This module focuses on treatments and interventions for young people aged 8 to 18 years who self-harm. It is a follow-on from Self-harm in adolescents: Part 1 – risk assessment and management, which covers assessment, formulation and early management. Research evidence into effective treatments, specifically psychological interventions, is emerging and the quality of research in this field is variable. In addition to the clinical evidence, cost-effectiveness information must be taken into account in the generation of statements and recommendations made by clinical guidelines.
This module highlights good clinical practice. It is imperative when conducting an assessment to engage the adolescent, their family and the wider system. Therapeutic alliance describes the relationship between patient and professionals. Engagement and developing a therapeutic relationship is an important part of the initial assessment, and all interventions should be patient-centred. All clinicians working in the field should have a sound understanding of how to assess and engage young people and their families/carers in risk assessment and management.
Young people who self-harm can present with particularly complex psychological and social problems. Risk management needs careful consideration, especially as we know that self-harm is one of the strongest known risk factors for later suicide (refer to Self-harm in adolescents: Part 1 – risk assessment and management).
This module includes two worked examples, illustrating common clinical dilemmas in working with young people presenting with self-harm.
We hope both Part 1 and this module will inform, inspire and increase confidence for healthcare professionals working in this field.
