In the first new guideline for 11 years looking at self-harm, the independent NICE committee has drawn up new recommendations for people working in settings from primary care to psychiatry.
The assessment, management and preventing recurrence of self-harm guideline provides information, for the first time, for people working in education and criminal justice settings.
The new guideline sets out the responsibilities of non-mental health specialists when caring for people who self-harm. This includes health and social care professionals working in primary care, non-mental health emergency department professionals, those working in general hospital settings and in social care. There are also recommendations for ambulance staff and paramedics.
The guideline calls for non-specialists who have provided initial care to organise a comprehensive psychosocial assessment, at the earliest opportunity after an episode of self-harm, and that this should be carried out by a specialist mental health professional.
The aim of the comprehensive psychosocial assessment is…