About the Intervention

The intervention involves a therapeutic assessment in the Emergency Department, followed by rapid follow up support.

The therapeutic assessment involves the person being asked to tell their story leading up to the crisis to the liaison practitioner in a narrative interview. The person will receive an enhanced safety plan following a collaborative planning process.

The person will then receive rapid follow up contact from the same practitioner. Within 72 hours of leaving the Emergency Department, the practitioner will make a check-in phone call. They will be offered face-to-face follow-up meetings over a two-month period with the same practitioner to discuss the patient’s main concerns and, using a solution-focussed approach, collaboratively formulate solutions to address these concerns. At three, six and nine months, the person will receive personalised letters from the practitioner to remind them of the safety plan and support networks.

Practitioners are currently piloting the intervention in four Emergency Departments with people who have presented with self-harm. We are seeking feedback to learn from the experiences of practitioners and patients, to help us to refine the approach.