Understanding self harm

cwmt.org.uk | @charliewtrust InOurHands.com | @pookyh

Welcome to this week’s webinar:Understanding self-harm (primary and secondary)

We’ll start at 6pm

Before we start, please check that your audio is working. Attendees are muted to avoid

background noise.

If you have any questions, there will be time at the end. You can type questions in the control

panel

The webinar will be recorded, and both the recording and slideshow will be sent out after the

session.


Understanding and responding to self-harm

Dr Pooky KnightsmithDirector: children, young people &

schoolsCharlie Waller Memorial Trust


Before Poll


WHAT is self-harm?

HOW can we help?

WHY do people self-harm?

We can do a

more in

depth

session on

one to one

support

another time


What?


Cutting, burning


Life is hard and this helps

me get through

each day. Some people smoke, some

people drink, I

cut.


Cutting, burning

Picking, pulling, scratching, banging

Punching, hitting, biting

Eating disorders, drugs, alcohol

Overdosing, consuming poison


Cutting, burning

Picking, pulling, scratching, banging

Punching, hitting, biting

Eating disorders, drugs, alcohol

Overdosing, consuming poison

Dir

ect

Self-

Har

m

I wouldn’t let myself sleep. For weeks, months, never more than 20 minutes at a

time, that was the rule.

I’d let any man who took an

interest sleep with me. I was

really easy and I let them do

whatever they wanted. I

encouraged them to hurt me.

Indirect Self-Harm


Why?


SelfHarmCycle

Cutting

BingeingBurning

Starving

BIG feelings

Can’t cope

Crisis MomentRelief

Guilt & Shame


Control Punishment

Appear ugly

Physical vs emotional

pain

Feel real

Feel cared for

Common Motivations

CopingCommunication

Care


How?Can we help

what NOT to sayOMG! Why? Stop!

what to sayThank you I care

How can I help?

How can I help?

• Work through a typical day

• Look for ‘trigger points’

• Brainstorm how to manage or avoid them

What is the feeling behind the urge to self

harm?BIG

feelings

Can’t cope

Crisis MomentRelief

Guilt & Shame

What is the feeling behind the urge to self

harm?

I need to SEE my pain

I need to CALM and soothe

I need to feel REAL

I need to RELIEVE big

feelings

Alternative Relief?

Cutting Ice


Link

When feelings are very intense…

sometimes distracting ourselves for a minute

to allow BIG IMPULSIVE feelings to

pass can help


Self Soothe

Box It gives me a

choice. I keep my blade in here too. Sometimes I choose my blade. Sometimes I don’t

How can we help students help themselves?


Never assume

Ask the student

Set targets

Revisit

Track change

How to

Help

If you do just one thing…

She changed my life in five minutes by making me realise I

mattered to someone, no matter how broken I was. For

five minutes I felt what it was to be cared for.

It was a fresh start.


Resources


Help Sheets

Download Link

• Active listening skills• Changing self-harming behaviours• Healthy coping strategies• How can I talk to my friend if I’m worried about them?• How can I talk to someone about my self-harm?• Preparing to expose self-harm scars• Self-harm and physical safety – when to seek further help• Self-harm support action plan and notes • Running self-harm support groups• Self-harm: what to say and what not to say• Simple ways to calm anxious thoughts and feelings• Things to consider when looking for a therapist• Why do people self-harm?

https://www.dropbox.com/sh/3oq4zwzm67884uk/AAD2VqZfWXDsSRHAbOg_znjsa?dl=0

https://www.dropbox.com/sh/3oq4zwzm67884uk/AAD2VqZfWXDsSRHAbOg_znjsa?dl=0

Link Link

http://amzn.to/2djjsH0

http://amzn.to/2aVQc6i

Link Link

http://amzn.to/2appoOV

http://amzn.to/2dQPJ8S


No Harm DoneResources

www.cwmt.org/noharmdone

videos and info packs for parents, pupils and

professionals

Digital Packs


Young PeopleBy young people

Message of hopeCommon

questionsAdvice from YP

Finding help


ParentsExplores feelings

What to say

What to do next

Supporting yourself

Further support


ProfessionalsWarning signs

First conversation

Reluctant talkers

Next steps

Practical support

Whole school


Or invite us to your school and we’ll help you start the

conversation…

[email protected]

We had not seen him for years, then one day he came into school

with his wife and his baby daughter. He told us about his job and his

friends and how much he had come to love life. He turned to his wife and said – “This is Mrs Lyle, you

know, the one I told you about who helped me want to live.” She flung

herself into my arms and whispered “Thank you”

Thank YOU!


After Poll


Dr Pooky KnightsmithDirector: CYP& Schools

Charlie Waller Memorial Trust

[email protected] | 01635 869754

[email protected] | 07590 446 791 | @PookyH

mailto:[email protected]

mailto:[email protected]

https://twitter.com/pookyh


Any Questions?


Incorporating wellbeing and mental health in the

primary curriculum

Dr Pooky Knightsmith@PookyH | [email protected]

Link to register

Next Time…11th October 6pm


Lovely Free Stuff ….from CWMT…


Free Book Club for School Mental Health Leads

inourhands.com/bookclub @CharlieWTrust |

@PookyH

http://www.inourhands.com/bookclub/


Mental Health: Weekly Online Learning for Staff working with

CYP

inourhands.com/onlinelearning @CharlieWTrust | @PookyH

http://www.inourhands.com/onlinelearning/

http://www.inourhands.com/onlinelearning/


Mental Health: Free training and workshops for school staff,

pupils and parents

inourhands.com/cwmt@CharlieWTrust | @PookyH

http://www.inourhands.com/cwmt/


E-NewsletterHighlighting events,

resources, research etc

inourhands.com/sign-up @CharlieWTrust | @PookyH

http://www.inourhands.com/sign-up/

Understanding self harm

Healthcare

Transcript of Understanding self harm