The study aims to support patients who self-harm. This means individuals who have attended the Emergency Department for the first time, as well as those who may attend more often. We will provide staff training in therapeutic assessment, safety planning and follow up support using solutions focused approaches. By providing staff with training in techniques shown to best support these patients, as well as supervision, we hope to support staff to feel better equipped to offer high quality care to people presenting in distress. Finally, we hope to create a more efficient means of supporting patients in crisis and to reduce reattendance to the Emergency Department, which will lead to cost-saving for the NHS.