supporting material

No Secrets
Supporting those affected by self-injury
Self-injury awareness:
• No Secrets – history and progress
• Self-injury (inc. NICE guidance)
• My personal story (Kerri Jones)
Exercise 1
Why No Secrets started...
Co-founded Oct 2007 – 2 volunteers
Lack of support
‘Alone’ – me and family
Lack of understanding
Nobody spoke about it
“No Secrets” – how we want it
Our Mission
• To provide a safe and supportive environment for
anybody affected by self-injury
• To raise awareness of self-injury
• To tackle stigma associated with self-injury
We aim to achieve the above by providing peer
support, providing awareness-level training,
running awareness campaigns, communicating
with as many as possible and working closely
with local health services.
Since October 2007...
Group 1 St Helens continuing to run
Group 2 Wigan started early 2011
Group 3 Halton launched May 2011
Group 4 Family/friend support – 20th July @ PB
Continual awareness level training to over 200
• Local press, Saints (RLFC), ‘Pick Me Up’, BBC News
• Now have 10 volunteers
• Successful activities/fundraisers
Sponsored Abseil – St Helens
Sponsored mountain climb
Donut men – Wigan group 2011
No Secrets in one sentence...
• “A feeling of belonging and that I’m not alone”
• “Means I can make a difference to other people’s
• “Support and guidance, and friends when you
need it most”
• “People understand self-harm, and me”
• “No Secrets is a fantastic place to open up and
meet new friends”
• “A safe place just to ‘be’”
• “I belong!”
• “People committed to improving lives”
No Secrets in one word...
From Wigan & St
Helens group
members in, April
Definition adopted by NICE:
“intentional self-poisoning or injury, irrespective
of the apparent purpose of the act”.
Not always connected to suicide. Majority
preventing suicide.
2 categories: Self-injury and self-poisoning.
• SI - Cutting, swallowing objects, insertion of
foreign objects into body, burning, stabbing.
• SP – overdosing with medicines, swallowing
poisonous substance.
• Self-injury more common than self-poisoning,
this is not reflected in statistics.
• People who self-poison are more likely to seek
professional help.
NICE: Clinical need for guidance
• 150,000 presentations to A&E each year
• UK rates are amongst highest in Europe
• Half of the 4000 people who die each year by
suicide will have self harmed at some point
• Self-poisoning most commonly seen in ED’s
• Cutting most common form of SI
• 100x more likely than general population to die
by suicide, whether intentional or accidental
Information from Clinical guideline 16
NICE: Key priorities for
Respect, understanding and choice
Staff training
Activated charcoal
Assessment of needs and risk
Psychological, psychosocial and
pharmacological interventions
Information from Clinical guideline 16
Risk factors & life events
Live alone
Single parent
Severe lack social support
Disadvantaged background
Victimisation (domestic abuse, sexual abuse etc)
Alcohol/drug use
Information from Clinical guideline 16
Psychological characteristics
Certain characteristics more common in SH:
Poor problem solving
• Nearly ½ those presenting to ED’s with SI meet
criteria for having a PD (though this can bring
it’s own problems)
How many self-inflicted injuries did
Warrington A&E treat within the space
of 9 months (1st April- 31st Dec) in 2010
What percentage of that 802 were
What was the average age of all 802
people who presented to Warrington
Relieves tension
Calming/self soothing
Focus shifts from emotional to physical
Adrenaline rush
Numbness/detached - “It makes me feel alive”
Anger and self-hatred
Depression “jeckle and hyde effect”
Very upset
Problems can seem smaller afterwards
• Self harm makes me feel something when I feel
• I don’t do it for attention
• I’m hurting myself, nobody else
• It’s mostly easier not to tell anyone I’ve done it
• A bigger wound doesn’t mean worse feelings
• We can have accidents too
It helped when…
• The professionals working with me weren’t scared
of talking about self harm.
• My support worker expressed they wanted to
understand as much as possible
• Somebody accepted that self-injury is my way of
coping for the time being
• I was told to be ‘safe’ rather than told not to do it
• People truly believed I didn’t want to keep hurting
myself, even though it didn’t come across that way
• I was offered support after telling somebody about
my self harm, rather than being told I was seeking
attention and being manipulative.
It really didn’t help me when:
• People said I was being stupid or I should have
known better
• Staff got annoyed with me after I’d harmed, for
not talking about it before I did it
• A&E staff refused me pain relief
• Someone took all my sharps away (where no
suicidal intent present)
• I heard people laughing at me
• Staff said they were disappointed in me
• I was reminded of those who I love and told how
much I was letting them down
• People made a big deal of it when they didn’t
need to
In summary
Talk about SH and ask if you are
Ridicule/put me down
Understand as much as possible and
reflect on your actions
Blurt out responses
Treat differently from everyone else
Be Safe
Remove my only coping mechanism
Believe & encourage
Laugh/make fun of
Non-judgmental support
Focus on negatives of SH
Generally, focusing solely on negatives to self-injury will make person feel
worse. Try to explore a variety of potential positives and negatives (Sharon)
My story
• Abused in early childhood
• Uni, deaths (april – Aug), cutting and suicide
attempts 2005-2006 - SIPU
• 2007 Started voluntary work and co-founded
No Secrets with mum
• Extent of abuse accidentally revealed to family
• Reported abuse to police
• Self-injury – as long as remember. My release
from overwhelming feelings of sadness, selfhatred and anger.
What I’ve learned since initial
Honesty is vital
Acceptance important
Actively work on tackling problems
Help others with similar issues
I’m not alone
I’ve achieved more than I thought capable
Anchors – family, friends, pets
Open Q&A
• This is your chance to ask any questions around
self-injury and/or mental health problems
• We will always be honest and do not worry that
any questions will act as a trigger
• We want you to be honest
• Bring up anything you may want to discuss within
the group
• Your questions help us to see how it is from your
Feedback and check out
• Share with the group what you have learned
from this session
• It’s important that we remember that
anybody can be affected by self-injury. If you
have been affected by this session try to speak
to somebody before you leave
• Check-out... What are you going to do this
• We would be grateful if you could complete
the evaluation form for us to feedback your
own thoughts on how this session went
• This will help us to improve and continue the
work we are doing
More details can be found on our website:
For more information on the WIGAN group, contact
Kerri on 07846 889 300 or email
[email protected]
For more information on the ST HELENS or HALTON
groups contact Tina on
07863 736 647
or email [email protected]
Thank you for your support!

similar documents