Welcome Self Injurious Behaviour: Main title slide page Co-brand logo here Welcome Self Injurious Behaviour: In Young People

Situation Welcome Young people use self harm, via cutting, overdosing & ligaturing as a coping mechanisms. The team wanted to provide better support, outcomes and education around the management of these behaviours. Main title for slide set Optional sub title or name

SOMPAR trust wide review of ligature rates and patient safety. Background The UK has the highest self-harm rate of any country in Europe with estimates of 400 in 100,000 people self-harm. These figures are likely to be higher as many people who self-harm do not tell anyone about it. Self-harm can affect anyone however the majority of people who report self-harm are aged between 11 and 25 – Mental Health Foundation SOMPAR trust wide review of ligature rates and patient safety. Every year in the UK there are 150,000 cases of Sepsis, resulting in a staggering 44,000 deaths (UK Sepsis Trust, 2016)

Preventing Suicide in England – Gov.uk Background Welcome Government Drivers: Preventing Suicide in England – Gov.uk This strategy includes the following groups for whom a tailored approach to their mental health is necessary if their suicide risk is to be reduced: children and young people, including those who are vulnerable such as looked after children, care leavers and children and young people in the youth justice system people with untreated depression lesbian, gay, bisexual and transgender people   One of the most effective ways to prevent suicide is to reduce access to high-lethality means of suicide. Suicide methods most amenable to intervention include: • hanging and strangulation in psychiatric inpatient and criminal justice settings; • self-poisoning Main title for slide set Optional sub title or name

Welcome Benefits to patient and staff Main title for slide set Optional sub title or name Education of patients and staff in Sepsis Awareness: signs & symptoms. Prevention and early recognition. Improved patient experience. Reduced escalation of risk.

Welcome Assessment Main title for slide set Optional sub title or name AIM PRIMARY DRIVERS SECONDARY DRIVERS Main title for slide set Optional sub title or name Reduce levels of self harm by providing coping mechanisms and tools as alternatives to self harm via cutting & overdosing. Provide appropriate & reliable education tools to staff & young people within the inpatient environment. Improve outcomes in young people, focusing on self harming and overdosing behaviours by March 2017. Provide sepsis prevention, recognition and treatment awareness for young people and staff. Trust wide review of ligature management led by frontline clinical staff including in house training & roleplay review of incidents. Implementation of a continued care approach to overdosing behaviours to improve patient outcomes & patient experience. Explore and develop a process of preventing A&E admissions typically around Paracetamol O/D and developing a protocol to manage these in house when safe to do so (with a clinical evidence based approach). Proactive use of observation and. engagement Reduce levels of self harm at high risk times by reviewing the roles of staff during this time and engagement from young people. Provide activities during high risk times for young people.

Measurement

Update Young people have participated in education & education boards in sepsis & physical health awareness. Implementation of clinical improvement board & sepsis awareness theme for staff education. Review of the twilight role and activities after 5pm. Exploring face to face formal training in ligature management for inpatient staff & developing an E-Learning package for all staff to access. Welcome Main title for slide set Optional sub title or name

Update Continued implementation of coping skills books and coping skills boxes: with funding being sought for this project. Attempts to arrange and plan a training session for all staff in wound management. To develop a in-house process around overdose & physical health management to present to the trust for review.

Welcome Recommendations Challenges: Staff availability & time to participate in training. Accessing incident rates and non reportable incident of self harm. Changing practice around overdosing behaviours & others professionals anxieties or concerns around this. Staff culture & resistance to change. Main title for slide set Optional sub title or name

Recommendations Benefits: Our coping skills books & boxes are highly successful with qualitative data from young people on how successful and useful these are in managing self injurious urges. The Butterfly Project. Ligature findings when available. Sepsis Awareness work.

Welcome Key improvement message learnt Main title for slide set Optional sub title or name