{"id":4414,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/selfharm\/"},"modified":"2025-09-11T09:38:24","modified_gmt":"2025-09-11T08:38:24","slug":"selfharm","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/childandadolescentmentalhealthcamh\/selfharm\/","title":{"rendered":"Self Harm"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Problem<\/h4>\n\n\n\n<p>Self Harm<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Description<\/h4>\n\n\n\n<p>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.<br>Self harm with suicidal intent should always be taken seriously. However the decision to attempt suicide is often a hasty one \u2013 following arguments with family, friends and partner. Therefore it is important to establish if the intent was to end one\u2019s life.<br>&nbsp;Self-harm is rare in children under 12 years of age, but we must remain alert to the possibility.<\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>It is often difficult to establish whether a CAMHS referral is appropriate or necessary for this group.&nbsp;&nbsp;<strong>We would encourage discussion prior to referral.<\/strong><br>&nbsp;<br>Patients who have taken overdoses or otherwise serious self-harm should be sent directly to A&amp;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.<br>&nbsp;<br>Referrals from hospital will be prioritised (in case of emergency presentations or overdose) &amp; those protocols are already in place.<br>Please let us know if there are any likely difficulties in getting the young person to attend follow up appointments<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Self harm can be very anxiety provoking for professionals.<\/p>\n\n\n\n<p>CAMHS are committed to providing training and development opportunities to Tier 1 professionals to assist them to deal with self harm.&nbsp;<\/p>\n\n\n\n<p>This is accessed via<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Self harm and Suicide Pathway<\/h4>\n\n\n\n<p><a href=\"https:\/\/www.selfharm.co.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.selfharm.co.uk<\/a><br><a href=\"http:\/\/www.harmless.org.uk\/ourResources\/downloads\" target=\"_blank\" rel=\"noreferrer noopener\">www.harmless.org.uk\/ourResources\/downloads<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Choose Life<\/h4>\n\n\n\n<p>Offer free training e.g. Safe Talk, ASSIST &amp; MH First Aid.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Locality based mental health information\/resources<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/ithriveedinburgh.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/ithriveedinburgh.org.uk\/<\/a>(Edinburgh)<\/li>\n\n\n\n<li><a href=\"http:\/\/midspace.co.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/midspace.co.uk\/(Midlothian)<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/eastspace.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/eastspace.org.uk\/(East Lothian)<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/www.westspace.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/www.westspace.org.uk\/<\/a>(West Lothian)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Edinburgh: Penumbra<\/h4>\n\n\n\n<p>Service for 16 and over and advice for parents.<br>Penumbra self harm project<br>5 Leamington Terrace Edinburgh<br>EH10 4JW<br>Tel 0131 229 6262<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Young Minds<\/h4>\n\n\n\n<p>Parent helpline. Information and advice on young people\u2019s emotional wellbeing and mental health.<br>Tel: 0808 802 5544<br><a href=\"https:\/\/youngminds.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.youngminds.org.uk<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Systemic Family Sessions<\/h4>\n\n\n\n<p>Free service to help families deal with difficult problems.<\/p>\n\n\n\n<p>Email:&nbsp;<a href=\"mailto:cf.systemicfamilytherapy@edinburgh.gov.uk\" target=\"_blank\" rel=\"noreferrer noopener\">cf.systemicfamilytherapy@edinburgh.gov.uk<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">West Lothian<\/h4>\n\n\n\n<p>The Mental Health and Mental Wellbeing Screening group offers a wide variety of support for children young people and their families. Please contact the Children and Young Peoples team on Tel. 01506 282948 or email&nbsp;<a href=\"mailto:cypt@westlothian.gov.uk\" target=\"_blank\" rel=\"noreferrer noopener\">cypt@westlothian.gov.uk<\/a><\/p>\n\n\n\n<p>West Lothian have a clear self harm pathway. Please see for further advice.<\/p>\n\n\n\n<p>For information and advice<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><mark style=\"background-color:#cf2e2e\" class=\"has-inline-color has-standard-white-color\">http:\/\/intranet.lothian.scot.nhs.uk\/NHSLothian\/Healthcare\/A-Z\/PIREAS\/Documents\/Self-Harm.pdf<\/mark><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Midlothian<\/h4>\n\n\n\n<p>MYPAS (Midlothian young people\u2019s advice service includes counselling and family counselling services) 0131 454 0757<\/p>\n\n\n\n<p>Rowan alba \u2013 support service for YP\u2019s with\/from chaotic backgrounds (need to travel to Edinburgh)<\/p>\n\n\n\n<p>The following contains information about Midlothian services, but there are detailed sections suicide and self-harm which are a useful general resource.&nbsp;<a href=\"\/files\/sites\/2\/Supporting-children-and-Young-People-at-risk-of-Self-Harm-Midlothian.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Supporting children and Young People at risk of Self-Harm Midlothian.pdf<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">East Lothian<\/h4>\n\n\n\n<p>Crossreach (East Lothian young people\u2019s counselling service includes individual counselling and family counselling services) &#8211;&nbsp; 01368 865218<\/p>\n\n\n\n<p>Helpful websites:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a rel=\"noreferrer noopener\" href=\"http:\/\/www.harmless.org.uk\/downloads\" target=\"_blank\">www.harmless.org.uk\/downloads<\/a><\/li>\n\n\n\n<li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.selfharm.co.uk\/\" target=\"_blank\">https:\/\/www.selfharm.co.uk\/<\/a><\/li>\n\n\n\n<li><a rel=\"noreferrer noopener\" href=\"http:\/\/www.samaritans.org\/\" target=\"_blank\">www.samaritans.org<\/a><\/li>\n\n\n\n<li><a rel=\"noreferrer noopener\" href=\"http:\/\/www.breathingspacescotland.co.uk\/\" target=\"_blank\">www.breathingspacescotland.co.uk<\/a>&nbsp;&nbsp;&nbsp; (Telephone helpline: 0800 83 85 87)<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>\u200b<a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/CAMHS-Resource-Websites-for-Children-and-Adolescent-with-MH-difficulties-May-2022.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/CAMHS-Resource-Websites-for-Children-and-Adolescent-with-MH-difficulties-May-2022.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">CAMHS Resource-Websites for Children and Adolescent with MH difficulties May 2022.pdf<\/a><\/p>\n\n\n\n<p>The above is a PDF document&nbsp;listing resources and contacts that can be printed off<\/p>\n\n\n\n<p>Helpful websites:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a rel=\"noreferrer noopener\" href=\"http:\/\/www.harmless.org.uk\/downloads\" target=\"_blank\">www.harmless.org.uk\/downloads<\/a> link not fond<\/li>\n\n\n\n<li><a href=\"https:\/\/www.selfharm.co.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.selfharm.co.uk\/<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/www.samaritans.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.samaritans.org<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/www.breathingspacescotland.co.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.breathingspacescotland.co.uk<\/a>&nbsp;&nbsp;&nbsp; (Telephone helpline: 0800 83 85 87)<\/li>\n\n\n\n<li><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Supporting-children-and-Young-People-at-risk-of-Self-Harm-Midlothian.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Supporting-children-and-Young-People-at-risk-of-Self-Harm-Midlothian.pdf<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>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<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":3788,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[390],"class_list":["post-4414","page","type-page","status-publish","hentry","category-selfharmcamhs"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/mentalhealthcamhs\/selfharmcamhs\/\" rel=\"tag\">Self Harm (CAMHS)<\/a>","rttpg_excerpt":"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","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4414","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4414"}],"version-history":[{"count":6,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4414\/revisions"}],"predecessor-version":[{"id":25322,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4414\/revisions\/25322"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3788"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4414"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4414"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}