Chapter 7. Suicide and Self-Harm

  1. Lynne Walsh MSc, BSc (Hons) RMN, RGN, RNT Dip Prof Practice, Cert Ed, Cert Health Promotion Lecturer

Published Online: 4 MAR 2010

DOI: 10.1002/9780470749739.ch7

Depression Care across the Lifespan

Depression Care across the Lifespan

How to Cite

Walsh, L. (2009) Suicide and Self-Harm, in Depression Care across the Lifespan, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9780470749739.ch7

Author Information

  1. School of Health Science, Swansea University, UK

Publication History

  1. Published Online: 4 MAR 2010
  2. Published Print: 20 MAR 2009

ISBN Information

Print ISBN: 9780470517727

Online ISBN: 9780470749739



  • suicide and self-harm;
  • importance of mental health policy in relation to preventing suicide and self-harm;
  • role of community psychiatric nurse (CPN), discharge liaison and care programme approach (CPA);
  • risk assessment highlighted and importance of assessing risk - detecting potential and actual suicidal activity;
  • Welsh Assembly Government (WAG) - developing guidance and a much-needed National Suicide Prevention Strategy for Wales;
  • potential reasons for reduction in reported suicide rates in England;
  • National strategies to reduce suicide;
  • National Patient Safety Agency (NPSA);
  • socio-economic factors associated with suicidal behaviour;
  • establishing when suicidal behaviour started and reasons why it occurred


This chapter contains sections titled:

  • Introduction

  • Background on suicide

  • Suicide rates and statistics

  • Potential reasons for reduction in reported suicide rates in England

  • National strategies to reduce suicide

  • The role of the GP in the prevention of suicide

  • Socio-economic factors associated with suicidal behaviour

  • Discharge liaison, the role of the community psychiatric nurse and the care programme approach

  • Potential guidelines and recommendations on suicide prevention prior to discharge

  • Suicidal behaviour

  • People associated with higher incidence of suicide

  • The importance of managing suicidal risk

  • No-suicide contracts

  • Review of risk assessment scales

  • Self-harm

  • Reasons why young people self-harm

  • Self-harm and high suicidal risk

  • The professional's role in suicide prevention

  • Conclusion

  • Reflection and discussion

  • References