How to conduct a self-harm risk assessment
A risk assessment can help professionals to identify, understand and evaluate a child or young person’s potential risk of self-harm. It supports safeguarding, mental health assessment and care planning.
What does a risk assessment involve?
A risk assessment collects information about a child or young person’s thoughts, behaviours, triggers and circumstances to determine the likelihood of self-harm, and what level of support is needed. These can include:
- Description of self-harm behaviours
- Risk factors like trauma, neurodiversity or health conditions
- Behavioural risks like suicidal thoughts, previous attempts or substance abuse
- Times, places or situations where the risk of self-harm increases
- Triggers or distressing circumstances surrounding self-harm
- Relationships with family, peers and professionals
- Other key professionals or services involved in their care, e.g. local authority
- Any protective factors like trusted adults, supportive friends or positive interests
- Warning signs that their risk of self-harming might be increasing
- Strategies that can help to keep them safe
A risk assessment should be completed collaboratively with the child or young person when this is appropriate. Below is an example of a risk assessment template that can be downloaded and adapted as needed.
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Self-Harm Risk Assessment Template
Download here
Other strategies and resources
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How to support a child or young person in crisis
24/7 crisis support and basic first aid advice
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How to create a safety plan with children and young people
Supporting them to make safe decisions in a crisis
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Distraction techniques and coping strategies for self-harm
Simple strategies for managing the urge to self-harm
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Harm minimisation techniques
Maximising safety in the event of self-harm
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Self-harm resources
Info and advice for children, young people, families and professionals
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Downloadable guide for professionals
Download all the content on this portal as a PDF guide
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Looking after yourself as a professional
Proactive steps to look after your own wellbeing