Suicidal

B

ehaviour

Non-suicidal self-injury

Suicidal behaviour

Intent

To get

immediate relief from negative emotions

To die in order to permanently escape emotional pain

Repetition

More frequent

Less frequentLethalityOften involves less lethal methods but with a potential for lethalityTends to involve more lethal methodsPsychological consequencesOften used to relieve psychological painOften aggravates psychological painGenderMay or may not occur often in women, depending on sampleOccurs more often in women but men are more likely to die by suicide

Slide6

Why do people engage in NSSI?

To reduce negative emotions

 

and thoughts NSSI involves the body’s natural pain killers. This can result in the release of pleasant feelingsTo stop themselves from acting on suicidal thoughts and urgesTo punish one-selfTo reconnect with one-self and others

NSSI is

complex and is often the result of many converging factors. The explanations are equally complex.

Slide7

How can School Personnel

help at the time of disclosure?

Do:

Respond in a calm and caring manner. Don't be afraid to state, "I've noticed injuries that appear to be self-inflicted, I care about why you might be doing that" or, "it appears you have hurt yourself, do you want to talk about it?” Understand that this is the student’s way of coping with pain. Have a non-judgemental compassion for the student’s experience.

Offer to be a caring adult for the student while they are seeking mental health support.

Acknowledge their feelings; offer to listen

, be available.Encourage participation in extracurricular activities and outreach in the community (e.g. volunteering with animals, nursing homes, tutoring or mentoring). Discover the student’s strengths.

Slide8

How can School Personnel help at the time of disclosure?

Don’t

Be overly reactive as this could alienate the student and damage the developing alliance.

Show excessive interest in the NSSI behavior. Permit the student to relive the experiences of NSSI in detail, as this can be triggering.Try to stop the behaviour with threats or ultimatums.Discourage self‐injury; threaten hospitalization, use punishment or negative consequences.

Act shocked, overreact, say or do anything to cause guilt or shame.

Publicly humiliate the student .

Talk about the student’s NSSI in front of class or peers. Agree to hold NSSI behaviour confidential. Make deals or promises you can’t keep in an effort to stop NSSI.

Slide9

School response protocol

W

ounds

are severe or life-threatening or the student is attempting suicideProvide first aid and assess lethality of

injury

Send someone to call

911 and to communicate with the principal or designate. Listen empathically and carefully to the student’s message. The principal or designate will call the parent(s) or guardian(s).

Wounds

are not life-threatening

R

eport

all concerns related

NSSI to

the school principal or designate. A suicide risk review will be conducted by an ASIST trained staffThe ASIST trained staff and principal or designate, will identify the level of NSSI risk Should the student be identified as potentially suicidal, DSB Ontario North East Youth Suicide Prevention, Intervention and Response Protocols are followed.

Slide10

DSB

Ontario North East Protocol

Flowchart

If the student is suicidal, follow suicide protocols

(see:

http://docushare.dsb1.edu.on.ca/docushare/dsweb/Get/Document-78908/DSB1%20INTERVENING%20WITH%20SIB%20-%20Protocols%20-%20Draft(1).pdf

).

Slide11

Confidentiality

Be

cautious about telling the

student that you won’t tell anyone about their self-injury. There could be a risk of suicide a health risk a self-injuring group of peers, and/or

As per our protocol,

staff shall report all concerns related to potential self-harm to the school principal, vice-principal or designate

:

http://docushare.dsb1.edu.on.ca/docushare/dsweb/Get/Document-78908/DSB1%20INTERVENING%20WITH%20SIB%20-%20Protocols%20-%20Draft(1).pdf

.

Slide12

Circles of

vulnerability

for

contagion of NSSI

Population at risk

Slide13

Contagion in Schools

Schools

Trends have been suggested whereby multiple students who self-injure, communicate frequently about NSSI, and trigger the behaviour in each other.

Youth may self-injure in front of each other, share the same tools, implement or take turns injuring the body parts of others in the group. Some adolescents will pick up self-injuring behaviour from siblings or peer group leaders.

Slide14

Managing contagion in the school

When discussing NSSI with students, the following guidelines will help in preventing contagion:

Do

not allow students to share detailed information regarding NSSI, reveal their scars, or share NSSI related images or stories.Do

not

use school-wide assemblies, newsletters, school newspapers to address an “outbreak” of

NSSI.Do not present media that glamorize NSSI [as part of classroom curriculum].When educating youth about NSSI, discuss the behavior in its broader context; that is, as a maladaptive coping strategy among several others (such as substance abuse, or risk-taking

).

Emphasize

the need for students who are engaging in the behavior to seek support.

Slide15

THANK YOU!

We hope that you found this a useful introduction to NSSI.

For more information, please refer to pp. 121 – 125 of Supporting Minds: An Educator’s Guide to Promoting Students’ Mental Health

and Well-being: http://

www.edu.gov.on.ca/eng/document/reports/SupportingMinds.pdf

Should you have questions, your Mental Health Leader is available to provide ongoing support and leadership to your team.


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