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Self Harm

Self harm is any act of self-injury or self-poisoning; it might include cutting, scratching, biting, substance misuse or sexual promiscuity.

It is not attention seeking, it is the way the individual is expressing overwhelming emotion or it may be a way of asking for help.

Self harm needs to be taken seriously. It is always a warning sign of emotional distress and can be a sign of psychological illnesses such as depression. Over half of those who die by suicide have a previous history of self-harm.

Timely support can allow the young person to address their mental health needs and find positive coping strategies for the future.

  • If you suspect or become aware that a young person is self harming, a prompt response is essential.

    First Aid
    If a child or young person has injured themselves / taken an overdose this will need immediate first aid assessment.

    • Can the injuries be safely managed in school?
    • Does the child need to see a health professional?
    • Does the child need an emergency response? Call 999.

    First Response
    Responding in a non-judgemental and calm way to any disclosure or discovery of self-harm is vital. Young People often feel embarrassed and ashamed and can be reluctant to talk about the issue. You do not have to have immediate solutions – being listened to and feeling able to share their distress is an important first step.

    Safeguarding
    Safeguarding the young person’s physical and emotional wellbeing is paramount. Share what you know with the designated safeguarding lead, follow policy and seek advice as necessary to ensure safety.

    Confidentiality
    The young person may be scared of others finding out about the self harm. Be clear about the confidentiality you can offer from the outset – the young person should know that if you are concerned about their safety you have an obligation to share with appropriate others.

    Sharing with Others
    If you do feel it is necessary to tell others, including their parents, talk this through with the young person and plan how you will manage this together. If at all possible parents and carers should be put in the picture as soon as possible as long as it does not increase risk e.g. where there has been disclosure of abuse. The young person may feel very worried about this; letting them share some control of how this happens can help make it easier.

    Next Steps
    Support the young person and their family to seek medical assessment – either by attending the GP or A&E if they have wounds that need attention or are voicing suicidal thoughts.
    This will also allow the young person to be referred for the appropriate level of mental health support.

    Ongoing Support
    Support offered in school should not take the place of specialist support. There are lots of resources and materials online that can help you offer ongoing support to the young person. It might be helpful to;

    • Allow time and space with a trusted adult to talk about thoughts and feelings.
    • Encourage them to keep a journal to help them track their thoughts of self harm, and recognise triggers and patterns.
    • Help them to develop a safety plan with coping strategies to help them when the urge to harm is strong – this might include distraction or relaxation techniques.
    • Know what to do if they have harmed themselves – including who they will tell and how they will get help.

    Peer Group
    Be mindful of the needs of the young person’s support group who may need to talk about the worries they have for their friend. It is not unusual for a friendship group to share self harm as a mutual way of displaying distress. They may also need help to manage their feelings in a healthy way.

    Self Care
    It is hard to support young people displaying such distress and this can take a toll on your own emotional wellbeing. Use the support network available to you within school from peers and the senior team and ask for additional support if you are struggling.

     

  • The CARE animation is a short animation for all school and college staff that recognises the importance of supporting children and young people’s mental health in schools and colleges, and offers a simple principle for staff to remember; CARE. (Curious, Approachable, Refer, Empathy).  It is aimed at all School staff, including support staff and those who may not have direct contact with pupils. The animation can be used in one of the following ways:

    1. On a staff training day. 
    2. In a staff briefing or team meeting.
    3. Send the animation and resources out in a staff bulletin.

    You can watch the CARE animation and download the accompanying guidance and poster at www.annafreud.org/careanimation.

    'All Our Health' free, bite-sized e-learning sessions (Public Health England) - to improve the knowledge, confidence and skills of health and care professionals in preventing illness, protecting health and promoting wellbeing.

    The sessions cover some of the biggest issues in public health including;

    • Childhood obesity 
    • Pollution
    • Alcohol misuse
    • Antimicrobial Resistance (AMR)

    They contain signposting to trusted sources of helpful evidence, guidance and support to help professionals embed prevention in their everyday practice.

    Shelf Help:

    • The Truth about Self Harm - Celia Richardson.

     

How Can We Help?

Just One Number Call to speak to a health professional by phoning 0300 300 0123. They will be able to provide initial advice and support and guide next steps with us or signpost you to other more relevant agencies and professionals. It is available 08.00 to 18.00 Monday to Friday and 09.00 to 13.00 on Saturdays.

Referrals for support are made by contacting Just One Number on 0300 300 0123. Please make sure you have the consent of the parent and / or young person before you make a referral to us. You do not need to fill out any paperwork prior to this call.

Referrals are made via the telephone to enable us to have an informative conversation with you at the point of referral so we can ensure we have all the required information for early triage and assessment of the child, young person or family. This will ensure the referral gets managed by the appropriate team in a more timely way or we can signpost you to a more appropriate service.

ChatHealth Children and Young people can access us through our text messaging service on 07480635060. They will be able to discuss any health concerns with one of our Practitioners and also be able to request an appointment if they would prefer to meet with us.

Parent Line Parents can access our services by texting our number 07520631590 . This allows them to access the advice and support from a clinician about any health issues affecting their children aged 0-19.

Just One Norfolk Health Passport app Young people age 16-19 can download this app on Apple or Android phones. It provides young people age 16-19 with general health information and advice to increase health literacy. It signposts to services and promotes self care. It aims to increase resilience and wellbeing and to find out how to access health services.

Health Unlocked Parents can be signposted to this. It is a carefully monitored online community forum which allows local parents and carers to talk with each other regarding issues affecting their children. This can be accessed through our Just One Norfolk website.

Solihull Parenting Online For our Norfolk parents there is the opportunity to access this free of charge through Just One Norfolk. It supports parents in understanding their children from 0-19 via 4 modules. Staff working with children and families will also benefit from this – or they can book to do the two day Solihull Training provided by our service by contacting karin.bibby@nhs.net. While COVID-19 restrictions are in place please contact Karin Bibby to register your interest in virtual training as this becomes available.

Helpful Pages to Share with Families

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  • RT @ChatHealthNHS: Welcome to the new #ChatHealthNHS ambassadors in Norfolk. They'll do a fab job in supporting their peers to get help and… NorfolkCYP / 22 September 2021
  • Welcome to the new #Chathealth ambassadors! 👏👏👏👏👏 amazing work! 👏👍☺️ https://t.co/ecZRbZZE4u NorfolkCYP / 22 September 2021
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