no secrets
DESCRIPTION
No Secrets. Self-injury awareness: No Secrets – history and progress Self-injury (inc. NICE guidance) My personal story (Kerri Jones). Supporting those affected by self-injury. WARM UP Exercise 1. Why No Secrets started. Co-founded Oct 2007 – 2 volunteers Lack of support - PowerPoint PPT PresentationTRANSCRIPT
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No SecretsSupporting those affected by self-injury
Self-injury awareness:•No Secrets – history and progress•Self-injury (inc. NICE guidance)•My personal story (Kerri Jones)
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WARM UPExercise 1
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Why No Secrets started...
• Co-founded Oct 2007 – 2 volunteers• Lack of support• ‘Alone’ – me and family• Lack of understanding• Nobody spoke about it• “No Secrets” – how we want it
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Our Mission• To provide a safe and supportive environment for
anybody affected by self-injury• To raise awareness of self-injury• To tackle stigma associated with self-injury
We aim to achieve the above by providing peer support, providing awareness-level training,
running awareness campaigns, communicating with as many as possible and working closely
with local health services.
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Since October 2007...• Group 1 St Helens continuing to run• Group 2 Wigan started early 2011• Group 3 Halton launched May 2011• Group 4 Family/friend support – 20th July @ PB• Continual awareness level training to over 200
people• Local press, Saints (RLFC), ‘Pick Me Up’, BBC News• Now have 10 volunteers• Successful activities/fundraisers
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Sponsored Abseil – St Helens
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Sponsored mountain climb
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Donut men – Wigan group 2011
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No Secrets in one sentence...• “A feeling of belonging and that I’m not alone”• “Means I can make a difference to other people’s
lives”• “Support and guidance, and friends when you
need it most”• “People understand self-harm, and me”• “No Secrets is a fantastic place to open up and
meet new friends”• “A safe place just to ‘be’”• “I belong!”• “People committed to improving lives”
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No Secrets in one word...
• “Friendly”• “Helpful”• “Reliable”• “Super”• “Hope”
From Wigan & St Helens group members in, April 2011
• “Happy”• “Inspirational”• “Accepted”• “Friendship”• “Peace”
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Self-injury
Definition adopted by NICE:“intentional self-poisoning or injury, irrespective
of the apparent purpose of the act”.
Not always connected to suicide. Majority preventing suicide.
2 categories: Self-injury and self-poisoning.
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Self-injury/self-poisoning
• SI - Cutting, swallowing objects, insertion of foreign objects into body, burning, stabbing.
• SP – overdosing with medicines, swallowing poisonous substance.
• Self-injury more common than self-poisoning, this is not reflected in statistics.
• People who self-poison are more likely to seek professional help.
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NICE: Clinical need for guidance
• 150,000 presentations to A&E each year• UK rates are amongst highest in Europe• Half of the 4000 people who die each year by
suicide will have self harmed at some point• Self-poisoning most commonly seen in ED’s • Cutting most common form of SI• 100x more likely than general population to die
by suicide, whether intentional or accidental
Information from Clinical guideline 16
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NICE: Key priorities for implementation
• Respect, understanding and choice• Staff training• Activated charcoal• Triage• Treatment• Assessment of needs and risk• Psychological, psychosocial and
pharmacological interventions
Information from Clinical guideline 16
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Risk factors & life events• Single• Divorced• Live alone• Single parent• Severe lack social support• Disadvantaged background• Victimisation (domestic abuse, sexual abuse etc)• Alcohol/drug use
Information from Clinical guideline 16
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Psychological characteristics
• Certain characteristics more common in SH:• Impulsivity• Hopelessness• Poor problem solving
• Nearly ½ those presenting to ED’s with SI meet criteria for having a PD (though this can bring it’s own problems)
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How many self-inflicted injuries did Warrington A&E treat within the space of 9 months (1st April- 31st Dec) in 2010
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What percentage of that 802 were male?
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What was the average age of all 802 people who presented to Warrington
A&E?
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WHY DO WE SELF HARM?• Relieves tension• Punishment• Calming/self soothing• Focus shifts from emotional to physical• Control• Adrenaline rush• Numbness/detached - “It makes me feel alive”• Anger and self-hatred• Depression “jeckle and hyde effect”• Very upset• Problems can seem smaller afterwards• Anxiety
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IF ONLY YOU COULD GET IT!
• Self harm makes me feel something when I feel numb
• I don’t do it for attention• I’m hurting myself, nobody else• It’s mostly easier not to tell anyone I’ve done it• A bigger wound doesn’t mean worse feelings• We can have accidents too
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It helped when…• The professionals working with me weren’t scared
of talking about self harm.• My support worker expressed they wanted to
understand as much as possible• Somebody accepted that self-injury is my way of
coping for the time being• I was told to be ‘safe’ rather than told not to do it• People truly believed I didn’t want to keep hurting
myself, even though it didn’t come across that way• I was offered support after telling somebody about
my self harm, rather than being told I was seeking attention and being manipulative.
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It really didn’t help me when:• People said I was being stupid or I should have
known better• Staff got annoyed with me after I’d harmed, for
not talking about it before I did it• A&E staff refused me pain relief• Someone took all my sharps away (where no
suicidal intent present)• I heard people laughing at me• Staff said they were disappointed in me• I was reminded of those who I love and told how
much I was letting them down• People made a big deal of it when they didn’t
need to
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In summary
DO DON’TTalk about SH and ask if you are unsure
Ridicule/put me down
Understand as much as possible and reflect on your actions
Blurt out responses
Accept Treat differently from everyone else
Be Safe Remove my only coping mechanism
Believe & encourage Laugh/make fun of
Non-judgmental support Focus on negatives of SH
Generally, focusing solely on negatives to self-injury will make person feel worse. Try to explore a variety of potential positives and negatives (Sharon)
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My story• Abused in early childhood• Uni, deaths (april – Aug), cutting and suicide
attempts 2005-2006 - SIPU• 2007 Started voluntary work and co-founded
No Secrets with mum• Extent of abuse accidentally revealed to family• Reported abuse to police• Self-injury – as long as remember. My release
from overwhelming feelings of sadness, self-hatred and anger.
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What I’ve learned since initial breakdown
• Honesty is vital• Acceptance important• Actively work on tackling problems• Help others with similar issues• I’m not alone• I’ve achieved more than I thought capable• Anchors – family, friends, pets
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Open Q&A
• This is your chance to ask any questions around self-injury and/or mental health problems
• We will always be honest and do not worry that any questions will act as a trigger
• We want you to be honest• Bring up anything you may want to discuss within
the group• Your questions help us to see how it is from your
perspectives
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Feedback and check out
• Share with the group what you have learned from this session
• It’s important that we remember that anybody can be affected by self-injury. If you have been affected by this session try to speak to somebody before you leave
• Check-out... What are you going to do this evening?
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Evaluation
• We would be grateful if you could complete the evaluation form for us to feedback your own thoughts on how this session went
• This will help us to improve and continue the work we are doing
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Thanks!More details can be found on our website:
http://nosecrets.moonfruit.com For more information on the WIGAN group, contact
Kerri on 07846 889 300 or email [email protected]
For more information on the ST HELENS or HALTON groups contact Tina on
07863 736 647 or email [email protected]
Thank you for your support!