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Self-Harm

NICE guideline [NG225] Self-harm: assessment, management and preventing recurrence. Published: Sep 2022.

Self-Harm

Definition and Types

Self-harm is defined as intentional self-poisoning or injury, regardless of the apparent purpose of the act

Self-harm can be broadly divided into:

  • Self-poisoning
    • Intentional ingestion of medication, e.g. paracetamol overdose
    • Intentional ingestion of other harmful substances
  • Self-injury
    • Cutting
    • Burning
    • Hitting or otherwise deliberately injuring oneself

Self-harm and suicidal intent

  • Self-harm may occur with or without suicidal intent
  • Therefore, self-harm should not automatically be assumed to represent a suicide attempt
  • However, every presentation with self-harm should prompt assessment for suicidal thoughts, intent and immediate safety concerns

Risk Factors and Association

[Ref1][Ref2]

Category Specific factors
Previous self-harm / suicidal behaviour
  • Previous or repeated self-harm – associated with both future self-harm and subsequent suicide
  • Previous suicide attempt
  • Previous self-harm with significant suicidal intent
Concurrent mental health conditions
  • Mood disorders (e.g. depression or bipolar disorder)
    • Bipolar disorder is associated with one of the highest risks of suicide among psychiatric disorders [Ref]
  • Psychotic disorders
  • Personality disorders (esp. borderline personality disorder)
  • Anxiety disorders
  • Eating disorders
  • Alcohol or substance use disorders
Psychological and social factors
  • Hopelessness
  • Social isolation or loneliness
  • Being single / not in a relationship
  • Relationship difficulties or breakdown
  • Financial difficulties
  • Employment difficulties or unemployment
  • Recent loss or other major stressful life events
Trauma and adverse experiences
  • Violence
  • Abuse
  • Exposure to conflict or disaster
Physical health
  • Chronic pain
  • Significant or chronic physical illness
Demographic / vulnerability factors Increasing age following self-harm is associated with greater subsequent suicide risk

  • Male sex following self-harm is associated with greater subsequent suicide risk
  • People experiencing discrimination or marginalisation, e.g. refugees and migrants, LGBTI people and prisoners, have higher population-level rates of suicidal behaviour

Learning aid: SAD PERSONS mnemonic for factors historically associated with suicide risk: [Ref]

Letter Corresponding factor
S Sex: male
A Age: <19 or >45 y/o
D Depression or hopelessness
P Previous attempts or psychiatric care
E Excess alcohol or substance use
R Rational thinking loss (e.g. psychosis)
S Separated (single or divorced or widowed)
O Organised or serious attempt
N No social support
S Stated future intent

Important: the SAD PERSONS is traditionally used as a suicide risk-assessment scoring system. However, it has poor evidence as a predictive tool. NICE explicitly recommends not using risk-assessment tools or scales to predict future suicide or repeat self-harm, determine treatment or discharge, or classify patients as low, medium or high risk. Instead, use an individualised psychosocial assessment and risk formulation.

Initial Assessment and Management

Key concept: identify and treat any immediate life-threatening physical problems → psychosocial assessment as soon as the patient can participate, alongside ongoing physical care

Management components:

Assess and manage immediate physical health needs
  • Assess the nature and severity of the self-harm and determine how urgently medical treatment is required
  • Manage any immediate complications, e.g.:
    • Drug overdose or poisoning
    • Significant haemorrhage
    • Wounds or other injuries
  • Use an ABCDE approach if the patient is acutely unwell
Assess immediate mental health and safety
  • Assess the patient’s emotional and mental state and level of distress
  • Establish whether there are immediate concerns about their safety
  • Identify any safeguarding concerns
Arrange psychosocial assessment
  • Physical healthcare and psychosocial assessment should be carried out concurrently as soon as possible
  • The psychosocial assessment should explore:
    • The circumstances and factors leading to the self-harm
    • Current and previous self-harm or suicidal thoughts and behaviour
    • Mental health and social circumstances
    • The patient’s needs, vulnerabilities and protective factors
    • Immediate and longer-term safety
  • In children and young people, also assess:
    • Home circumstances and family relationships
    • Education
    • Peer relationships
    • Social media and internet use
    • Caring responsibilities
    • Safeguarding concerns

Do NOT use risk-assessment tools or scales (e.g. SAD PERSONS) to predict future suicide or repeat self-harm, determine treatment or discharge, or classify patients as low, medium or high risk.

Admission and Discharge Criteria

Consider hospital admission after a self-harm episode if ANY of the following:

  • Active physical safety concerns (e.g. at risk of violence, abuse, exploitation) and a psychiatric admission is not indicated
  • Safeguarding planning needs to be completed
  • Inability to engage in a psychosocial assessment (e.g. highly distressed, intoxicated)

Prior to discharge, the following must be performed:

  • Psychosocial assessment
  • MDT discharge planning
  • Clear management plan that is co-created with the patient
  • Communicated aftercare management to the primary care team

Interventions and Management

Psychological interventions:

  • Adults: CBT-informed psychological intervention
  • Children and young people who experience significant emotional dysregulation difficulties: consider dialectical behavioural therapy adapted for adolescents

Other management components:

Component Description
Safety planning
  • Develop a written, prioritised list of coping strategies and sources of support that can be used during a crisis
  • The safety plan may include:
    • Recognising triggers and warning signs
    • Individual coping or distraction strategies
    • Identifying family members or friends who can provide support
    • Contact details for mental health services, including out-of-hours and emergency services
    • Measures to reduce or restrict access to lethal means
  • The safety plan should:
    • Be developed collaboratively with the patient and, where appropriate, family or carers
    • Use a problem-solving approach
    • Be held by the patient
    • Be shared with family, carers and relevant professionals only as decided by the patient
    • Be easily accessible to the patient and relevant professionals during a crisis
Harm minimisation
  • Consider only if the patient is engaged in ongoing care and treatment but is not yet able to resist the urge to self-harm
  • It should form part of the patient’s overall recovery-focused care and should not be used as a standalone intervention
  • Strategies may include:
    • Distraction techniques or coping strategies
    • Self-care
    • Wound hygiene and aftercare
    • Information about potential complications of self-harm
    • Discussing the effect of alcohol or recreational drugs on the urge to self-harm
Therapeutic risk taking
  • Only consider after a psychosocial assessment has been completed
  • It should:
    • Involve relevant professionals involved in the patient’s care
    • Draw on the patient’s strengths, coping strategies and what matters to them
    • Focus on positive outcomes
    • Be reviewed as part of an ongoing assessment

Do NOT offer drug treatment as an intervention to reduce self-harm. 

Drug treatment should only be used to treat underlying or concurrent mental health conditions (e.g. depression, bipolar disorder, schizophrenia, borderline personality disorder)

References

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