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by Professor Patricia
Casey and Dr Alexandra
Last updated: November 2017
Self-harm is a common behaviour that
brings thousands to casualty departments each year in the UK
and Ireland. Self-harm carries a risk of completing suicide that
lasts for many years (Owens & Wood,
2005), and risk is particularly high for those who repeat
self-harm (Zahl & Hawton, 2004).
However, there is little to distinguish those who eventually take
their own lives from those who do not (Mulder et al, 2016).
It is the risk of suicide after self-harm that
carries the greatest imperative to identify effective
interventions, although there are other secondary goals, such as
reduction in associated distress, and reduction in the risk of
A range of treatments for self-harming
behaviour have been investigated, yet evidence for their
effectiveness remains uncertain due to the relatively small number
of trials and the poor methodological quality of some of these
(Hawton et al, 2016a).
This module will present:
If you like this module, you may also be
The psychosocial management of self-harm: Part 2
by Prof Particia Casey and Dr Alexandra Pitman
Self-harm (podcast) by Robert Young
Self-harm: non-suicidal self-injury (podcast) by
Dr David Klonsky
Self-Harm: The NICE Guideline on Longer-term Management (book
from RCPsych Publications)
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