CBT for Non-Suicidal Self-Injury: There Must Be A Better Way (Refresher)

19 modules


Dr William Davies



**This refresher course is only available to those that have completed ‘CBT for Non-Suicidal Self-Injury: There Must Be A Better Way' and are wanting to refresh their knowledge and renew their APT Accreditation.**

Deliberate non-suicidal self-injury is the intentional cause of harm to one's own body. More often, however, it is thought of as the coping with intense emotional distress by inflicting injury to oneself. It is more prevalent amongst young people, though by no means confined to them.

Non-suicidal self-injury is not attempted suicide. People who self-harm have no intention of killing themselves, at that point in time. Rather the non-suicidal self-injury is usually a way of coping with some form of distress. In attempted suicide, by contrast, the person intends to kill themselves. However, although it is important to distinguish between non-suicidal self-injury and attempted suicide, people who self-harm are in fact 10 times more likely to eventually end their own lives than people who don't.

More than 24,000 teenagers are admitted to hospital in the UK annually after deliberately harming themselves; 1 in 10 teenagers self-harms. Rates of non-suicidal self-injury in the UK have increased over the last 10 years and are amongst the highest in Europe.

Sometimes, non-suicidal self-injury is triggered by events such as: bereavement, loss of employment, imprisonment, relationship problems, and other crises, yet at other times, none of those are present, and the non-suicidal self-injury seems to be purely a very effective means of coping with tension and stress.

This course sets out to give a clear and effective approach to working with non-suicidal self-injury by providing patients with something that works better for them than harming themselves.

For further information on the format of APT online training click here.


The course covers a great deal:

  • Engaging with the person: forming a relationship whereby the person will take notice of what you say.

  • Analysing why the person self harms. Although some triggers are more common than others, each person has their individual profile and it is essential to uncover it.
  • Putting yourself into a uniquely influential position by validating the person's emotional reactions and their behaviour without appearing to recommend non-suicidal self-injury.
  • Motivating the person to change: having the person reflect on their non-suicidal self-injury, identify why they might wish to stop it and become optimistic about the prospects for stopping (and doing something more constructive).
  • Finding something better. Importantly, many people report that non-suicidal self-injury works extremely well for them and nothing else does. We look at solving this conundrum.
  • The best laid plans are sometimes no more than that: how to have the person act on the plans you have jointly made.
  • Dealing with frustration: coping with relapse in people who are doing well; responding to people who say one thing and do another.
  • Long term strategy. How to get the person to look forward, to have goals and strive to achieve them. How not just to 'not self harm' but leave it right behind them.
  • Methods of working. Gaining support for oneself and providing support 24/7 for the person concerned.

What the course will do for you:

  • You will learn 'the fact and figures' relating to non-suicidal self-injury.

  • How to develop a relationship where the person will take real notice of what you say.
  • How to help the person infer their own learning points - and act on them.
  • Develop an understanding of why some people self-harm in spite of the distress it causes - and the reason is almost never 'attention-seeking'.
  • Learn a clear sequence of steps that are necessary and sufficient in helping and treating people who self harm.
  • Learn how to help the person focus on positive future goals in place of non-suicidal self-injury.
  • How to provide support for the person when you are not available, and support for yourself when you need it.


By completing/passing this course, you will attain the certificate APT Accreditation, Level 2 (12 hours CPD)

Learning Credits

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The Nature of Self Harm
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Why do People Do It
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The 5 step REVAMPP plan
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Reveal why the person self-harms
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Motivating Change
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Planning Alternatives to Self Harm
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Cognitive Restructuring
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Prompting Action
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Radical Diary Keeping
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Monitoring and Developing Your Skilll
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Pushing the Boundaries
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Information sheet for parents
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Working in Groups
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Applying what we have covered reliably
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What have you earned by completing this course
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Added 11 months ago, by Anonymous
Good course. Helpful in bringing new ideas and consolidating what I knew already.
Added almost 4 years ago, by Anonymous
Added over 4 years ago, by Philippa
I have completed the course and enjoyed it, but can I know my exam mark?

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