Self-Injurious Behavior


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Self-Injurious Behavior

  1. 1. Self Injurious Behaviors Stephanie Underhill Teghan Pecherski Kristen Hague Ryan Duffy Samantha
  2. 2. Introduction Self Injurious Behavior (SIB) includes:  Self-harm  Cutting  Self-poisoning  Substance abuse  defined as the intentional, direct injuring of body tissue most often done without suicidal intentions
  3. 3. Understanding SIB  Way of coping with problems  May help express feelings that can’t be put into words  Sadness, self-loathing, emptiness, guilt, rage.  Does not solve the underlying issue. It’s only a temporary solution
  4. 4. Background of Self-Injurers  The person seeking treatment is usually from a middle class to upper class background, of average to high intelligence, and has low self-esteem  Nearly 50% report physical and/or sexual abuse during his or her childhood.  As high as 90% report that they were discouraged from expressing emotions, particularly anger and sadness.  More common in females than in males.
  5. 5. Examples of SIB  Drugs and Alcohol  EBD  Depression/Anxiety  Schizophrenia  Abuse  ADD/ADHD  Stress
  6. 6. Reasons for Behaviors  Self-injurers       commonly report they feel: Empty inside Over or under stimulated Unable to express their feelings Lonely Not understood by others Fearful of intimate relationships and adult responsibilities.
  7. 7. Signs and Symptoms If you see students with:  Unexplained wounds or scars  Blood stains  Covering up (long sleeves/pants in hot weather)  Isolation or Irritability  Low self-esteem  Difficulty handling feelings  Poor functioning at school
  8. 8. How to deal with a student who is self-harming  Establish a close relationship with them so they feel comfortable  Give them an alternate way to express themselves (painting, journals, music)  Offer support and communication  If problem is severe, seek medical help (therapist, psychologist)
  9. 9. INTRO TO SPECIAL ED SIB Common forms of SIB include…  Head-hitting  Head-banging  Excessive scratching  Wrist / Hand-biting In the most severe cases, SIB can result in…      Retinal detachment Blindness Broken bones Bleeding Death
  10. 10. Autism 15% of individuals with autism display SIB SIB Autism
  11. 11. Causes  Physiological  Social  Frustration  Communication  Social attention  To obtain tangibles Data Collection  Important to record  Data should include:  Physical / social environment  Lighting / sound  Who is interacting with child  Time day / day of week / how often
  12. 12. CPI  Crisis Prevention Institute  MUST BE TRAINED!  How to properly restrain a child  Video on CPI
  13. 13. Intervention  Behavior chart – reward with music, video, games, reading, toyssomething they like. (up to the discretion of the teacher and parents)  CPI  Positive reinforcement.  Differential Reinforcement Alternative Behavior (DRA)  Music Therapy, Massage Techniques, and Sensory Stimulation  Remain calm
  14. 14. Conclusion  What is SIB?  What are some examples of SIB?  How can educators help students who demonstrate signs of SIB?
  15. 15. Who would have thought love could cost so much Every mark on a body shows the lust As every word said is full of trust Who would have thought a love could cause such pain To leave a heart with nothing to gain Who would have thought that the passion inside Would drive her crazy To the point she would want to die Who would have thought a girl would want so much Every word from your mouth And even your touch A touch from your hands A sweet kiss from your lips A hand to hold And a heart she can give Who would have thought a love could cost so much For her to hide the pain in all her cuts Who would have thought her scars were real Her escape route is how she deals To hide the sorrow And what runs through her mind She cuts to feel alive. - Self Abuser (
  16. 16. Resources      _a_research_report_from_a_specialized_school_in_ England