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Deliberate self-injury. Management in a psychiatric setting
1University of Southern California, Los Angeles.
Journal of Psychosocial Nursing and Mental Health Services
|December 1, 1991
Summary
Nurses can help psychiatric patients understand and manage self-injury by assessing its causes and employing behavioral and psychodynamic techniques. This approach aids in reducing self-destructive behaviors and improving patient coping mechanisms.
Area of Science:
- Psychiatry
- Nursing
- Clinical Psychology
Background:
- Self-injury is a significant clinical issue in psychiatric populations.
- The prevalence of self-injury across specific psychiatric disorders remains unclear.
- Nurses play a crucial role in assessing and intervening in self-injury.
Observation:
- Individual patient histories, dynamics, and motivations for self-injury necessitate thorough evaluation.
- Behavioral techniques, such as reinforcement, can be utilized.
- Psychodynamic techniques, including the exploration of feelings and anxiety, are valuable.
Findings:
- Understanding the psychological underpinnings of self-injury is key for effective intervention.
- Patients can develop an awareness of their self-destructive tendencies.
- Cognitive-behavioral strategies can empower patients to manage anxiety and reduce self-harm.
Implications:
- This approach can lead to reduced self-injury incidents in psychiatric patients.
- Enhanced patient coping skills and emotional regulation can be achieved.
- Nurses can implement evidence-based interventions to improve patient outcomes and safety.