CAMHS or other psychological services, however, one-quarter (24%) were discharged home without further follow-up, and 3% left before assessment. Conclusion Over a ten-year period, rates of self-harm in all age groups (10-24) increased by 22%, but the largest increase was in youth aged under 10-14 (+82%). The increasing rates as well as increases in methods of self-harm associated with higher lethality underline the need for interventions to reduce risk of repeat self-harm and suicide among this population. Presentations to hospital provide an opportunity to provide appropriate referral and treatment options for those engaging in self-harm. Having access to child and adolescent psychiatry services in pediatric hospitals would allow appropriate consultation, but in the absence of such services, it is essential that pediatric staff are competent in providing a therapeutic assessment and aware of appropriate service to refer on to.
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