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by Dr Alison Wood, Dr Gemma Trainor and Dr Justine Rothwell
Published: January 2020
Young people who
self-harm represent a significant challenge to professionals.
Junior doctors at all stages of training will be required to
conduct assessments in a variety of settings. To be effective the
doctor is required to conduct an in-depth and thorough psychiatric
assessment and to formulate a management plan that will include the
mitigation of risk.
Self-harm is a symptom of multiple mental
disorders and is not a disorder in its own right. In working
through this module it may be helpful to reference The National
Institute for Health and Care Excellence (NICE) guidance for
depression, emotionally unstable personality disorder, eating
disorders, anxiety, obsessive-compulsive disorder (OCD), drugs and
substance misuse, post-traumatic stress disorder (PTSD) and
This module, the first of a two-part series,
covers risk assessment and management. The second module will cover
treatments and the legal frameworks.
If you like this module, you may also be interested in:
management of self-harm: Part 1 and Part 2 by Professor Patricia Casey and
Dr Alexandra Pitman
Self-harm (podcast) by Robert Young
Self-harm: non-suicidal self-injury (podcast) by
Dr David Klonsky
Download take-home notes to print and