Managing self harm

Difficulties in managing young people who self harm

BMJ 2012; 344 doi: 10.1136/bmj.e143 (Published 10 January 2012)
Cite this as: BMJ 2012;344:e143

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  1. Samuel Yates, core trainee year 2, psychiatry1
  1. 1Central and North West London NHS Foundation Trust, Collingham Child and Family Centre, London W8 5LW, UK
  1. samuelyates{at}doctors.org.uk

Junior psychiatry doctors on-call often have to assess and manage young people who have self harmed. National Institute for Health and Clinical Excellence guidelines suggest following the same principles as for adults but also recommend attention to “family, social situation, and child protection issues.”1 This can be difficult, especially out of hours.

Firstly, young people …

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