NICE NG225 Self-harm

Self-harm: assessment, management and preventing recurrence (NICE guideline NG225)

NG225 replaced the two older self-harm guidelines and made one structural break with past practice: risk-assessment tools and scales must not be used to predict future self-harm or suicide, or to decide who gets treatment. Assessment is instead a psychosocial one built on need and safety planning. For recurrence it recommends a CBT-informed psychological intervention specific to self-harm, and dialectical behaviour therapy for adults with repeated self-harm — the register trials below map onto exactly those recommendations.

This guideline cites 5 of the 62 landmark trials in our Psychiatry & psychotherapy register.

Source
National Institute for Health and Care Excellence. Self-harm: assessment, management and preventing recurrence. NICE guideline [NG225]. Published 7 September 2022; last reviewed 16 August 2024.

CBT-informed intervention for self-harm1

  • 2005Brown CT-SPPsychiatry · Suicidality · Brief CBTCognitive Therapy for Prevention of Suicide Attempts

Dialectical behaviour therapy2

  • 2006DBT vs CTBEPsychiatry · BPD · Dialectical behaviour therapyDBT vs Community Treatment by Experts
  • 1991Linehan DBTPsychiatry · BPD · Dialectical behaviour therapyDialectical Behaviour Therapy for Chronically Suicidal BPD

Mentalisation-based & structured generalist care2

  • 2009MBT vs SCMPsychiatry · BPD · Mentalisation-basedOutpatient MBT vs Structured Clinical Management
  • 2009McMain GPMPsychiatry · BPD · Generalist managementDBT vs General Psychiatric Management for BPD