Mental health

Problem solving approach

Question 4: Is problem solving approach better than treatment as usual for persons with thoughts or plans of self-harm in the last month or acts of self-harm in the last year?

Management of self harm and suicide

  • Population: persons with thoughts, plans or acts of self-harm
  • Interventions: problem solving approach
  • Comparison: treatment as usual
  • Outcomes:
    • suicide mortality
    • repetition of suicide attempts and acts of self-harm
    • thoughts or plans of self-harm, hopelessness
    • quality of life
    • functionality status.


A structured problem solving approach should be considered as a treatment for persons with acts of self-harm in the last year, if there are sufficient human resources (e.g. supervised community health workers).
Strength of recommendation: STANDARD

Evidence profile