This guideline covers the short-term management and prevention of self-harm in people aged 8 and over, regardless of whether accompanied by mental illness. It covers the first 48 hours following an act of self-harm, but does not address the longer-term psychiatric care of people who self-harm.

In November 2011 recommendations 1.7.3.3 and 1.7.3.4 on assessment of risk, 1.9.1.13 on special issues for children and young people, and 1.11.1.4 on psychological, psychosocial and pharmacological interventions were replaced with recommendations from self-harm: longer-term management.

Recommendations

This guideline includes recommendations on:

Who is is for?

  • Healthcare professionals
  • Counsellors, psychiatrists, prison health staff, social workers, therapists pharmacists
  • Police and professionals who work in the criminal justice and education sectors
  • Directors of public health, NHS trust managers and managers in primary care trusts
  • People who self harm and their families and carers

Is this guideline up to date?

We reviewed the evidence in September 2016. We identified no major studies that will affect the recommendations in the next 3–5 years.

Next review: 2021

Guideline development process

How we develop NICE guidelines

This guideline was previously called self-harm: the short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care.

Your responsibility

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users 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 compliance with those duties.