Role of asking about thoughts, plan or act of self-harm
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SUI 1. Individuals over 10 years of age suffering from any of the other priority conditions, or who present with chronic pain or acute emotional distress associated with current interpersonal conflict, recent loss, or other severe life event, should be asked about thoughts or plans of self-harm in the last month or acts of self-harm in the last year at initial assessment and periodically as required. |
Role of removing means for self-harm/suicide from a person
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SUI 2. The individual, family, and relevant others should be advised to restrict access to the means for self-harm (e.g., pesticides and other toxic substances, medication, firearms) as long as the individual has thoughts, plans, or acts of self-harm. |
Role of contact for persons with thoughts, plans or acts of self-harm
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SUI 3. Regular contact (telephone contact, home visits, letter, contact card, brief intervention and contact) with the non-specialized health care provider is recommended for persons with acts of self-harm in the last year, and should be considered for persons with thoughts or plans of self-harm in the last month. |
Role of a problem solving approach
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SUI 4. A structured problem-solving approach should be considered as a treatment for persons with acts of self-harm in the last year, if there are sufficient human resources. |
Role of social support
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SUI 5. Use of social support (from available informal and/or formal community resources) should be facilitated for persons with thoughts or plans of self-harm in the last month or acts of self-harm in the last year. |
Role of hospitalization
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SUI 6. Hospitalization in non-specialized services of general hospitals with the goal of preventing acts of self-harm is not routinely recommended for persons with self-harm. If imminent risk of self-harm is a concern, urgent referral to a mental health service should be considered. However, if such a service is not available, family, friends, concerned individuals, and other available resources should be mobilized to ensure close monitoring. |
Role of reducing access to means of suicide at the population level
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SUI 7. Restricting access to means of self-harm (such as pesticides, firearms, high places) is recommended. |
Role of reducing the availability of alcohol
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SUI 8. Policies to reduce harmful use of alcohol should be developed as a component of a comprehensive suicide prevention strategy, particularly within populations with high prevalence of alcohol use. |
Role of responsible and deglamourized media reporting
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SUI 9. Responsible media reporting of suicide (such as avoiding language which sensationalizes or normalizes suicide or presents it as a solution to a problem, avoiding pictures and explicit description of the method used, and providing information about where to seek help) is recommended. |