- Recommendation ID
- Observational study exploring different harm-reduction approaches:- What are the different approaches to harm reduction following self-harm in NHS settings?
A study should be carried out to investigate the different approaches to harm reduction following self-harm currently in use in NHS settings. This could use survey methodology with all, or a selected sample of, mental health service providers. Audit data should be used to provide a preliminary evaluation of potential utility. Promising interventions might be tested in small-scale pilot randomised controlled trials, which use frequency and severity of self-harm, and standard measures of distress and psychological symptoms, as outcome measures. Other outcomes such as quality of life, service users' experience and adverse events should be included.
- Any explanatory notes
- Why this is important:- Although cessation of the behaviour remains the treatment goal for many professionals providing care to people who self-harm, this may not be realistic or possible in the short term for some individuals. An alternative strategy for services is to reduce the severity and frequency of selfharm. Anecdotally, a variety of approaches to harm reduction are used in health service settings – for example, minimising the physical harm associated with episodes or suggesting alternatives to self-harming behaviours. However, the extent to which such management strategies are used across services is uncertain, as is their effectiveness.
Source guidance details
- Comes from guidance
- Self-harm in over 8s: long-term management
- Date issued
- November 2011
|Is this a recommendation for the use of a technology only in the context of research?||No|
|Is it a recommendation that suggests collection of data or the establishment of a register?||No|