Table 1

Service scale items with number and proportion of hospitals endorsing each item

Item numberService scale itemsYes
NPer cent
1Is there a protocol/guideline/aide memoire for staff in the A&E department for the immediate medical management of self-harm?2990.6
2Is there a protocol/guideline/aide memoire for staff in the A&E department for the immediate assessment of risk and severe mental disorder for patients who self-harm?2887.5
3Is there a designated self-harm specialist clinical service? (+A&E liaison)*2990.6
4Is there a local specific planning/working group (of the team who undertake the psychosocial assessments) which meets at least once a year to plan/oversee the service for patients who self-harm?2268.8
5Are there psychosocial assessment training sessions for new staff who are involved in the psychosocial assessment of patients?3093.8
6Are there supervision arrangements in place for staff members (new and existing) who undertake psychosocial assessments?2371.9
7Are there written guidelines/a checklist, to assist psychiatric clinicians in the psychosocial assessment of patients who self-harm?2784.4
8Does the A&E department have 24 h access to a psychiatrist, psychiatric nurse or social worker who is able to undertake psychosocial assessments?3093.8
9If yes to 8, is immediate (within 15 min) advice available over the telephone?2268.8
10If yes to 8, is emergency attendance, when requested, available within 1 h?740.6
11Do regular (at least once a year) service planning/strategy meetings take place between the self-harm team/psychiatric service and the general medical service involved in the care of patients who self-harm?3196.9
12Are rooms which allow for privacy and confidentiality available for conducting interviews with patients who self-harm either in or close to the A&E department?2165.6
13Does a formal arrangement exist with Social Services to visit and offer advice to patients who self-harm who have significant social difficulties?3196.9
14Can those admitted as inpatients remain in hospital until they have received a psychosocial assessment?2165.6
15Is there a policy stating that a patient's GP should be contacted within 24 h of patient discharge from an A&E department?2681.3
16Is there a policy stating that a patient's GP should be contacted within 24 h of patient discharge from a medical inpatient unit?1340.6
17Are patients who self-harm routinely given printed material about local services, voluntary groups and how to obtain access to them?618.8
18Are there any formal links with non-statutory services (eg, self-help groups, the Samaritans)?1546.9
19Has a system been set up for the monitoring of hospital attendance/discharge and referral of patients who self-harm?1340.6
20Has there been any audit of the service for patients who self-harm in the past 2 years?1340.6
  • *Any liaison psychiatric service with at least one member of staff located within the ED.

  • A&E, accident and emergency; ED, emergency department; GP, general practitioner.