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Self-harm – risk assessment — RACP Paediatrics MCQ

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ModerateEmergencySelf-harm – risk assessmentRACP Paediatrics

A 13-year-old presents with superficial self-harm (cutting), no suicidal intent. Bullied at school. No depression features. Wounds superficial. What is the management?

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Correct answer: A — Risk assessment and safety planning

Comprehensive psychosocial risk assessment (HEEADSSS) with safety planning. Not suicidal: wound care, safety plan, appropriate follow-up (CAMHS/GP/school).

Reference: RCH Melbourne – 2023 – Mental Health Emergency CPG