Mental health

Hospitalization for persons with self-harm

[2012]

Recommendation(s)

Hospitalization in non-specialized services of general hospitals with the goal of preventing acts of self-harm is not routinely recommended for persons with self-harm. However, admission to general hospital for management of medical consequences of an act of self-harm may be necessary; in these cases close monitoring of the individual's behaviour will be necessary to prevent subsequent self-harm in the hospital.
Strength of recommendation: CONDITIONAL
Quality of evidence: VERY LOW

In situations where the health worker is concerned about imminent risk of serious self-harm (for example, when the individual is violent, extremely agitated, uncommunicative, etc.), urgent referral to a mental health service should be considered. However, if such a service is not available, family, friends, concerned individuals and other available resources should be mobilized to ensure close monitoring of the individual as long the imminent risk persists.
Strength of recommendation: CONDITIONAL
Quality of evidence: VERY LOW

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