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Self-harm in over 8s: long-term management [CG133]

Measuring the use of this guidance

Recommendation: 1.2.1

If a person presents in primary care with a history of self-harm and a risk of repetition, consider referring them to community mental health services for assessment. If they are under 18 years, consider referring them to CAMHS for assessment. Make referral a priority when: levels of distress are rising, high or sustained the risk of self-harm is increasing or unresponsive to attempts to help the person requests further help from specialist services levels of distress in parents or carers of children and young people are rising, high or sustained despite attempts to help.

What was measured: Proportion of persons presenting in primary care with a history of self-harm and a risk of repetition, referred to community mental health services for assessment.
Data collection end: December 2013
15.2%
Number that met the criteria: 6318 / 41500
Area covered: Local
Source: Carr MJ, Chew-Graham C (2016) Clinical management following self-harm in a UK-wide primary care cohort Journal of Affective Disorders 197 (pp 182-188)


Recommendation: 1.5.2

When prescribing drugs for associated mental health conditions to people who self-harm, take into account the toxicity of the prescribed drugs in overdose. For example, when considering antidepressants, selective serotonin reuptake inhibitors (SSRIs) may be preferred because they are less toxic than other classes of antidepressants. In particular, do not use tricyclic antidepressants, such as dosulepin, because they are more toxic.

What was measured: Proportion of prescriptions for mental health conditions that were not tricyclic antidepressants.
Data collection end: December 2013
84.7%
Number that met the criteria: 22080 / 26065
Area covered: Local
Source: Carr MJ, Chew-Graham C (2016) Clinical management following self-harm in a UK-wide primary care cohort Journal of Affective Disorders 197 (pp 182-188)



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