{"id":2169,"date":"2023-03-14T12:47:29","date_gmt":"2023-03-14T12:47:29","guid":{"rendered":"https:\/\/sites.manchester.ac.uk\/mash-project\/?page_id=2169"},"modified":"2024-08-27T12:45:06","modified_gmt":"2024-08-27T11:45:06","slug":"best-practice-hospital-management-of-self-harm","status":"publish","type":"page","link":"https:\/\/sites.manchester.ac.uk\/mash-project\/best-practice-hospital-management-of-self-harm\/","title":{"rendered":"Best practice hospital management of self-harm"},"content":{"rendered":"<p>[et_pb_section bb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; fullwidth=&#8221;on&#8221; next_background_color=&#8221;#000000&#8243; _builder_version=&#8221;3.17.6&#8243; global_module=&#8221;322&#8243;][et_pb_fullwidth_menu global_parent=&#8221;322&#8243; _builder_version=&#8221;3.0.106&#8243; menu_id=&#8221;7&#8243; submenu_direction=&#8221;downwards&#8221; fullwidth_menu=&#8221;off&#8221; background_layout=&#8221;dark&#8221; module_class=&#8221;main-navigation&#8221; \/][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; fullwidth=&#8221;off&#8221; specialty=&#8221;off&#8221; transparent_background=&#8221;off&#8221; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;off&#8221; custom_padding=&#8221;0px||0px|&#8221; custom_css_main_element=&#8221;padding-top:0px&#8221; module_class=&#8221;header-image-section&#8221; prev_background_color=&#8221;#ffffff&#8221; next_background_color=&#8221;#ffffff&#8221;][et_pb_row allow_player_pause=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; use_custom_gutter=&#8221;off&#8221; make_equal=&#8221;off&#8221; custom_margin=&#8221;||0px|&#8221; custom_padding=&#8221;||0px|&#8221; module_class=&#8221;header-image&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_image src=&#8221;https:\/\/sites.manchester.ac.uk\/mash-project\/wp-content\/uploads\/sites\/277\/2023\/03\/3_best_practice_hospital_management_1400x400.jpg&#8221; show_in_lightbox=&#8221;off&#8221; url_new_window=&#8221;off&#8221; use_overlay=&#8221;off&#8221; align=&#8221;left&#8221; always_center_on_mobile=&#8221;on&#8221; use_border_color=&#8221;off&#8221; force_fullwidth=&#8221;off&#8221; custom_margin=&#8221;0px|||&#8221; animation_direction=&#8221;left&#8221; show_bottom_space=&#8221;off&#8221; border_color_all=&#8221;#ffffff&#8221; _builder_version=&#8221;3.17.6&#8243; \/][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; fullwidth=&#8221;off&#8221; specialty=&#8221;off&#8221; transparent_background=&#8221;off&#8221; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;off&#8221; custom_padding=&#8221;||0px|&#8221; prev_background_color=&#8221;#ffffff&#8221; next_background_color=&#8221;#ffffff&#8221;][et_pb_row allow_player_pause=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; use_custom_gutter=&#8221;off&#8221; make_equal=&#8221;off&#8221; custom_margin=&#8221;||0px|&#8221; custom_padding=&#8221;||0px|&#8221; module_class=&#8221;breadcrumbs-row&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Breadcrumbs (do not remove)&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; module_class=&#8221;breadcrumbs&#8221; custom_css_main_element=&#8221;border-bottom: 1px solid #ececed;&#8221; module_alignment=&#8221;left&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221;]<\/p>\n<span><span><a href=\"https:\/\/sites.manchester.ac.uk\/mash-project\/\">The Manchester Self-Harm Project<\/a><\/span><\/span>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; fullwidth=&#8221;off&#8221; specialty=&#8221;on&#8221; transparent_background=&#8221;off&#8221; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;off&#8221; parallax_2=&#8221;off&#8221; parallax_method_2=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; prev_background_color=&#8221;#ffffff&#8221; next_background_color=&#8221;#1d1d1d&#8221;][et_pb_column type=&#8221;1_3&#8243;][et_pb_sidebar admin_label=&#8221;Left Nav Sidebar&#8221; area=&#8221;et_pb_widget_area_1&#8243; orientation=&#8221;left&#8221; remove_border=&#8221;on&#8221; background_layout=&#8221;light&#8221; module_id=&#8221;left-nav-menu&#8221; show_border=&#8221;off&#8221; \/][\/et_pb_column][et_pb_column type=&#8221;2_3&#8243; specialty_columns=&#8221;2&#8243;][et_pb_row_inner admin_label=&#8221;Row&#8221;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; module_alignment=&#8221;left&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h1>Best practice hospital management of self-harm<\/h1>\n<p class=\"subHeading\">In the video below, Dr Pauline Turnbull talks about the clinical guidance available on the hospital management of self-harm.<\/p>\n<p>You can also view a <a href=\"http:\/\/assets.mhs.manchester.ac.uk\/MaSH\/video_transcript_hospital_management_self_harm.pdf\" target=\"_blank\" rel=\"noopener\">transcript<\/a> (PDF).<\/p>\n<p>[\/et_pb_text][et_pb_video _builder_version=&#8221;3.17.6&#8243; src=&#8221;https:\/\/youtu.be\/OAkY74CpZtk&#8221; \/][et_pb_text _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2>NICE guidelines for self-harm<\/h2>\n<p>NICE guidelines on the short and long-term management of self-harm contain detailed guidance about care provided by primary, community and secondary health and social care services.<\/p>\n<p>This guidance can help to improve services for people who self-harm, and help services to support people in reducing and eventually stopping their self-harm.<\/p>\n<p>You can access these resources at the links below:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.nice.org.uk\/guidance\/cg16\">short-term management and prevention of recurrence<\/a><\/li>\n<li><a href=\"https:\/\/www.nice.org.uk\/guidance\/cg133\">long-term management of self-harm<\/a>.<\/li>\n<\/ul>\n<h2>The Quality Standard for Self-Harm<\/h2>\n<p>In 2013, NICE published the <a href=\"https:\/\/www.nice.org.uk\/guidance\/qs34\">Quality Standard for Self-Harm<\/a>, which should be read in conjunction with the short- and longer-term management guidance.<\/p>\n<p>The quality standard includes eight key components of best practice that, when implemented, will help to raise the standards of care for people who self-harm:<\/p>\n<ol>\n<li>People are treated with compassion, respect and dignity.<\/li>\n<li>They receive an initial assessment of physical health, mental state, social circumstances and risk of suicide.<\/li>\n<li>They receive a comprehensive psychosocial assessment.<\/li>\n<li>They receive the monitoring they need to keep them safe.<\/li>\n<li>They are cared for in a safe physical environment.<\/li>\n<li>Collaborative risk management plans are in place.<\/li>\n<li>They have access to psychological interventions.<\/li>\n<li>There is a transition plan when moving between services.<\/li>\n<\/ol>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=&#8221;Row&#8221;][et_pb_column_inner type=&#8221;1_2&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Left&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"margin-bottom: -5em\"><a href='https:\/\/sites.manchester.ac.uk\/mash-project\/epidemiology-and-risk-factors-for-self-harm\/' class='small-button smallsilver'>&lt; Previous page<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=&#8221;1_2&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"text-align: right;margin-bottom: -5em\"><a href='https:\/\/sites.manchester.ac.uk\/mash-project\/is-hospital-management-of-self-harm-improving\/' class='small-button smallsilver'>Next page &gt;<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=&#8221;Row&#8221;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><strong>In the <a href=\"https:\/\/sites.manchester.ac.uk\/mash-project\/mash-learning\/\">Mash Learning<\/a> section:<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/sites.manchester.ac.uk\/mash-project\/1-what-is-self-harm\/\">What is self-harm?<\/a>\u00a0<\/li>\n<li><a href=\"https:\/\/sites.manchester.ac.uk\/mash-project\/epidemiology-and-risk-factors-for-self-harm\/\">The epidemiology and risk factors for self-harm<\/a>\u00a0<\/li>\n<li>Best practice hospital management of self-harm<\/li>\n<li><a href=\"https:\/\/sites.manchester.ac.uk\/mash-project\/is-hospital-management-of-self-harm-improving\/\">Is hospital management of self-harm improving?<\/a>\u00a0<\/li>\n<li><a href=\"https:\/\/sites.manchester.ac.uk\/mash-project\/summary-of-practical-guidance\/\">Practical clinical guidance<\/a>\u00a0<\/li>\n<li><a href=\"https:\/\/sites.manchester.ac.uk\/mash-project\/access\/\">Further information<\/a>\u00a0<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; admin_label=&#8221;Connect Title&#8221; module_class=&#8221;footer-section&#8221; _builder_version=&#8221;3.0.90&#8243; background_color=&#8221;#1d1d1d&#8221; custom_padding=&#8221;0px||0px|&#8221; prev_background_color=&#8221;#ffffff&#8221; global_module=&#8221;380&#8243;][et_pb_row admin_label=&#8221;row&#8221; global_parent=&#8221;380&#8243; parallax_method_1=&#8221;off&#8221; parallax_method_2=&#8221;off&#8221; parallax_method_3=&#8221;off&#8221; module_id=&#8221;footer-row&#8221; _builder_version=&#8221;3.0.89&#8243; locked=&#8221;off&#8221;][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Contact Us Title&#8221; global_parent=&#8221;380&#8243; _builder_version=&#8221;3.0.74&#8243; text_text_color=&#8221;#ffffff&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_layout=&#8221;dark&#8221;]<\/p>\n<h4>Contact Us<\/h4>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Contact Us&#8221; global_parent=&#8221;380&#8243; module_class=&#8221;contact-us&#8221; _builder_version=&#8221;3.17.6&#8243; text_text_color=&#8221;#aaaaaa&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; use_border_color=&#8221;off&#8221;]<\/p>\n<p>Manchester Self-Harm Project<br \/>Room 2.316, Jean McFarlane Building<br \/>The University of Manchester<br \/>Oxford Road<br \/>Manchester M13 9PL, UK<\/p>\n<p>Tel: +<a href=\"tel:441612750719\">44 (0)161 275 0719<\/a><br \/>Email:\u00a0<a href=\"mailto:mash@manchester.ac.uk\">mash@manchester.ac.uk<\/a>\u00a0<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Find Us Title&#8221; global_parent=&#8221;380&#8243; _builder_version=&#8221;3.0.74&#8243; text_text_color=&#8221;#ffffff&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_layout=&#8221;dark&#8221;]<\/p>\n<h4>Find Us<\/h4>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Address&#8221; global_parent=&#8221;380&#8243; module_id=&#8221;address&#8221; _builder_version=&#8221;3.0.87&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_layout=&#8221;dark&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<p><a href=\"http:\/\/www.manchester.ac.uk\/discover\/maps\/interactive-map\/\">The University of Manchester<br \/>Oxford Rd<br \/>Manchester<br \/>M13 9PL<br \/>UK<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Connect Title&#8221; global_parent=&#8221;380&#8243; _builder_version=&#8221;3.0.74&#8243; text_text_color=&#8221;#ffffff&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_layout=&#8221;dark&#8221;]<\/p>\n<h4>Connect With Us<\/h4>\n<p>[\/et_pb_text][et_pb_code admin_label=&#8221;Social Media&#8221; global_parent=&#8221;380&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<ul class=\"inlineList footer-socialIcons\"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/pee>                                            <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>                                            <!-- [et_pb_line_break_holder] --><pee>                                                                                                                                                                                                               <!-- 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href=\"http:\/\/www.youtube.com\/universitymanchester\"><!-- [et_pb_line_break_holder] --> <img loading=\"lazy\" decoding=\"async\" src=\"\/\/assets.manchester.ac.uk\/phase1\/templates\/images\/icon-youtube-50.png\" alt=\"YouTube page for The University of Manchester\" width=\"40\" height=\"40\" \/><!-- [et_pb_line_break_holder] --> <\/a><!-- [et_pb_line_break_holder] --><\/li>\n<p><!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>                                            <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>                                            <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>                                            <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>                                            <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>                                        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[et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <img loading=\"lazy\" decoding=\"async\" src=\"\/\/assets.manchester.ac.uk\/phase1\/templates\/images\/icon-instagram-50.svg\" alt=\"Instagram page for The University of Manchester\" width=\"40\" height=\"40\" \/><!-- [et_pb_line_break_holder] --> <\/a><!-- [et_pb_line_break_holder] --><\/li>\n<p><!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>                                            <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>                                            <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>                                            <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>                                            <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>                                            <!-- [et_pb_line_break_holder] --><pee>                                                                                                                                                                                                               <!-- [et_pb_line_break_holder] --><\/pee>                                            <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>                                            <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/ul>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p><span><span><a href=\"https:\/\/sites.manchester.ac.uk\/mash-project\/\">The Manchester Self-Harm Project<\/a><\/span><\/span> Best practice hospital management of self-harm In the video below, Dr Pauline Turnbull talks about the clinical guidance available on the hospital management of self-harm. You can also view a transcript (PDF). NICE guidelines for self-harm NICE guidelines on the short and long-term management of self-harm contain detailed guidance about care provided by primary, [&hellip;]<\/p>\n","protected":false},"author":12,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_exactmetrics_skip_tracking":false,"footnotes":""},"class_list":["post-2169","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/sites.manchester.ac.uk\/mash-project\/wp-json\/wp\/v2\/pages\/2169","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.manchester.ac.uk\/mash-project\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sites.manchester.ac.uk\/mash-project\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/mash-project\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/mash-project\/wp-json\/wp\/v2\/comments?post=2169"}],"version-history":[{"count":10,"href":"https:\/\/sites.manchester.ac.uk\/mash-project\/wp-json\/wp\/v2\/pages\/2169\/revisions"}],"predecessor-version":[{"id":2457,"href":"https:\/\/sites.manchester.ac.uk\/mash-project\/wp-json\/wp\/v2\/pages\/2169\/revisions\/2457"}],"wp:attachment":[{"href":"https:\/\/sites.manchester.ac.uk\/mash-project\/wp-json\/wp\/v2\/media?parent=2169"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}