This guideline covers the longer-term psychological treatment and management of self-harm in people aged 8 and over. It aims to improve the quality of care and support for people who self harm and covers both single and recurrent episodes of self-harm.
This guideline follows on from self-harm in over 8s: short-term management and prevention of recurrence, which covers the treatment of self-harm within the first 48 hours of an incident.
This guideline includes recommendations on:
- general principles of care
- primary care
- psychosocial assessment in community mental health services and other specialist mental health settings: integrated and comprehensive assessment of needs and risks
- longer-term treatment and management of self-harm
- treating associated mental health conditions.
Who is it for?
- Healthcare professionals
- Social care practitioners
- People who self harm and their families and carers
Is this guideline up to date?
We checked this guideline in January 2019 and have agreed it will be updated at the earliest opportunity.
Guideline development process
This guideline was previously called self-harm: longer-term management.
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.
All problems (adverse events) related to a medicine or medical device used for treatment or in a procedure should be reported to the Medicines and Healthcare products Regulatory Agency using the Yellow Card Scheme.
Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.