- Navneet Kapur, chair of the Guideline Development Group and professor of psychiatry and population health1,
- Tim Kendall, director of NCCMH and medical director, Sheffield Health and Social Care Trust2,
- Clare Taylor, senior editor2,
- Melissa Chan, systematic reviewer2,
- Henna Bhatti, research assistant2
- 1University of Manchester, Manchester, UK
- 2National Collaborating Centre for Mental Health (NCCMH), UK
- nav.kapur{at}manchester.ac.uk
Ellis and Yates highlight the recommendations on risk scales.1 2 3 A central question is whether healthcare professionals should be able to accurately predict adverse outcomes after self harm. The literature review carried out for the guideline suggests that this is not a realistic aim.4 After a first self harm episode, most people will not repeat self harm or die by suicide.5 Identifying those who will have a poor outcome …
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