Data gathering

  • Red flags – planning, suicide note, plans not to be found, previous attempts
  • Others – how do you feel now, protective factors, alcohol, drugs
  • Examine – MSE


Clinical management

  • Explanation
    • Many reasons for self harm – for example to find relief in a terrible situation or as a way of coping with emotions or feelings
  • Treatment
    • Physical treatment, A+E
    • Review medications (?potential for more OD)
    • CBT
    • Psychiatry
  • Safety net/Follow up – A+E, Crisis