No Risk Tools Self-Harm CYP — MRCPsych Paper B MCQ
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Correct answer: A — Using a risk assessment tool to predict repetition of self-harm
The correct answer is A. NICE NG225 states that risk assessment tools and scales should not be used to predict future suicide or repetition of self-harm. They should also not determine access to treatment or discharge, because their predictive accuracy is inadequate. Assessment should instead identify the young person's needs, vulnerabilities, strengths and immediate and longer-term safety, with a risk formulation incorporated into a specialist psychosocial assessment. Appropriate physical treatment must be provided alongside mental healthcare. Family or carers should be involved when appropriate, taking consent and confidentiality into account. Collaborative safety planning is also supported and may include coping strategies, sources of support and steps to restrict access to means.
Reference: National Institute for Health and Care Excellence. Self-harm: assessment, management and preventing recurrence (NG225), sections 1.5–1.7. 2022. https://www.nice.org.uk/guidance/ng225/chapter/recommendations