Self-Harm: The NICE Guideline on Longer-term Management
National Collaborating Centre for Mental Health (NCCMH)
Self-harm is common, especially in young
people. It increases the likelihood that the person will
eventually die by suicide by between 50- and 100-fold above the
rest of the population in a 12-month period. A wide range of
psychiatric conditions are associated with self-harm, such as
borderline personality disorder, depression, bipolar disorder,
schizophrenia, and drug and alcohol-use disorders.
The focus of this guideline is to improve the
longer-term care of people who self-harm after initial treatment of
the injury or poisoning (it covers people aged 8 years and older).
It reviews the evidence for comprehensive assessment,
psychosocial and pharmacological interventions for both the
self-harm and for any associated psychiatric conditions, staff
training, and consent, capacity and confidentiality issues.
It contains all the evidence on which the recommendations were
based, including further data on a free CD-ROM.
- Now the only place to obtain this NICE guidance in
print.
Readership: The guideline
will be useful to healthcare professionals in hospital medical care
and mental health services, plus general practitioners - as about
half of the people who attend an emergency department after an
incident of self-harm will have visited their GP in the previous
month.
List of
the other NICE mental health guidelines
NICE Mental Health Guidelines
These guidelines from NICE set out clear
recommendations, based on the best available evidence, for health
care professionals on how to work with and implement physical,
psychological and service-level interventions for people with
various mental health conditions.
The book contains the full guidelines
that cannot be obtained in print anywhere else. It brings together
all of the evidence that led to the recommendations made, detailed
explanations of the methodology behind their preparation, plus an
overview of the condition covering detection, diagnosis and
assessment, and the full range of treatment and care
approaches.
The accompanying free CD-ROM contains all the data used as
evidence, including:
- Included and excluded studies.
- Profile tables that summarise both the quality of the evidence
and the results of the evidence synthesis.
- All meta-analytical data, presented as forest plots.
- Detailed information about how to use and interpret forest
plots.
Contents
- Preface
- Introduction to self-harm
- Methods used to develop this guideline
- Experience of care
- Training
- Psychosocial assessment
- Psychosocial interventions
- Pharmacological interventions
- Consent, capacity and confidentiality
- Appendices
- References
- Abbreviations