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<p>The National Institute for Health and Care Excellence (NICE) guideline [CG133]
regarding the longer-term management of self-harm in over eight’s sets out that care
plans – including risk management and crisis plans – should be multidisciplinary and
developed collaboratively with the person who self-harms and, provided the person
agrees, with their family, carers or significant others. Care plans should also be
shared with an individual’s general practitioner.</p><p> </p><p>It is for National
Health Service organisations to design services to meet the needs of their local populations.</p><p>
</p><p>NICE has produced a Clinical Knowledge Summary on the management of poisoning
or overdose which is available at:</p><p> </p><p><a href="http://cks.nice.org.uk/poisoning-or-overdose#!scenario"
target="_blank">http://cks.nice.org.uk/poisoning-or-overdose#!scenario</a></p><p>
</p><p>This states that the person, if self-harm is found to be a factor, should have
a psychiatric assessment by a trained professional.</p><p> </p><p>The Government’s
Suicide Prevention Strategy also has details of what should be done if an overdose
is suspected to be intentional. The Strategy acknowledges that emergency departments
and primary care have important roles in the care of people who self-harm, with a
focus on good communication and follow-up.</p><p> </p><p>In January, the Prime Minister
announced £247 million to be used to develop further the provision of liaison psychiatry
services in Emergency Departments in England. These services will ensure that people
attending Emergency Departments who have mental ill health are assessed quickly and
receive the most appropriate treatment.</p><p> </p><p> </p><p> </p>
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