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Implications for practice and research
▪ The major role that mental health nurses have in conducting self-harm assessments, including risk assessment and planning care pathways, should continue.
▪ There are differences between nurses and psychiatrists in the judgements regarding the management of a client who is at risk of self-harm repetition.
▪ Research is required to understand the reasons for the differences in clinical management.
▪ It may be that these differences relate more towards how novice or expert the clinician is, rather than their disciplinary base (whether nurse or doctor).
▪ If differences are due to expertise, then clinicians could benefit from a shared approach to education on self-harm understanding, assessment and management.
Self-harm is a major global public health issue and is associated with a risk of self-harm repetition, suicide, worsening mental health problems and …
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