Psychosocial management of self-harm: Part 1

by Professor Patricia Casey and Dr Alexandra Pitman


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 repetition.


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:


  • the results of individual studies evaluating such treatments for their impact on several outcome measures


  • the results of meta-analyses of studies addressing several outcome measures. 


Start the module



If you like this module, you may also be interested in:


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)



BJPsych Advances: related articles for CPD Online



Related Advances articles


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