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Self-harm [QS34]

Measuring the use of this guidance

Statement: 2

People who have self‑harmed have an initial assessment of physical health, mental state, safeguarding concerns, social circumstances and risks of repetition or suicide.

Quality standard measure: Proportion of people who have self‑harmed who have an initial assessment of physical health, mental state, safeguarding concerns, social circumstances and risks of repetition or suicide.
What was measured: Proportion of patients who present to the Emergency Department who have self-harmed and were asked specifically about all of the following: suicidal intent and act, safeguarding, concerns, assessing risk of repetition, assessing risk of potential harm to others.
Data collection end: December 2014
36%
Area covered: UK
Source: Royal College of Emergency Medicine. Mental Health in the ED

Quality standard measure: Proportion of people who have self‑harmed who have an initial assessment of physical health, mental state, safeguarding concerns, social circumstances and risks of repetition or suicide.
What was measured: Proportion of patients who present to the Emergency Department who have self-harmed and have a risk-assessment documented in their notes.
Data collection end: December 2014
68%
Area covered: UK
Source: Royal College of Emergency Medicine. Mental Health in the ED


Statement: 3

People who have self harmed receive a comprehensive psychosocial assessement

Quality standard measure: Proportion of people who have self harmed to either receive a comprehensive psychosocial assessment or are referred to a specialist mental health professional for the assessment.
What was measured: Hospital presentations with self-harm where a psychosocial assessment by a mental health professional has taken place
Data collection end: June 2011
57%
Area covered: National
Source: Cooper J et al (2013) Are hospital services for self-harm getting better? An observational study examining management, service provision and temporal trends in England. BMJ Open 2013; Vol 3, e003444 doi:10.1136/bmjopen-2013-003444


Statement: 4

People who have self‑harmed receive the monitoring they need while in the healthcare setting, in order to reduce the risk of further self‑harm.

Quality standard measure: Number of episodes of self‑harm occurring in healthcare settings.
What was measured: Proportion of patients in a community or inpatient mental health setting that have self-harmed in the last 72 hours.
Data collection end: May 2015
3.4%
Data collection end: May 2016
3.5%
Data collection end: May 2017
2.7%
Data collection end: May 2018
3.4%
Area covered: England
Source: NHS Safety Thermometer: Mental health



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