“…The British Society for Surgery of the Hand (BSSH) guidelines for hand trauma make no reference to the self-harm population or their specific needs. 9 There is also evidence of negative stereotyping of patients who self-harm by healthcare professionals in surgical services 10 , 11 ; this includes judgemental beliefs regarding motivation for the act (i.e. that it is ‘attention seeking’), restriction of surgical treatment due to perceived futility (due to wound tampering or repeated self-harm) or surgical intervention reinforcing self-harm behaviours.…”