Review ArticleThe problem of deliberate self-harmBoyce, Philipa; Oakley-Browne, Mark A.b; Hatcher, SimonbAuthor Information aDepartment of Psychological Medicine, University of Sydney, Penrith, New South Wales, Australia, and bDivision of Psychiatry, Faculty of Medicine and Health Sciences, University of Auckland, Auckland, New Zealand Correspondence to Philip Boyce, Professor of Psychiatry, Department of Psychological Medicine, University of Sydney, PO Box 63, Penrith, NSW 2751, Australia. Tel: +61 2 4734 2585; fax: +61 2 4734 3343; e-mail: [email protected] Abbreviations CAT: Cognitive Analytic Therapy MACT: Manual Assisted Cognitive Therapy Current Opinion in Psychiatry: March 2001 - Volume 14 - Issue 2 - p 107-111 Buy Abstract This paper focuses on the management of deliberate self-harm. Guidelines on the management of deliberate self-harm have been available for the past 6 years, but they are not widely followed, with less than half of patients having a psychosocial assessment after an episode of deliberate self-harm. The availability of paracetamol has been restricted (blister packs and limited quantities), resulting in a reduction in the dosage levels of paracetamol ingested, but not in the numbers of patients that need to be referred to tertiary services for treatment of liver damage. An important medicolegal issue has been raised concerning patients who refuse treatment after a potentially life-threatening overdose. Approaches to dealing with this situation have attracted considerable attention during the past year. Two new brief and focused treatments for the management of deliberate self-harm have been reported (Manual Assisted Cognitive Therapy and Cognitive Analytic Therapy), but further research is required before they may be used in routine practice. © 2001 Lippincott Williams & Wilkins, Inc.