Self-injurious behavior : assessment and treatment
Julkaistu sarjassa
Jyväskylä studies in education, psychology and social researchTekijät
Päivämäärä
2016Oppiaine
PsykologiaThis research explored the conceptualisation of self-injurious behavior (SIB) in terms of
similarities and differences amongst the two types of this behavior. It further explored
the efficacy of a brief psychological intervention for SIB as well as the effect of a brief
training in the assessment and treatment of SIB on the attitudes psychiatric personnel
hold towards people who engage in SIB. The participants in two of the three studies
reported here were individuals who following a self-injury episode approached the
accident and emergency unit at the Central Finland Community General Hospital. The
participants in the third study were psychiatric personnel from the North Karelia
Health District. The data in the first study consisted of 46 self-injurious acts committed
by the study’s 16 participants. In the second study, the data pertained to the
participants’ responses to multiple psychometrically sound instruments at baseline
and at follow-up points. The third study consisted of participants’ pre and post
training responses on a questionnaire measuring staff attitudes towards people who
engage in SIB. The findings from the studies suggest the following: (i) non-suicidal
self-injurious behavior (NSSI) and suicidal self-injurious behavior (SSI) co-occur and
share certain similarities but also differ; (ii) SIB within individuals is changing with
multiple different motivational factors at different time points; (iii) a comprehensive
assessment of SIB using valid instruments is imperative; (iv) a brief 4-session
psychological intervention is followed by a decrease in the frequency of SIB, with the
decrease still present at 6-month follow-up; (v) a brief intervention can be taught to
and implemented by the staff with no prior psychotherapeutic training; (vi) the
attitudes of the psychiatric personnel towards individuals who engage in SIB are
complex and ambivalent; (vii) a brief training in the assessment and treatment of SIB is
followed by an improvement in personnel attitudes. This research contributed to the
SIB field by illustrating how evidence-based assessment of SIB antecendents and
consequences can result in treatment tailored to individuals’ specific needs. The
research advocated that effective SIB intervention is grounded in evidence-based
elements and cuts across different psychotherapeutic approaches. Because the
implementation of evidence-based practices requires change at the level of policy
making, this research explicates the need for the formation of Current Care Guidelines
for SIB in Finland, with psychologists having a greater role in its assessment and
treatment.
...
Julkaisija
University of JyväskyläISBN
978-951-39-6756-7ISSN Hae Julkaisufoorumista
0075-4625Asiasanat
Metadata
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