This report is only available online – there are no
printed copies available to buy.
Please use the link above to view and download a PDF
file of the report.
Suicide remains the second most common cause of death among young
people. Self-harm is an important signal of distress, so it needs
sensitive responses with careful handling. Our actions are
important. Our actions can make a difference for young people and
turn lives around. Our actions can save lives.
This report has been written by psychiatrists,
but it is intended for a broad readership. As evidenced in the
consultation process, opinions of many other professional groups
have been included. The endorsements by YoungMinds, the Royal
College of Paediatrics and Child Health and the Royal College of
Nursing provide firm evidence of this. The intended readership is
mainly professionals working with young people, although young
people and families may also find the report useful, particularly
in understanding how services should work together.
As there is much written on the subject of
self-harm, this report does not attempt to cover all areas of
management. It focuses on service-level issues, particularly the
roles of professionals and interservice relationships.
Fourteen recommendations are highlighted
throughout the report. There are additional good practice points
included throughout the text. Some key focuses include: courage and
compassion in asking about self-harm, from community to hospital
settings; reduction of stigma and the importance of treating young
people who have self-harmed in a non-judgemental and respectful
manner; high-quality assessment at all levels of service.
One key recommendation relates to admission of
16- and 17-year olds attending acute hospital. The report
recommends that routine admission is not expected, but if there is
doubt about the safety of the young person, the arrangement or the
quality of assessment, then admission to an acute hospital is to
Patterns of self-harm in children and young
people are evolving with the explosion of digital communication.
Our understanding of the impact of this revolution in communication
is growing. We have included a section at the end of the report
summarising positive and negative aspects of the online world and
some tips for professionals and parents.
This report replaces CR64: Managing
Deliberate Self Harm in Young People from 1998.
- Executive summary
- Commissioning services
- Risk factors
- Young people’s experiences of
- Community presentation of
- Assessment and interventions for
acute presentation to hospital
- Joint protocols for the management of
- Acute presentation to hospital: roles
and responsibilities of involved staff
- Liaison services for acute
presentations to hospital
- Self-harm and the internet
- Appendix of online resources