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Self-Harm in Adolescence

Iva Buresová

The author discusses the subject of self-harm in adolescence, considering the historical context of the development of its classification system. She presents an overview of theoretical fundamentals as well as models of behavior derived from them. Within the context of current research studies, she describes its prevalence, etiology, and comorbidity. The author specifies the basic protective and risk factors as well as all important influences. She presents the diagnostic tools currently used in research and clinical practice including the description of key approaches to prevention, therapy and treatment. This book includes the results of a unique research study mapping the lexical trace of the term self-harm in adolescents and the differences in perception of this term among those without own practice, with mediation and with personal, often repeated experience.

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Introduction .............................................................................................................1 1 Self-Harm Classification System Development ................................3 1.1 Definition of Terms ......................................................................................7 1.2 Differentiation from Suicidal Behaviour .................................................10 2 The Specifics of Self-Harm in Adolescence .......................................15 2.1 Prevalence ...................................................................................................16 2.2 Aetiology .....................................................................................................20 2.3 Comorbidity ................................................................................................22 2.4 The Progress of Self-Harm ........................................................................30 2.5 Functions and Models of Motivation for Self-Harming Behaviour .......35 2.6 Forms of Self-Harm ...................................................................................44 2.7 The Influence of Developmental Changes on Self-Harm .....................49 3 Risk and Protective Factors of Self-Harm ..........................................55 3.1 Biological Factors .......................................................................................57 3.2 Personality Factors .....................................................................................59 3.3 Family Influence .........................................................................................61 3.4 The Influence of Peer Groups ...................................................................64 3.5 Socio-Economic Influences and the Impact of Mass Media and Social Networks ........................................................66 4 Lexical Trace of the Term Self-Harm in Adolescents ...................71 4.1 Gender Differences in the Perception of the Term Self-Harm by Adolescents .........................................................................74 VI 4.2 Understanding of Self-Harm in Adolescents Based on their Experience with Self-Harm ........................................................76 5 Diagnostic Tools Used in Research and Clinical Practice ..........79 6 Preventive Strategy and Therapeutic Approaches .........................85 6.1 Preventive Strategies Focused on Self-Harm in Adolescence ..............85 6.2 Treatment and Therapeutic Approaches to Self-Harm in Adolescence .........................................................................86 6.3 The Specifics of Hospital Care for Self-Harming Adolescents .............91 Summary ..................................................................................................................95 List of Abbreviations ..........................................................................................97 References ................................................................................................................99 List of Figures ..................................................................................................... 123 List of Tables ........................................................................................................ 125

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