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Self-Harm: Longer-Term Management

NICE Clinical Guidelines, No. 133

National Collaborating Centre for Mental Health (UK).

Leicester (UK): British Psychological Society; 2012.
ISBN-13: 978-1-908020-41-3
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This is the first NICE guideline on the longer-term management of both single and recurrent episodes of self-harm.

Self-harm is common, especially in young people. It increases the likelihood that the person will eventually die by suicide by between 50- and 100-fold above the rest of the population in a 12-month period. A wide range of psychiatric conditions are associated with self-harm, such as borderline personality disorder, depression, bipolar disorder, schizophrenia, and drug misuse and alcohol-use disorders.

The focus of this guideline, which covers people aged 8 years and older, is to improve the longer-term care of people who self-harm after initial treatment of the injury or poisoning. The guideline reviews the evidence for comprehensive assessment, psychosocial and pharmacological interventions for both the self-harm and for any associated psychiatric conditions, staff training, and consent, capacity and confidentiality issues. The guideline also contains a chapter on the experience of care for people who self-harm and their families and carers.


The views presented in this book do not necessarily reflect those of the British Psychological Society, and the publishers are not responsible for any error of omission or fact. The British Psychological Society is a registered charity (no. 229642).

Copyright © 2012, The British Psychological Society & The Royal College of Psychiatrists.

All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Enquiries in this regard should be directed to the British Psychological Society.

PMID: 23534084


NICE (National Institute for Health and Care Excellence)

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