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How can we manage cases of self-harm in school when we observe a contagious effect? When we ask them, they say they don't know why they do it, that since others do it, it's normal.

Anna Sintes Estévez
Dr. Anna Sintes Estévez
Clinical Psychologist
Hospital Sant Joan de Déu Barcelona

In these cases, it's understandable that the girls consider it normal, since something many people do tends to be seen as normal. However, even though there is a group, and a clear contagion effect, the cases should be treated individually.

Group interventions in this (school) context are not advisable, nor is it appropriate to treat everyone's problem in the same way. Individual cases can vary significantly in terms of personality, risk factors, co-occurrence of other psychological problems, family structure, etc. It would be beneficial to assess each case individually and inform the parents. Girls with fewer problems in addition to self-harm could receive support within the school setting (from a school counselor). In other cases where additional problems are identified besides self-harm, parents should be advised to seek help from the public healthcare system (pediatrician or primary care physician, and assessment of the need for referral to specialized care).

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Anna Sintes Estévez
Dr. Anna Sintes Estévez
Clinical Psychologist
Hospital Sant Joan de Déu Barcelona
Dr. Daniel Vega Moreno
Dr. Daniel Vega Moreno
Doctor of psychology
Consorci Sanitari de l'Anoia