Self Harm

Problem

Self Harm

Description

Self harm without suicidal intent takes many forms and can be seen as a way of dealing with difficult feelings that build up. Self harm here would have the absence of suicidal intent.
Self harm with suicidal intent should always be taken seriously. However the decision to attempt suicide is often a hasty one – following arguments with family, friends and partner. Therefore it is important to establish if the intent was to end one’s life.
Self-harm is rare in children under 12 years of age, but we must remain alert to the possibility.

It is often difficult to establish whether a CAMHS referral is appropriate or necessary for this group. We would encourage discussion prior to referral.

Patients who have taken overdoses or otherwise serious self-harm should be sent directly to A&E in the first instance, they will be assessed, often by liaison services who will consult with CAMHS and decide whether or not a referral for further treatment is indicated.

Referrals from hospital will be prioritised (in case of emergency presentations or overdose) & those protocols are already in place.
Please let us know if there are any likely difficulties in getting the young person to attend follow up appointments