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Carmel McAuliffe

In: Suicidal Behaviour: Assessment of People-at-Risk

Chapter 4: Problem-Solving Ability and Repeated Deliberate Self-Harm

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Problem-Solving Ability and Repeated Deliberate Self-Harm
Problem-solving ability and repeated deliberate self-harm
CarmelMcAuliffe

Suicidal behaviour including deliberate self-harm (DSH) can be conceptualised as a maladaptive coping response (Sakinofsky, 2000) in which the person's overarching motive is to escape from a problem situation (Baumeister, 1990; Williams and Pollock, 2001) to solve a problem (Applebaum, 1963; Chiles and Strosahl, 2004), or to avoid or relieve unpleasant emotions (Bancroft et al., 1976, 1979; Chapman et al., 2006; McAuliffe et al., 2007). Deliberate self-harm and its repetition pose a major challenge to mental health and social services internationally (Madge et al., 2008; Sakinofsky, 2000). Repetition accounts for a significant proportion of hospital-treated DSH episodes and is regarded as the central characteristic of self-harm (Kerkhof, 2000). More recent evidence shows that repetition ...

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