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The British Journal of Psychiatry (2005) 187: 497-499
© 2005 The Royal College of Psychiatrists


EDITORIALS

Management of self-harm in adults: which way now?

Navneet Kapur, MD, MRCPsych

Centre for Suicide Prevention, Department of Psychiatry and Behavioural Sciences, Williamson Building, University of Manchester, Oxford Road, Manchester M13 9PL, UK. E-mail: nav.kapur{at}manchester.ac.uk

Declaration of interest N.K. provided comments on the National Institute for Clinical Excellence (NICE) guideline during the consultation process and has received funding from NICE.

Self-harm remains an important public health problem and two sets of clinical guidelines have been published recently. While these include elements of accepted good practice they are not evidence-based. Further research mightconcentrate on either very large trials of low-intensity interventions or smaller trials of longer-term psychological treatments. The current management of self-harm may be improved by shifting professionals’ views, involving usersin staff training, and changing service provision - perhaps moving from risk assessment to needs assessment.


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