logo
episode-header-image
May 2019
33m 42s

Looked-after children and self-harm

COMMUNITY CARE
About this episode
Trigger warning

This content discusses issues of self-harm, mental health and suicide. Please take the time to consider your own mental health, and seek support if you need it. In the UK, the Samaritans can be reached for free on 116 123.

Welcome to Learn on the go, a Community Care Inform podcast where we discuss what the latest research, practice models and policy guidance mean to your practice.

This episode is about looked-after children and self-harm. It covers what self-harm is, why looked-after children are more at risk of self-harming, and how social workers can support young people and carers. Discussing these questions are Judith Furnivall, lecturer and consultancy lead at the Centre for Excellence for Children’s Care and Protection at the University of Strathclyde, and Dr Eileen Harkness-Murphy, lecturer at the School of Health and Life Sciences in the University of the West of Scotland. The questions were asked by Ruth Hardy, content editor at Community Care Inform.

2:34: What is self-harm and what behaviours can it include?

7:30: Research suggests that about half of looked-after children meet the criteria for a mental health disorder, which is a much higher figure than the general population. Why is this?

12:44: What are the risk factors for self-harm?

22:59: How can social workers support young people waiting for a mental health referral?

27:40: General good practice principles when working with young people who self-harm.

This content covers some difficult and sensitive issues, so please take the time to consider your own mental health, and seek support if you need it. In the UK, the Samaritans can be reached for free on 116 123.

References
Beautrais, A L (2000)
'Risk factors for suicide and attempted suicide among young people'
Australian and New Zealand Journal of Psychiatry, Volume 34, pp236–420

Brophy, M; Holmstrom, R and Flynn, K (2006)
Truth Hurts
Report of the National Inquiry into Self-harm among Young People

Cukrowicz, K; Wingate, L; Driscoll, K and Joiner, T (2004)
'A standard of care for the assessment of suicide risk and associated treatment: The Florida State University Psychology Clinic as an example'
Journal of Contemporary Psychotherapy, Volume 34, pp87-100

Hales, H; Davison, S; Misch, P and Taylor, P J (2003)
'Young male prisoners in a young offenders’ institution: their contact with suicidal behaviour by others'
Journal of Adolescence, Volume 26, pp667-685

Harkess-Murphy, E (2011)
'Self-harm and psychosocial risk characteristics : a study of three student cohorts within West Central Scotland'
PhD Thesis, University of the West of Scotland

Harkness-Murphy, E; Macdonald, J and Ramsay, J (2013)
'Self-harm and psychosocial characteristics of looked after and looked after and accommodated young people'
Psychology, Health and Medicine, Volume 18, Issue 3, pp289-99

Hasking, P; Momeni, R; Swannell, S and Chia, S (2008)
'The Nature and Extent of Non-Suicidal Self-Injury in a Non-Clinical Sample of Young Adults'
Archives of Suicide Research, Volume 12, pp208-218

Hawton, K; Rodham, K; Evans, E and Weatherall, R (2002)
'Deliberate self harm in adolescents: self report survey in schools in England'
British Medical Journal, Volume 325, pp1207-1211

House of Commons Education Committee (2016)
Mental health and wellbeing of looked-after children
London, House of Commons

Meltzer, H; Lader, D; Corbin, T; Goodman, R and Ford, T (2004)
The mental health of young people looked after by local authorities in Scotland
Edinburgh: The Stationery Office

Mental Health Foundation (undated)
The Truth About Self-harm
London, Mental Health Foundation

Mind (2016)
Understanding Self-harm
London, Mind

Muehlenkamp, J J; Hoff, E R; Licht, J-G; Azure, J A and Hasenzahl, S J (2008)
'Rates of non-suicidal self-injury: A cross-sectional analysis of exposure'
Current Psychology: A Journal for Diverse Perspectives on Diverse Psychological Issues, Volume 27, Issue 4, pp234-241

NICE (2014)
Self-harm: Summary
NICE Clinical Knowledge Summaries

O’Connor, R C and Nock, M K (2014)
'The psychology of suicidal behaviour'
The Lancet. Psychiatry, Volume 1, Issue 1, pp73–85

O’Connor, R; Rasmussen, S; Miles, J and Hawton, K (2009a)
'Deliberate self-harm in adolescents: self-report survey in schools in Scotland'
British Journal of Psychiatry, Volume 194, pp68-72

Prinstein, M J; Heilbron, N; Guerry, J D; Franklin, J C; Rancourt, D; Simon, V and Spirito, A (2010)
'Peer Influence and Nonsuicidal Self-Injury: Longitudinal Results in Community and Clinically-Referred Adolescent Samples'
Journal of Abnormal Child Psychology, Volume 38, pp669-682

Scottish Government (2011)
Responding to Self Harm in Scotland: final report
Edinburgh, The Scottish Government
Up next
Jun 27
Season 1 Episode 6: Authentic leadership skills - feedback, trust and psychological safety
This episode focuses on leadership skills and style - in particular the crucial role of feedback which can sometimes be seen as mainly about staff performance and a less comfortable or even fear-inducing aspect of any kind of leadership or supervisory role.Our guests today are ke ... Show More
34m 18s
May 30
Season 1 Episode 5: Addressing the risks of exploitation for children with SEND
Season 1, episode 5. This episode is about how to safeguard children with special educational needs and disabilities from sexual exploitation. We’ll be discussing recent research and findings related to modern slavery and the heightened risk that children with SEND are at across ... Show More
28m 56s
Apr 2025
Season 1 Episode 4: Dealing with change and loss after becoming disabled as an adult
Season 1, episode 4This episode focuses on dealing with change and loss as a result of becoming physically disabled as an adult, and how practitioners can support individuals who are coming to terms with the impact of disability on their body and their lives.The guest is Rebecca ... Show More
26m 50s
Recommended Episodes
Dec 2024
What Is Menopause?
Hot flashes, brain fog, sleepless nights—menopause is often shrouded in mystery and stigma. But what if it didn’t have to be? In this episode, we’re joined by, Dr. Louise Newson, a trailblazing GP and menopause specialist who’s work is transforming how the world understands this ... Show More
54m 20s
Nov 2024
The Struggles of Premature Menopause with Christy Napolitano Wernau & Jewel Kling, MD, MPH (Episode 201)
Primary ovarian insufficiency (POI) sends about 4% of women into premature menopause before the age of 40. Yet, the condition is little understood and for those experiencing it, incredibly isolating. This week we talk about the struggles women with premature menopause face with a ... Show More
54m 49s
Jul 2024
272. Women Empowering Women - Starting A Midlife Telehealth Company
272 When Medicine Fails You - Start A CompanyMonica Molenaar and Anne Fulenwider, co-founders of Alloy, discuss their journey into menopause and the creation of their company. They highlight the lack of information and inconsistent advice they received from doctors, leading them ... Show More
48m 43s
Jul 2024
588: The Metabolic Trifecta in Perimenopause and Menopause + HRT Basics and Best Practices to Thrive in Midlife with Jackie Piasta
Frustrated with not feeling heard by your primary care doc?  You’re not the only one who feels like your menopause symptoms and concerns are getting dismissed.  As women, we go through a whirlwind of changes– physically, emotionally, and hormonally– during perimenopause and menop ... Show More
1h 8m
Jul 2024
SOG EP 1641 BONUS: #1 Menopause Doctor: 5 Daily Habits to Sleep Better, Feel Healthier, and Beat Menopausal Belly Fat
Have you listened to the FULL EPISODE yet?"The happiest men in the world are married men and the unhappiest women in the world are married women." - Dr. Mary Claire HaverIn this eye-opening episode, Dr. Mary Claire Haver delves into the complex relationship between menopause, sex ... Show More
7m 24s
Jul 2024
#1 Menopause Doctor: 5 Daily Habits to Sleep Better, Feel Healthier, and Beat Menopausal Belly Fat
Have you saved your seats at Summit of Greatness 2024 yet?! Get them before they sell out at lewishowes.com/ticketsToday, we welcome Dr. Mary Claire Haver, who delves into the critical and often overlooked topic of menopause. Dr. Haver discusses the alarming lack of education and ... Show More
1h 17m
Mar 2025
433 - The Truth About Menopause EVERY Woman Needs to Hear with Tamsen Fadal
Is menopause really the end of feeling like yourself? In this powerful conversation, Tamsen Fadal breaks down the myths about menopause and shares science-backed solutions for managing symptoms, reclaiming your energy, and thriving through midlife. @TamsenFadal, Emmy Award-winnin ... Show More
43m 44s
Sep 2022
Menopause
The menopause marks the permanent end to the reproductive phase of life and happens at an average age of 51. Symptoms can be significant and affect many body systems. In this podcast, Dr Anne Connolly discussed contraception in the perimenopausal years, the management of a woman ... Show More
18m 21s
Jun 2024
40: Menopause – Effect and cause
Half of the population experience menopause, but its effects are wide-ranging and poorly understood. In this episode, Michelle Hanratty investigates how menopause can affect the eye — from inflammatory changes, such as blepharitis, to dry eye disease and even an association with ... Show More
26m 32s
Oct 2024
#883 Key Cause Of Weight Gain & Inflammation! - Best Anti-Aging Advice For Women Over 40+ with Andrea Donsky
Today, I am blessed to have a conversation with menopause educator Andrea Donsky. Andrea shares her 14-year journey through perimenopause, highlighting symptoms like fatigue, brain fog, and sleep disturbances. We discuss the importance of understanding and managing these symptoms ... Show More
1h 5m