Royal Australian and New Zealand College of Psychiatrists clinical practice guideline for the management of deliberate self-harm

Author:

Carter Gregory123,Page Andrew14,Large Matthew15,Hetrick Sarah16,Milner Allison Joy178,Bendit Nick1910,Walton Carla111,Draper Brian1512,Hazell Philip113,Fortune Sarah1141516,Burns Jane1171819,Patton George120212223,Lawrence Mark124,Dadd Lawrence125262728,Robinson Jo16,Christensen Helen129

Affiliation:

1. Clinical Practice Guideline for Deliberate Self-harm Working Group, RANZCP, Melbourne, Victoria, Australia

2. Centre for Translational Neuroscience and Mental Health, Faculty of Health and Medicine, The University of Newcastle, Callaghan, NSW, Australia

3. Department of Consultation Liaison Psychiatry, Calvary Mater Newcastle Hospital, Waratah, NSW, Australia

4. Centre for Health Research, Western Sydney University, Richmond, NSW, Australia

5. School of Psychiatry, The University of New South Wales, Sydney, NSW, Australia

6. Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia

7. Centre for Population Health Research, School of Health and Social Development, Deakin University, Burwood VIC, Australia

8. Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia

9. School of Medicine and Public Health, Faculty of Health and Medicine, The University of Newcastle, Callaghan, NSW, Australia

10. School of Psychology, Faculty of Science and Information Technology, The University of Newcastle, Callaghan, NSW, Australia

11. Centre for Psychotherapy, Hunter New England Mental Health Service and Centre for Translational Neuroscience and Mental Health, The University of Newcastle, Callaghan, NSW, Australia

12. Academic Department for Old Age Psychiatry, Prince of Wales Hospital, Sydney, NSW, Australia

13. Discipline of Psychiatry, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia

14. The University of Auckland, Auckland, New Zealand

15. University of Leeds, Leeds, UK

16. Kidz First, Middlemore Hospital, Auckland, New Zealand

17. Young and Well Cooperative Research Centre, The University of Melbourne, Melbourne, VIC, Australia

18. Brain & Mind Research Institute, The University of Sydney, Sydney, NSW, Australia

19. Orygen Youth Health Research Centre, Melbourne, VIC, Australia

20. Department of Paediatrics, The University of Melbourne, Melbourne, VIC, Australia

21. National Health and Medical Research Council, Canberra, ACT, Australia

22. Centre for Adolescent Health, The Royal Children’s Hospital, Melbourne, VIC, Australia

23. Murdoch Children’s Research Institute, Melbourne, VIC, Australia

24. Tauranga Hospital, Bay of Plenty, New Zealand

25. Mental Health & Substance Use Service, Hunter New England, NSW Health, Waratah, NSW, Australia

26. Awabakal Aboriginal Medical Service, Hamilton, NSW, Australia

27. Pital Tarkin, Aboriginal Medical Student Mentoring Program, The Wollotuka Institute, The University of Newcastle, Callaghan, NSW, Australia

28. Specialist Outreach NT, Darwin, Northern Territory, Australia

29. Black Dog Institute, The University of New South Wales, Sydney, NSW, Australia

Abstract

Objective: To provide guidance for the organisation and delivery of clinical services and the clinical management of patients who deliberately self-harm, based on scientific evidence supplemented by expert clinical consensus and expressed as recommendations. Method: Articles and information were sourced from search engines including PubMed, EMBASE, MEDLINE and PsycINFO for several systematic reviews, which were supplemented by literature known to the deliberate self-harm working group, and from published systematic reviews and guidelines for deliberate self-harm. Information was reviewed by members of the deliberate self-harm working group, and findings were then formulated into consensus-based recommendations and clinical guidance. The guidelines were subjected to successive consultation and external review involving expert and clinical advisors, the public, key stakeholders, professional bodies and specialist groups with interest and expertise in deliberate self-harm. Results: The Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for deliberate self-harm provide up-to-date guidance and advice regarding the management of deliberate self-harm patients, which is informed by evidence and clinical experience. The clinical practice guidelines for deliberate self-harm is intended for clinical use and service development by psychiatrists, psychologists, physicians and others with an interest in mental health care. Conclusion: The clinical practice guidelines for deliberate self-harm address self-harm within specific population sub-groups and provide up-to-date recommendations and guidance within an evidence-based framework, supplemented by expert clinical consensus.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,General Medicine

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