Mental Health Crisis and Self-Harm in Adults: A Report

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INTRODUCTION
The major impact of blooming modernization and high speed lifestyles across the state
is the irreversible loss of self-care and cognitive compliance. All these when left
unattended gradually progresses into an illness that poses as a clinical illness.
Everyday exceeding number of cases reports at the outpatient wards with the
complaints of intrapersonal conflicts, emotional discrepancy, and cognitive ailment,
overt instances of clinical depression, demotivation and anxiety disorders. The alarming
signs of these diseases should not be ignored because progression these might trigger
episodes of self-destruction, and suicidal attempts. The incidents of suicide are so often
that it is one of the commonest causes of mortality for adults of age 20 to 49 years old
men (Mental Health Foundation., 2019). The healthcare systems have specifically
ensured that there are specialists to look after such cases not only for the service care
provision but also in form of specially trained nursing staff and other assistants who
ensure a sealed palliative care. The confidentiality and privacy of such patients during
and after the treatment is a prime concern to prevent any sort of image distortion in
context of the mental illness.

LO2
The health care systems has provision of specially trained nursing staffs, consultants
appointed in the emergency wards , who relay the cases of self-injury or self-mutilation
directly to the Department of Psychiatry and Mental Rehabilitation (Olfson, Marcus, and
Bridge., 2014). The immediate intervention of the medical team prevents the self-injury
cases to progress into a self-slaughter in turn decreasing the risk of mortality reported
by self-injury. The service user is precisely enquired about the nature of triggering
stimulus, its frequency and mode of action selected in order to root back to cause of the
mental imparity which lead to the episode of self-injury. The specialists also note any
intoxication in the form of alcohol consumption/drug intake/any other form of adulterants
which tend to alter the human reflexes. The increased instances of such cases amongst
the younger age groups, pose an essential demand for a follow up Psychosocial
Assessment, Counseling and Rehabilitation. Patients who have been regularly visiting
the hospitals for their Special Mental and Emotional Well Being follow ups have shown
a commendable improvement with absolutely no relapse. Also a regular assessment of
risks and needs is mandatory. The nursing care of such patients is not only challenging
but a determining factor in the patient’s recovery as the patients with impaired or
exaggerated mental responses require an exceptionally tender and attentive care owing
to the sensitivity of emotions and actions they develop (James et al., 2012). The main
string of trust and communication amidst the patient and consulting specialist is the
nursing staff. The compassionate and loving nursing staff that is available for almost all
the patient’s calls is very important in cases of self-mutilation and mental imparity. The

proper in time intake of the therapeutically indicated drugs in a regulated and controlled
way is taken care of by the nurses. In addition to these, the case specific care
modifications which might provide an insight to the patient’s demands of healing are
also a duty of the nurse in charge. The young patients show a wide range of
vulnerability and risks of attempts of self-injury even under treatment, which implies the
functions of the specially trained nurses who intervene and manage the mentally
delusional patients. The nurses ensure that not only the patient’s clinical, but their
dietary, psychological, physical and emotional all distresses are addressed and treat
efficiently. The tendency of suicidal behavior may be associated with the concomitant
social, physical, psychosocial, financial, marital, or any other abuse or insult. The
statistical analysis of the instances of mental health problem instigated suicides has
given us a shocking count of eighteen thousand suicides in between the years 2003 to
2013 (Mental Health Foundation., 2019).The National Institute for Health and Care
Excellence (NICE), has provided a pre-defined and systematically structured guidelines
for the health care systems which not only takes into account the prevention of self-
mutilation instances under hospital care but also those occurring in the course of any
custody or in the vicinity of any community (Humber et al., 2011). It has explained the
drafting of prevention plans on the basis of previous records, aids and measures to help
the fellow community mates and colleagues recognize any person with such mental and
personality crisis, any further exposure of such people to those who have recently been
affected by suicide or self-injury is not permissible, there should be strict cessation of
any potential means of self-injury, the mass communication platforms should be
exploited to spread awareness against such instances which should also incorporate

the helpline numbers (Kendall et al., 2011). The National Health Services (NHS)
advocates the role of society in enhancing and improving the mental and psychosocial
well-being of an individual. The communities found out vulnerable to instances of self-
injury and comorbidities have been sanctioned a special fund under the name of
‘Sustainability and Transformation Partnerships (STP) (Harris et al., 2013). A total of
eight such communities has been recognized and allotted to work precisely for the
prevention of self-injury and suicidal behaviors. The early detection of the first signs of
personality conflicts; regular psychiatric checkups addressing intra personality conflicts,
anxiety crisis, over emotional episodes; de addiction campaigns; local community level
awareness drives; primary care interventions specially oriented to mental imparity are
some of the essential measures which would not only improve but also help us achieve
the need of the hour of “ZERO SELF HARM SATE”.

REFERENCES:
Harris, F.M., Maxwell, M., O’Connor, R.C., Coyne, J., Arensman, E., Székely, A., Gusmão, R.,
Coffey, C., Costa, S., Cserháti, Z. and Koburger, N., 2013. Developing social capital in
implementing a complex intervention: a process evaluation of the early implementation of a
suicide prevention intervention in four European countries. BMC Public Health, 13(1), p.158.
Humber, N., Hayes, A., Senior, J., Fahy, T. and Shaw, J., 2011. Identifying, monitoring and
managing prisoners at risk of self-harm/suicide in England and Wales. The Journal of Forensic
Psychiatry & Psychology, 22(1), pp.22-51.
James, K., Stewart, D., Wright, S. and Bowers, L., 2012. Self harm in adult inpatient psychiatric
care: a national study of incident reports in the UK. International journal of nursing
studies, 49(10), pp.1212-1219.
Kendall, T., Taylor, C., Bhatti, H., Chan, M. and Kapur, N., 2011. Longer term management of
self harm: summary of NICE guidance. Bmj, 343, p.d7073.
Mental Health Foundation., 2019. Retrieved from (https://www.mentalhealth.org.uk/) last
accessed on 12/06/2019.
Olfson, M., Marcus, S.C. and Bridge, J.A., 2014. Focusing suicide prevention on periods of high
risk. JAMA, 311(11), pp.1107-1108.