What Is the Connection Between Self-Harm and Depression?

People generally analyze intentional self-harm, including suicidal behaviors, from the surface of phenomena. For example, the person has suffered pressure, suffered setbacks, experienced negative life or the effects of survival events, or thinks that people who have self-harm and suicide are "careful eyes , Ca nt think of it, it s a pity, it s not worth it and so on. In fact, intentional self-harm includes those serious self-harm behaviors with the purpose of pursuing the end of life, such as attempted suicide, suicide death, etc., which should be regarded as a mental illness and require medical help. ^[1]

Deliberate self-harm

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People generally analyze intentional self-harm, including suicidal behaviors, from the surface of phenomena. For example, the person has suffered pressure, suffered setbacks, experienced negative life or the effects of survival events, or thinks that people who have self-harm and suicide are "careful eyes , Ca nt think of it, it s a pity, it s not worth it and so on. In fact, intentional self-harm includes those serious self-harm behaviors with the purpose of pursuing the end of life, such as attempted suicide, suicide death, etc., which should be regarded as a mental illness and require medical help. ^[1]

1. Personal psychological characteristics: Many studies or psychological evaluations show that compared with the general population, some of the injured people have low maturity coping ability, high depression, high emotional instability or anger traits, high impulsivity, low self-pleasure or satisfaction. Wait.

2. Social, family, and environmental factors: The social support of the victim is poor, whether it is objective support conditions or low subjective support feelings, poor support utilization, and poor family environment.

3. Other factors: lifestyle influences, such as excessive drinking or substance abuse. Mental and mental illness or physical illness or major life events have an impact on the occurrence and development of self-harm.

The domestic suicide mortality rate is high, at 1.5-2.5 / 10,000 per year for several years. There is no rigorous suicide monitoring in China. It is estimated that 2 to 5 million doctors visit hospitals each year for self-harm such as oral pesticides, medical drugs, and high-rise falls, which is more than 10 times the number of suicide deaths. Studies show that about 30% of those who have attempted suicide have mental and psychological disorders, and more than 60% of those who die by suicide. Some foreign studies have even more than 90% of suicide attempters with a history of self-harm within the next 6 years. More than 20% of suicides have occurred again. A lot of research has been done on the characteristics of injury among the injured population, and understanding these will help in service delivery.

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Self-harm behaviors, including attempted suicide, are a type of psychopathy, and medical interventions can cure or reduce future risks. Treatment mainly includes psychological intervention to change or enhance the life and survival of the person concerned, and get rid of hopelessness. Numerous research and service experience show that treatment can effectively improve the psychological and psychological activity level of the parties and effectively reduce the risk of re-injury. Because the injured parties are often accompanied by emotional, emotional distress or other psychological problems, it is necessary to deal with the psychological or physical problems or diseases that affect the occurrence and development of the harmful behaviors in addition to the intervention of the harmful behaviors themselves.

Self-harm, including suicide, is preventable. Strengthening the mental and mental health education, caring for life, respecting life and other good atmospheres are increasingly strengthened. With the development of society and economy, the continuous improvement of environmental safety facilities has played a positive role in reducing the risk of injury. Human security design of subway security doors, windows and roads connecting high-rise buildings to the outside world, and rational management of medicines in areas with high levels of pesticides have all played a positive role. Secondary prevention is to reduce those factors or conditions that may lead to injury or suicidal behaviors, such as treating people with mental disorders, paying attention to severe physical diseases, people with disabilities, and people who have suffered major trauma and life events. The key to secondary prevention is to be good at finding possible injury clues and do a good job of channeling. The most important thing is the psychological intervention and services for high-risk groups. We must provide services to people who have already suffered harm, and attempt suicide, and carry out tertiary prevention to effectively reduce the risk of re-injury.

1. Someone in the family has suicidal behavior. Don't panic. You should know the relevant knowledge about suicide. It is important to have a correct attitude towards the phenomenon of suicide, to avoid embarrassment of the notion that "home ugliness cannot be revealed," and to be ashamed to consult or seek help from professionals such as dialing life-saving aids and psychological crisis intervention hotlines.

2. Actively cooperate with professionals to evaluate the attempted person, judge the possibility and extent of the risk of suicide again, and provide psychological services.

3. The attempted person has a mental disorder and a psychological problem and must seek medical treatment in a timely manner.

4. Families should communicate more with the attempted person, care about and care for them, understand their psychological state and be good at finding possible clues to harm, and guide the attempted person to actively expose to specific responses such as misery and suicide.

5. For high-risk attempters, if they have depression, repeated self-harm, and suicidal thoughts, they should pay attention to preventive measures and prepare for preventive measures, including proper storage of drugs and no useless dangerous goods, and try to avoid dangerous goods at their disposal. and. As far as possible, ensure that the attempted person is in constant or uninterrupted contact or contact by telephone within the observable range.

6. Once suicidal behaviors occur, they should be sent to the hospital promptly.