Self-harm: assessment, management and preventing recurrence [M] Evidence review for therapeutic risk taking strategies

National Institute for Health and Care Excellence (2022)

NICE - n/a

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Evidence Categories

• Care setting: Healthcare Setting
• Care setting: Other settings
• Population group: Mental health condition
• Population group: Adults
• Population group: Children & Adolescents
• Population group: Past history of suicide attempts or self harm
• Population group: Intellectual disability
• Population group: Neurodevelopmental disorder
• Intervention: Indicated intervention: Psychosocial Interventions
• Outcome: Suicide
• Outcome: Self harm

Type of Evidence

NICE Underpinning Review

Overview

Therapeutic risk taking is a care management approach which employs principles whereby overly coercive responses to self-harm are avoided and replaced by a high regard for the patient’s autonomy. This can involve a collaborative approach to the treatment and management of self-harm that does not eliminate risk factors that could lead to repeat selfharm, but enables important positive achievements, allowing the person to develop the tools to resist self-harm without professional assistance or coercion. Therapeutic risk taking does not include the refusal of care or assistance, such as denied admission to hospital or treatment. The aim of this review is to identify the effectiveness of therapeutic risk-taking strategies for people who have self-harmed.

Recommendations

The evidence from this review supports recommendation 1.11.14 Therapeutic risk taking under recommendation 1.11 Interventions for self-harm.

This evidence review did not identify any recommendations for research.