1. Identification and Treatment of NSSI Behaviors in College Age Students Kris Vandenberg DNP, FNP-BC, PMHNP-BC Assistant Professor of Nursing k.vandenberg@unf.edu

2. Objectives Objective 1 : Discuss definition of NSSI and prevalence among college age students Objective 2 : Identify assessment and interventional strategies when caring for individuals experiencing NSSI Objective 3 : Describe affordable self injury prevention programs based on current evidence based literature References Available as Handout

3. Outline of Presentation Introduction  Definition of NSSI  Incidence, Prevalence- College Age Students  Myths about NSSI. Reasons for self injury Assessment of NSSI  Warning signs  Observation, what to look for  Communication, questions to ask Intervention  Therapeutic Approaches  Pharmacotherapy Conclusion Question & Answer

4. Understanding  What is Self Injury (NSSI)?  What constitutes NSSI?  When, Where, How ?

6. NSSI- What and Why ? Causing deliberate harm to oneself Not a suicide attempt An unhealthy coping mechanism

7. What Constitutes NSSI?

8. Embedding

9. Why is this Important in College Health? College Age Student Struggles of Students Statistics- vary

10. Myths about Self Injury  Myth #1: Self Injury = Suicide  Myth #2: Self Injury = Attention-seeking  Myth #3: Self Injury= History of abuse

11. Assessment  Visualization  Informal Discussions  Formal Assessmen t

12. Visualization & Informal Discussions  Frequent Injuries  Long pants/shirts  Low self esteem  Relationship problems  Making poor grades  Secretive behaviors  Substance Abuse  Social Isolation  Signs of depression

13. Screening ToolYearItemsDescription Chronic Self-Destructiveness Scale (CSDS)198573Looks at impulsivity, high risk behaviors Self- Harm Behavior Survey1986174Self harm behaviors, feelings, functions Self- Injury Survey199431 +Self injury & suicidal ideation Functional Assessment of Self-Mutilation199739Self injury behaviors Impulsive & Self Harm Questionnaire199714Self harm, suicidal ideation (Dissertation) Self- Injurious Behavior Questionnaire (SIB-Q)199725Self injury among disabled. (Clinician) Self- Injury Questionnaire (SIQ)199754Self Injury behaviors Timed Self-Injurious Behavior Scale199716Self Injury among disabled The Self-Harm Inventory (SHI)199822Self Injury & detect BPD Self-Injury Questionnaire (SIQ)199930Self injury, history childhood trauma Deliberate Self ham Inventory (DSHI)200117Destruction of body tissue Non-Suicidal Self –Injury Assessment Tool (NSSI-AT)200620Self Injury (on-line ) Adolescent Risk Inventory200733High risk behaviors & attitudes Self- Injurious Thoughts & Behavior Interview2007--Structured interview/ Self injury

14. Smith, B.D. (2008)

15. Therapeutic Approaches Recognize Biases Supportive Listening Self Injury Log Teach Coping Skills Referral -Counseling Psychopharmacology

16. Self Injury – Programs/ Sites Cornell Research Program on Self- Injurious Behaviors Safe Alternatives First Signs (UK) The Self-injury Foundation Self Injury Awareness Day: MARCH 1 st - every year !

17. Their words…

18. Conclusion  Always ask about NSSI  Therapeutic  Refer out  Teach coping  Watch for infection  Be aware of your own bias !