Deliberate Self-Harm and Suicidal

behavior.
Muhammad Zubair
Assistant Professor INS/KMU
Continuum of Self Protective responses
Continum of Suicide
 DEFINITION OF SELF-
HARM:
“The commission of deliberate harm to
one's own body. The injury is done to
oneself, without the aid of another person,
and the injury is severe enough for tissue
damage (such as scarring) to result”
Risk Factors associated with deliberate self
harm
Models of deliberate self harm
Ways to elicit and respond to DSH
SELF-HARMING BEHAVIOURS
SELF-HARMING BEHAVIOURS

CUTTI SCRATCHING/PICKING BURNI

NG NG

FACE INGESTING OBJECTS WALL BANGING

PUNCHING

INSERTING OBJECTS OVERDOSING FALLING DOWN STAIRS

BREAKING BONES DRINKING BLEACH

EYEBROW / EYELASH /HEAD HAIR

PULLING
(Trichotillomania)
 Myth: Self-harm is attention Fact: Most Self-harm takes
seeking place in private.

Myths
and Facts Myth: Self-harm is a suicide
attempt
Fact: Most people who
engage in Self-harm do so as
a way of staying alive

for Self - (coping) it’s not about ending

(suicide)

harm Fact: People who engage in

self-harm do so to shift the
Myth: People who engage in focus from the emotional
Self-harm enjoy pain distress, and are possibly
trying to communicate that
distress.
 WHY DO PEOPLE SELF-HARM?
• Coping with
feelings
• Relieving guilt and
self-hatred
• Communication

• Control

• Feeling ‘real’ and

alive