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Adolescent Self-Harm Assessment — RACP Paediatrics MCQ

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ModerateAdolescent MedicineAdolescent Self-Harm AssessmentRACP Paediatrics

A 15-year-old presents to the ED after deliberate self-harm (cutting). She denies suicidal intent. What is the most appropriate approach?

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Correct answer: D — Medical assessment of wounds, psychosocial risk assessment (including safety assessment), and CAMHS referral

Self-harm in adolescents requires a comprehensive approach: medical treatment of injuries, thorough psychosocial and safety assessment (including suicidal ideation, intent, plan, access to means), and appropriate mental health referral (CAMHS). A supportive, non-judgemental approach is essential. Family involvement (with the young person's consent) improves outcomes.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Self-Harm in Adolescents