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