Refer a patient who has self-harmed to mental health services if there is thought to be an immediate risk of self-harm or suicide, and in such cases, refer to a crisis resolution and home treatment team NICE CKS.
Make a referral to a community mental health team and/or psychology services if the person's levels of concern or distress are rising, high, or sustained, or if the frequency or degree of self-harm or suicidal intent is increasing, or if the person or their assessment provider is concerned NICE CKS,NICE NG225.
Refer children and young people to Child and Adolescent Mental Health Services (CAMHS) if they are under 18 years old NICE CKS,NICE NG225.
If there is a suspected mental health disorder of a severity or nature requiring specialist management, or high levels of distress, or increasing risk, or if the person requests intervention from specialist services, refer accordingly NICE CKS,NICE NG225.
Additionally, refer to appropriate drug and alcohol services if misuse is involved NICE NG225.