Management of patients presenting to the CUH Plastic Surgery service from other hospitals/services following deliberate self-harm.
- All patients who have had deliberate self-harm should have a psychosocial asessment by a trained assessor as early as possible following the episode.
- In most centres this assessor will be the psychiatrist on-call to the local Emergency Department.
- Prior to accepting a referral of a patient following deliberate self-harm to CUH for a plastic surgery assessment or intervention, the surgical team should ensure the following:
- The patient has had a psychosocial / risk assessment by the local psychiatrist on-call.
- The outcome of this assessment has included inter alia clear recommendations about:
- Supervision arrangements and contingency planning during transport to CUH
- The need for special (1:1) nursing during the CUH inpatient/outpatient stay
- The level of urgency of the need for further psychiatric assessment in CUH
- A written copy / summary of the psychosocial assessment is included with the surgical transfer letter that accompanies the patient to CUH.